4SM-30553-35059

2 vaccinations 11 coded responses 20 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 246 / VA
Registered: 2021-01-25

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

Registered dependents

USZ-11524-21193 Adult relative or friend · Female · 2021-09-06

Timeline

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

2021-01-25
Registered in v-safe
2021-01-25
Dose 1 — Moderna
2021-01-25
Survey response — day 0, dose 1
MedDRA: Blood glucose increased — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Free text: My blood sugar shot up for 3 hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-09
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-16
Survey response — day 21, dose 1
MedDRA: Diarrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 35, dose 1
MedDRA: Body temperature increased, Diarrhoea, Dizziness, Fatigue, Headache, Medical counselling, Nausea — Feeling: Fair · 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: Headache, dizziness, fever off and on at 100Â° to 101Â°. Extreme fatigue. Diarrhea, nausea. My dr said she was sure I have COVID, and because of bad weather, I couldnt get my 2nd shot. Too slick on my wheelchair ramp. Havent had the test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — day 35, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-08
Dose 2 — Moderna
2021-03-08
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-23
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Headache, Musculoskeletal stiffness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Stiff neck for a few days. And headache, diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-06
Survey response — day 28, dose 2
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache was really bad yesterday, and before that, I still have one and today too.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — day 35, dose 2
MedDRA: Arthralgia, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint and muscle pain is increasing and very bad today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 42, dose 2
MedDRA: Arthralgia, Medical counselling, Myalgia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Muscle and joint pain significantly worse, as are headaches. · Healthcare visit (other): Home health nurse - RN

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-08
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Daily headache, joint pain much worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-06
Survey response — 6 months, dose 2
MedDRA: Haemoptysis, Headache, Pyrexia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Headaches. Never used to have them. Some blood in the mucus when I cough but X-ray showed nothing. Intermittent fever

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-06
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-08
Call 1 — Left Voicemail
2022-03-09
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Headache, Myalgia, Nausea, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Increased joint and muscular pain, nausea, headaches, · Healthcare visit (other): Normal doctor appointment

MedDRA releases: 2024-11 · check-in free text available
2022-03-09
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Moderna
2	2021-03-08	Moderna

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-25

Systemic reaction (other): My blood sugar shot up for 3 hours

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): Dizziness

Release 4 — day 21, dose 1

2021-02-16

Symptoms: Diarrhea

Release 5 — day 35, dose 1

2021-03-03

Symptoms: Headache, dizziness, fever off and on at 100Â° to 101Â°. Extreme fatigue. Diarrhea, nausea. My dr said she was sure I have COVID, and because of bad weather, I couldnt get my 2nd shot. Too slick on my wheelchair ramp. Havent had the test

Release 6 — day 14, dose 2

2021-03-23

Symptoms: Stiff neck for a few days. And headache, diarrhea

Release 7 — day 28, dose 2

2021-04-06

Symptoms: Headache was really bad yesterday, and before that, I still have one and today too.

Release 7 — day 35, dose 2

2021-04-12

Symptoms: Joint and muscle pain is increasing and very bad today

Release 7 — day 42, dose 2

2021-04-20

Symptoms: Muscle and joint pain significantly worse, as are headaches.

Healthcare visit (other): Home health nurse - RN

Release 8 — 3 months, dose 2

2021-06-08

Symptoms: Daily headache, joint pain much worse

Release 9 — 6 months, dose 2

2021-09-06

Symptoms: Headaches. Never used to have them. Some blood in the mucus when I cough but X-ray showed nothing. Intermittent fever

Release 11 — 12 months, dose 2

2022-03-09

Symptoms: Increased joint and muscular pain, nausea, headaches,

Healthcare visit (other): Normal doctor appointment

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	Medical counselling	✓	✓	✓
HCVO	Office visit	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Body temperature increased	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Haemoptysis	✓	·	✓
SD	Headache	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pyrexia	✓	·	✓
SRO	Blood glucose increased	✓	✓	✓
SRO	Dizziness	✓	✓	✓

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