5A4-56123-81894

2 vaccinations 7 coded responses 20 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 917 / CA
Registered: 2021-03-22

Relationship: Self
Race: Other
Ethnicity: 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

2021-03-21
Dose 1 — Moderna
2021-03-22
Registered in v-safe
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: I hurt on a daily basis. So I don't want you to think anything that I am feeling is because of the shot. The only thing new since the shot is that I feel tired. I started some new meds and I am doing a bit more around the house so that could also be why I am feeling a little more tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: These symptoms I believe are just from my everyday life. The only thing that might be associated to the vaccine might be feeling tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: The pain that I am feeling has nothing to do with the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — day 7, dose 1
MedDRA: Adverse reaction, Fatigue — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The symptoms listed are my everyday symptoms excet fir feeling tired all the time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-11
Survey response — day 21, dose 1
MedDRA: Burning sensation, Myalgia, Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: I previously told U about the muscle pain on my left upper back radiating down my left arm.Injection left arm. Now it's also going 2my rt upper back. It's not as painful it does affect my ability 2raise up both arms causing burning sensation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Dose 2 — Moderna
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Survey response — day 7, dose 2
MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I live in pain and used to rarely sleep. Since getting vaccine 1st shot I felt tired but since 2nd injection I am so so tired and fatigued that I fall asleep for awhile and when I wake up I'm still very tired. I have never in my life been a sle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-11
Survey response — day 21, dose 2
MedDRA: Back pain, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe muscle pain in the top middle of my back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-20
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-20
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-04-20
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-21	Moderna
2	2021-04-20	Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): I hurt on a daily basis. So I don't want you to think anything that I am feeling is because of the shot. The only thing new since the shot is that I feel tired. I started some new meds and I am doing a bit more around the house so that could also be why I am feeling a little more tired.

2021-03-25

Systemic reaction (other): These symptoms I believe are just from my everyday life. The only thing that might be associated to the vaccine might be feeling tired.

2021-03-27

Systemic reaction (other): The pain that I am feeling has nothing to do with the vaccine.

Release 6 — day 7, dose 1

2021-03-28

Systemic reaction (other): The symptoms listed are my everyday symptoms excet fir feeling tired all the time

Release 7 — day 21, dose 1

2021-04-11

Symptoms: I previously told U about the muscle pain on my left upper back radiating down my left arm.Injection left arm. Now it's also going 2my rt upper back. It's not as painful it does affect my ability 2raise up both arms causing burning sensation

Release 8 — day 7, dose 2

2021-04-27

Systemic reaction (other): I live in pain and used to rarely sleep. Since getting vaccine 1st shot I felt tired but since 2nd injection I am so so tired and fatigued that I fall asleep for awhile and when I wake up I'm still very tired. I have never in my life been a sle

Release 8 — day 21, dose 2

2021-05-11

Symptoms: Severe muscle pain in the top middle of my back

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	Back pain	✓	✓	✓
SD	Burning sensation	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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