4TP-95991-20460

2 vaccinations 6 coded responses 13 check-ins 6 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 088 / NJ
Registered: 2021-01-30

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

2020-12-30
Dose 1 — Moderna
2021-01-27
Dose 2 — Moderna
2021-01-30
Registered in v-safe
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Specialist consultation — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Started to have trouble sleeping after the second vaccine ? · Healthcare visit (other): Primary

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-03
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-17
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Fatique seems to linger esp. after the second vaccine and I am a RN.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — day 28, dose 2
MedDRA: Decreased appetite, Dizziness, Fatigue — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Extreme fatique continues , dizzy at times almost total loss of appetite · Healthcare visit (other): Called for appt. to see why I feel this way also loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-03
Survey response — day 35, dose 2
MedDRA: Decreased appetite, Fatigue, Insomnia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Cant sleep thru the night ? Still moderate fatique. Fair to no appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-10
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-04-30
Survey response — 3 months, dose 2
MedDRA: Brain fog, Fatigue, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: More fatique. , some brain fog. · Healthcare visit (other): In patient pcp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-16
Call 1 — Left Voicemail
2021-07-30
Survey response — 6 months, dose 2
MedDRA: Fatigue, Headache, Medical counselling, Office visit, Tension headache — 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

Free text: Symptoms: Im aRN. More fatique , it seems as if the fatique gets a little worse at times. I never had head aches. Rt temple headaches most of the day throbbing and band across forehead headaches. 2-3xa week. · Healthcare visit (other): Primary dr in person or phone

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-11
Call 1 — Left Voicemail
2022-01-27
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-27	Moderna

Call center

5 call center cases

5 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-02

Systemic reaction (other): Started to have trouble sleeping after the second vaccine ?

Healthcare visit (other): Primary

Release 4 — day 21, dose 2

2021-02-17

Symptoms: Fatique seems to linger esp. after the second vaccine and I am a RN.

Release 4 — day 28, dose 2

2021-02-24

Symptoms: Extreme fatique continues , dizzy at times almost total loss of appetite

Healthcare visit (other): Called for appt. to see why I feel this way also loss of appetite

Release 4 — day 35, dose 2

2021-03-03

Symptoms: Cant sleep thru the night ? Still moderate fatique. Fair to no appetite.

Release 8 — 3 months, dose 2

2021-04-30

Symptoms: More fatique. , some brain fog.

Healthcare visit (other): In patient pcp

Release 9 — 6 months, dose 2

2021-07-30

Symptoms: Im aRN. More fatique , it seems as if the fatique gets a little worse at times. I never had head aches. Rt temple headaches most of the day throbbing and band across forehead headaches. 2-3xa week.

Healthcare visit (other): Primary dr in person or phone

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	Decreased appetite	✓	✓	✓
HCVO	Medical counselling	✓	·	✓
HCVO	Office visit	✓	✓	✓
HCVO	Specialist consultation	✓	✓	✓
SD	Brain fog	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	·	✓
SD	Insomnia	✓	✓	✓
SD	Tension headache	✓	·	✓
SRO	Insomnia	✓	✓	✓

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