4NL-21163-43210

1 vaccination 8 coded responses 11 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 894 / NV
Registered: 2021-03-25

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-24
Dose 1 — Moderna
2021-03-25
Registered in v-safe
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Rash, Urticaria — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: I have had hives and rashes since having COVID in Nov and Dec 2021

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Hospitalization

Free text: chest pain, i am in the hospital today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure fluctuation, Chest pain — Feeling: Poor · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Chest pain, blood pressure extremes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Lip swelling, Urticaria — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Hives and swollen lips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Urticaria — Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Hives and shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 7, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-23
Health check-in — 3 months, dose 1
Feeling: Fair

Adult check-in
2021-09-22
Survey response — 6 months, dose 1
MedDRA: Asthenia, Body temperature fluctuation — Feeling: Fair

Free text: Tendon weakness, my temperature seems quite variable

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Call 1 — Left Voicemail
2022-03-24
Survey response — 12 months, dose 1
MedDRA: Arthralgia, Fatigue, Neuralgia, Parosmia, Poor quality sleep, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Increased exhaustion and problematic joint and nerve pain, whether awake or sleeping. Though exhausted, my sleep.quality is.poor. Phantosmia and parosmia continue. · Healthcare visit (other): More referrals, more referrals

MedDRA releases: 2024-11 · check-in free text available
2022-03-24
Report sent to call center — 12 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-25

Systemic reaction (other): I have had hives and rashes since having COVID in Nov and Dec 2021

2021-03-26

Systemic reaction (other): chest pain, i am in the hospital today

2021-03-27

Systemic reaction (other): Chest pain, blood pressure extremes

2021-03-29

Systemic reaction (other): Hives and swollen lips

2021-03-30

Systemic reaction (other): Hives and shortness of breath

Release 6 — day 7, dose 1

2021-03-31

Systemic reaction (other): Shortness of breath

Release 9 — 6 months, dose 1

2021-09-22

Symptoms: Tendon weakness, my temperature seems quite variable

Release 11 — 12 months, dose 1

2022-03-24

Symptoms: Increased exhaustion and problematic joint and nerve pain, whether awake or sleeping. Though exhausted, my sleep.quality is.poor. Phantosmia and parosmia continue.

Healthcare visit (other): More referrals, more referrals

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Asthenia	·	·	✓
SD	Body temperature fluctuation	·	·	✓
SD	Fatigue	·	·	✓
SD	Neuralgia	·	·	✓
SD	Parosmia	·	·	✓
SD	Poor quality sleep	·	·	✓
SRO	Blood pressure fluctuation	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Lip swelling	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Urticaria	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release