598-22729-04064

2 vaccinations 7 coded responses 20 check-ins 7 free-text entries 3 call cases

Sex: —
Age at first dose: 46-50
ZIP prefix: 840 / UT
Registered: 2020-12-29

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Moderna
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2020-12-30
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2020-12-31
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Good · Headache, Fatigue or tiredness

Free text: Brainfog since day one. Just forgot to report it sooner. I had too much brain fog.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Survey response — day 7, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-02
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Crying, Depressed mood — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Felt sad, crying for no reason

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, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-11
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-25
Survey response — day 21, dose 2
MedDRA: Arthralgia, Fatigue, Headache, Movement disorder, Neck pain, Office visit, Self-medication — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Neck and shoulder pain from shot still has not gone away and has gotten worse. I have to take an Ibuprofen everyday or I can't move my neck or upper arm and shoulder. Also given me headaches and been really tired everyday since receiving vaccine. · Healthcare visit (other): In person clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-04
Survey response — day 28, dose 2
MedDRA: Arthralgia, Fatigue, Neck pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Neck & shoulder painFatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 35, dose 2
MedDRA: Arthralgia, Fatigue, Headache, Neck pain — Feeling: Good

Free text: Neck and shoulder pain getting worse. Headaches still prominent and really fatigued.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 42, dose 2
MedDRA: Arthralgia, Fatigue, Neck pain — Feeling: Good

Free text: Tired and neck and shoulder pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Call 1 — Left Voicemail
2022-02-06
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-02-04	Moderna

Call center

3 call center cases

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

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-04

Systemic reaction (other): Brainfog since day one. Just forgot to report it sooner. I had too much brain fog.

Release 1 — day 7, dose 1

2021-01-05

Systemic reaction (other): Brain fog

Release 3 — days 1–6 daily, dose 2

2021-02-06

Systemic reaction (other): Felt sad, crying for no reason

Release 4 — day 21, dose 2

2021-02-25

Symptoms: Neck and shoulder pain from shot still has not gone away and has gotten worse. I have to take an Ibuprofen everyday or I can't move my neck or upper arm and shoulder. Also given me headaches and been really tired everyday since receiving vaccine.

Healthcare visit (other): In person clinic visit

Release 5 — day 28, dose 2

2021-03-04

Symptoms: Neck & shoulder painFatigue

Release 5 — day 35, dose 2

2021-03-12

Symptoms: Neck and shoulder pain getting worse. Headaches still prominent and really fatigued.

Release 5 — day 42, dose 2

2021-03-18

Symptoms: Tired and neck and shoulder pain

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	Arthralgia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Movement disorder	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Crying	✓	✓	✓
SRO	Depressed mood	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓

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