5EA-22934-48286

4 vaccinations 11 coded responses 41 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 956 / CA
Registered: 2021-08-06

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

2021-08-06
Registered in v-safe
2021-08-06
Dose 1 — Moderna
2021-08-06
Survey response — day 0, dose 1
MedDRA: Eye irritation, Ocular hyperaemia — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work or attend school

Free text: My eyes are more red and irritated but that could be poor air quality.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-08-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-08-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-08-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-08-27
Survey response — day 21, dose 1
MedDRA: Cough, Fatigue, Joint stiffness, Scleroderma — Feeling: Fair

Free text: Scleroderma symptoms have appeared. Tightness in hands and wrists, mainly. Plus some coughing (wildfire smoke?) And more tired than usual.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-03
Dose 2 — Moderna
2021-09-03
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-09-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-09-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-09-07
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Bloating

MedDRA releases: 2024-11 · check-in free text available
2021-09-08
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension — Feeling: Good · Site: Itching · Fatigue or tiredness

Free text: Bloating

MedDRA releases: 2024-11 · check-in free text available
2021-09-09
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension — Feeling: Good · Site: Redness, Itching

Free text: Bloating

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-09-17
Survey response — day 14, dose 2
MedDRA: Abdominal distension, Abdominal pain upper, Gastrointestinal disorder, Insomnia, Nausea — Feeling: Fair · Be unable to work or attend school

Free text: Digestive issues, bloating, stomach pain, queasiness, some insomnia.

MedDRA releases: 2024-11 · check-in free text available
2021-09-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-10-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-10-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-10-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-12-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-02-14
Dose 3 — Moderna
2022-03-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-09-03
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-10-14
Dose 4 — Moderna
2022-10-14
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-10-15
Survey response — days 1–6 daily, dose 4
MedDRA: Photophobia — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Eyes are light sensitive

MedDRA releases: 2024-11 · check-in free text available
2022-10-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness

Adult check-in
2022-10-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2022-10-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Itching · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-10-19
Survey response — days 1–6 daily, dose 4
MedDRA: Tenderness — Feeling: Good

Free text: Whole digestive tract is tender and sensitive

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Survey response — days 1–6 daily, dose 4
MedDRA: Gastrointestinal disorder, Tenderness — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Digestive tract still tender and sensitive

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-28
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-18
Survey response — day 35, dose 4
MedDRA: Abdominal pain upper, Gastroenteritis viral — Feeling: Fair · Be unable to do your normal daily activities

Free text: Caught a stomach virus a week ago. Much better now but have lingering stomach soreness. Got my flu shot 3 days prior to that.

MedDRA releases: 2024-11 · check-in free text available
2022-11-25
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-13
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-14
Survey response — 6 months, dose 4
MedDRA: Dental operation, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-04-14
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-04-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-06	Moderna	No
2	2021-09-03	Moderna	No
3	2022-02-14	Moderna	No
4	2022-10-14	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — day 0, dose 1

2021-08-06

Systemic reaction (other): My eyes are more red and irritated but that could be poor air quality.

Release 9 — day 21, dose 1

2021-08-27

Symptoms: Scleroderma symptoms have appeared. Tightness in hands and wrists, mainly. Plus some coughing (wildfire smoke?) And more tired than usual.

Release 9 — days 1–6 daily, dose 2

2021-09-07

Systemic reaction (other): Bloating

2021-09-08

Systemic reaction (other): Bloating

2021-09-09

Systemic reaction (other): Bloating

Release 9 — day 14, dose 2

2021-09-17

Symptoms: Digestive issues, bloating, stomach pain, queasiness, some insomnia.

Release 12 — days 1–6 daily, dose 4

2022-10-15

Systemic reaction (other): Eyes are light sensitive

2022-10-19

Systemic reaction (other): Whole digestive tract is tender and sensitive

2022-10-20

Systemic reaction (other): Digestive tract still tender and sensitive

Release 12 — day 35, dose 4

2022-11-18

Symptoms: Caught a stomach virus a week ago. Much better now but have lingering stomach soreness. Got my flu shot 3 days prior to that.

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 distension	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Cough	✓	·	✓
SD	Dental operation	·	·	✓
SD	Fatigue	✓	·	✓
SD	Gastroenteritis viral	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Insomnia	·	·	✓
SD	Joint stiffness	✓	·	✓
SD	Nausea	·	·	✓
SD	Scleroderma	✓	·	✓
SD	Unevaluable event	·	·	✓
SRO	Abdominal distension	·	·	✓
SRO	Eye irritation	✓	·	✓
SRO	Gastrointestinal disorder	·	·	✓
SRO	Ocular hyperaemia	✓	·	✓
SRO	Photophobia	·	·	✓
SRO	Tenderness	·	·	✓

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