59Z-31809-97229

2 vaccinations 16 coded responses 25 check-ins 16 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 970 / OR
Registered: 2021-03-31

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-31
Registered in v-safe
2021-03-31
Dose 1 — Moderna
2021-03-31
Survey response — day 0, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Only been 30 minutes post vaccine today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Sleep disorder, Visual impairment — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ive seemed to have had more vision issues over the days since vaccine and sleep issues I forgot to note earlier here

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Vision blurred — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Visual focusing challenges at times

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 7, dose 1
MedDRA: Visual impairment — Feeling: Good · Joint pains

Free text: Minor visual focusing issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-28
Dose 2 — Moderna
2021-04-28
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Only Just got shot 15 min ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Stuffy swollen nasal passages

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Pollakiuria, Thirst — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very broken sleep first night, frequent need to urinate, improved but still broken sleep night 2, thirstier than normal both days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Sluggishness — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Slept less interrupted. Feel unusually sluggish.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Sleep disorder — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Didnt sleep very well last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Poor quality sleep — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still NOT getting great restorative sleep...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 7, dose 2
MedDRA: Lethargy — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Been feeling lethargic often

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Gastrointestinal disorder, Insomnia, Middle insomnia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ive had days during past week of GI issues & very loose stools w/ no certainty of other causation. Although improved from first few days after vaccine Im still experiencing some sleep issues like harder to get to sleep & more waking & wake tire

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — day 21, dose 2
MedDRA: Abdominal pain, Diarrhoea, Eczema, Gastrointestinal disorder, Insomnia, Mass, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Ive had worsening GI issues with belly aches & loose stools to diarrhea at times. A skin patch subject to excema flared & got worse than ever. Some new growths on back of a hand and arms & legs. Variable issues with sleep are still not resolved.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — day 28, dose 2
MedDRA: Arthralgia, Musculoskeletal discomfort — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Unexplained joint discomfort and sometimes sharp pain of lateral left knee and discomfort of left hip joint area. Considering making medical appointment if doesnt resolve with self care measures.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Survey response — day 35, dose 2
MedDRA: Diarrhoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still having variable bouts of mild to medium fatigue and a sensitive GI tract often with loose stools.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-28
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-29
Survey response — 6 months, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: I feel like I consistently become more fatigued faster and easier even if well rested.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Moderna
2	2021-04-28	Moderna

Free text

Release 6 — day 0, dose 1

2021-03-31

Systemic reaction (other): Only been 30 minutes post vaccine today

Release 6 — days 1–6 daily, dose 1

2021-04-05

Systemic reaction (other): Ive seemed to have had more vision issues over the days since vaccine and sleep issues I forgot to note earlier here

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Visual focusing challenges at times

Release 7 — day 7, dose 1

2021-04-07

Systemic reaction (other): Minor visual focusing issues

Release 8 — day 0, dose 2

2021-04-28

Systemic reaction (other): Only Just got shot 15 min ago

Release 8 — days 1–6 daily, dose 2

2021-04-29

Systemic reaction (other): Stuffy swollen nasal passages

2021-04-30

Systemic reaction (other): Very broken sleep first night, frequent need to urinate, improved but still broken sleep night 2, thirstier than normal both days.

2021-05-01

Systemic reaction (other): Slept less interrupted. Feel unusually sluggish.

2021-05-03

Systemic reaction (other): Didnt sleep very well last night

2021-05-04

Systemic reaction (other): Still NOT getting great restorative sleep...

Release 8 — day 7, dose 2

2021-05-05

Systemic reaction (other): Been feeling lethargic often

Release 8 — day 14, dose 2

2021-05-12

Symptoms: Ive had days during past week of GI issues & very loose stools w/ no certainty of other causation. Although improved from first few days after vaccine Im still experiencing some sleep issues like harder to get to sleep & more waking & wake tire

Release 8 — day 21, dose 2

2021-05-20

Symptoms: Ive had worsening GI issues with belly aches & loose stools to diarrhea at times. A skin patch subject to excema flared & got worse than ever. Some new growths on back of a hand and arms & legs. Variable issues with sleep are still not resolved.

Release 8 — day 28, dose 2

2021-05-26

Symptoms: Unexplained joint discomfort and sometimes sharp pain of lateral left knee and discomfort of left hip joint area. Considering making medical appointment if doesnt resolve with self care measures.

Release 8 — day 35, dose 2

2021-06-02

Symptoms: Still having variable bouts of mild to medium fatigue and a sensitive GI tract often with loose stools.

Release 10 — 6 months, dose 2

2021-10-29

Symptoms: I feel like I consistently become more fatigued faster and easier even if well rested.

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	Abdominal pain	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Eczema	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Mass	✓	✓	✓
SD	Middle insomnia	✓	✓	✓
SD	Musculoskeletal discomfort	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Lethargy	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Pollakiuria	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Sluggishness	✓	✓	✓
SRO	Thirst	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Vision blurred	✓	✓	✓
SRO	Visual impairment	✓	✓	✓

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