56Q-27776-80161

2 vaccinations 6 coded responses 21 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 206 / MD
Registered: 2021-01-04

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

2021-01-04
Registered in v-safe
2021-01-04
Dose 1 — Moderna
2021-01-04
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-06
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Survey response — day 7, dose 1
MedDRA: Condition aggravated, Fibromyalgia, Pain, Pre-existing disease — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: I wish I would have put the body pain yesterday too. I chalked it up to a fibromyalgia flare up last night but I don't know if that's what it is.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — day 14, dose 1
MedDRA: Fatigue, Fibromyalgia, Myalgia, Self-medication — Feeling: Fair · Be unable to do your normal daily activities

Free text: Feels like fibromyalgia was triggered. Fatigue and muscle pain. Seems awfully excessive for taking as much medication as I do to control it. Really upsetting in general

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-01
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-02-02
Dose 2 — Moderna
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Breast pain, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Pain on my left side (injection side) under the arm and over the breast, down the arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-09
Survey response — day 7, dose 2
MedDRA: Neuralgia — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: It almost feels like nerve pain all through my back and arms. I am pretty sure this happened after the first shot as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-02
Survey response — day 28, dose 2
MedDRA: Cystitis — 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: Bladder infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
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)
2021-03-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-28
Call 1 — Left Voicemail
2021-08-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-02
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Moderna
2	2021-02-02	Moderna

Call center

3 call center cases

1 unsuccessful · 2 priority 2/3 (triaged and no follow up)

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — day 7, dose 1

2021-01-11

Systemic reaction (other): I wish I would have put the body pain yesterday too. I chalked it up to a fibromyalgia flare up last night but I don't know if that's what it is.

Release 2 — day 14, dose 1

2021-01-18

Symptoms: Feels like fibromyalgia was triggered. Fatigue and muscle pain. Seems awfully excessive for taking as much medication as I do to control it. Really upsetting in general

Release 3 — days 1–6 daily, dose 2

2021-02-03

Systemic reaction (other): Dizziness

2021-02-06

Systemic reaction (other): Pain on my left side (injection side) under the arm and over the breast, down the arm

Release 3 — day 7, dose 2

2021-02-09

Systemic reaction (other): It almost feels like nerve pain all through my back and arms. I am pretty sure this happened after the first shot as well.

Release 4 — day 28, dose 2

2021-03-02

Symptoms: Bladder infection

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
SD	Cystitis	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Fibromyalgia	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Breast pain	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	○	○	○

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