4WQ-11562-25458

2 vaccinations 7 coded responses 24 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 775 / TX
Registered: 2021-03-10

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

2021-03-10
Registered in v-safe
2021-03-10
Dose 1 — Moderna
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

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

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-03-17
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Moderna
2021-04-07
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Muscle spasms — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Muscle spasms in my back and pain in my arm pit on the arm of the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Muscle spasms, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Muscle spasms in my back and now my calves pain under my right arm also in the armpit area towards my ribs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Fair · Headache, Muscle or body aches

Free text: Still having muscle spasms in my back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-19
Survey response — day 42, dose 2
MedDRA: Asthenia, Decreased appetite, Fatigue, Taste disorder — Feeling: Good

Free text: My sense of taste is off and o am very tired all the time. No energy. Food does not sound good and I like pretty much everything. No appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Survey response — 3 months, dose 2
MedDRA: Hyposmia, Parosmia — Feeling: Good

Free text: I keep smelling an odor like incense sort of. And My sense of smell has been off for several months. I used to have a very keen sense of smell but it has been off like I said. No one around me can smell the incense smell either.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-08
Survey response — 6 months, dose 2
MedDRA: Asthma, Condition aggravated, Pre-existing disease — Feeling: Good

Free text: My lungs are more sensitive like when I get around somebody that's vaping the fumes make me cough and almost having asthma related action

MedDRA releases: 2024-11 · check-in free text available
2022-04-07
Survey response — 12 months, dose 2
MedDRA: Gastrointestinal disorder, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Stomach issues · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2022-04-07
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-14
Call successful
Not applicable - Accidental Reporting

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-07	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Muscle spasms in my back and pain in my arm pit on the arm of the shot

2021-04-10

Systemic reaction (other): Muscle spasms in my back and now my calves pain under my right arm also in the armpit area towards my ribs

2021-04-11

Systemic reaction (other): Still having muscle spasms in my back

Release 8 — day 42, dose 2

2021-05-19

Symptoms: My sense of taste is off and o am very tired all the time. No energy. Food does not sound good and I like pretty much everything. No appetite

Release 9 — 3 months, dose 2

2021-07-07

Symptoms: I keep smelling an odor like incense sort of. And My sense of smell has been off for several months. I used to have a very keen sense of smell but it has been off like I said. No one around me can smell the incense smell either.

Release 10 — 6 months, dose 2

2021-10-08

Symptoms: My lungs are more sensitive like when I get around somebody that's vaping the fumes make me cough and almost having asthma related action

Release 11 — 12 months, dose 2

2022-04-07

Symptoms: Stomach issues

Healthcare visit (other): Office visit

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	Office visit	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Asthma	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Hyposmia	✓	✓	✓
SD	Parosmia	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Taste disorder	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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