5HA-39483-67373

2 vaccinations 10 coded responses 23 check-ins 10 free-text entries 5 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 787 / TX
Registered: 2021-02-11

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

2021-02-11
Registered in v-safe
2021-02-11
Dose 1 — Moderna
2021-02-11
Health check-in — day 0, dose 1
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Confusional state, Disturbance in attention — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I hard a harder time concentrating, a light confusion while at work, and had trouble focusing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-04
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-11
Dose 2 — Moderna
2021-03-11
Survey response — day 0, dose 2
MedDRA: Burning sensation, Flushing, Toothache — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Free text: After getting the injection, I could feel a beat spread on the left side of my face. My veins get like they were burning and a few of my teeth in the same side started to hurt in my jaw.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
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, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Site: Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dont want to eat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Severe brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-25
Survey response — day 14, dose 2
MedDRA: Arthralgia, Back pain, Dysstasia, Gait disturbance, Myalgia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: The muscle aches and joint pain got so bad that my hip felt like it was out of place and my back went out. I have been taking muscle relaxers and they barely make a difference. Its hard to sit, stand or walk. Massage helps but is temporary. 4th da

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 21, dose 2
MedDRA: Fatigue, Feeling abnormal, Insomnia, Loss of personal independence in daily activities, Office visit, Pain — Feeling: Fair · Be unable to work, 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: Symptoms: 9 days of insomnia following shot, 8 days of not being able to sit,stand,walk, or stand from seated position without excruciating pain.Severe brain fog and fatigue.Dr said systemic inflammation and prescribed meds and bloodwork, today was first good1 · Healthcare visit (other): Bloodwork

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-08
Survey response — day 28, dose 2
MedDRA: Arthralgia, Back pain, Dyspnoea, Dyspnoea exertional, Fatigue, Insomnia, Office visit, Pain — 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: Symptoms: Still have the insomnia, back pain, shortness of breathe when I move a reasonable amount of time, shortness of breathe when I bend over, fatigue, and some joint pain (less than before). I can't seem to sit long without extreme pain and I was fine b4 · Healthcare visit (other): PCP, labs, MRI

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
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)
2021-04-15
Survey response — day 35, dose 2
MedDRA: Asthma, Dyspnoea, Office visit — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Diagnosed with severe asthma. Trouble breathing, multiple doctors visits and expensive inhalers and I still cant breathe well. I DIDNT HAVE ASTHMA BEFORE THE VACCINE!!!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Survey response — day 42, dose 2
MedDRA: Dyspnoea, Gait disturbance, Impaired driving ability, Impaired work ability, Neuralgia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Im on 8 medications to just breathe now. The doctor added two more last Friday because of the continued nerve pain and how it prevents me from walking normally and driving. Ive spent most of my saving getting treated and I might lose my employm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-09
Call 1 — Left Voicemail
2022-03-11
Survey response — 12 months, dose 2
MedDRA: Bronchospasm, Muscular weakness, Physiotherapy, Type III immune complex mediated reaction — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: My legs will stop working, Im in physical therapy and they say it's that my brain isn't recognizing my legs, never has this symptom before the bronchospasms and immune response from vaccine. · Healthcare visit (other): Physical therapy

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Moderna
2	2021-03-11	Moderna

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-12

Systemic reaction (other): I hard a harder time concentrating, a light confusion while at work, and had trouble focusing.

Release 5 — day 0, dose 2

2021-03-11

Systemic reaction (other): After getting the injection, I could feel a beat spread on the left side of my face. My veins get like they were burning and a few of my teeth in the same side started to hurt in my jaw.

Release 5 — days 1–6 daily, dose 2

2021-03-16

Systemic reaction (other): Dont want to eat

2021-03-17

Systemic reaction (other): Severe brain fog

Release 6 — day 14, dose 2

2021-03-25

Symptoms: The muscle aches and joint pain got so bad that my hip felt like it was out of place and my back went out. I have been taking muscle relaxers and they barely make a difference. Its hard to sit, stand or walk. Massage helps but is temporary. 4th da

Release 6 — day 21, dose 2

2021-04-01

Symptoms: 9 days of insomnia following shot, 8 days of not being able to sit,stand,walk, or stand from seated position without excruciating pain.Severe brain fog and fatigue.Dr said systemic inflammation and prescribed meds and bloodwork, today was first good1 cut off by CDC

Healthcare visit (other): Bloodwork

Release 7 — day 28, dose 2

2021-04-08

Symptoms: Still have the insomnia, back pain, shortness of breathe when I move a reasonable amount of time, shortness of breathe when I bend over, fatigue, and some joint pain (less than before). I can't seem to sit long without extreme pain and I was fine b4 cut off by CDC

Healthcare visit (other): PCP, labs, MRI

Release 7 — day 35, dose 2

2021-04-15

Symptoms: Diagnosed with severe asthma. Trouble breathing, multiple doctors visits and expensive inhalers and I still cant breathe well. I DIDNT HAVE ASTHMA BEFORE THE VACCINE!!!!

Release 7 — day 42, dose 2

2021-04-22

Symptoms: Im on 8 medications to just breathe now. The doctor added two more last Friday because of the continued nerve pain and how it prevents me from walking normally and driving. Ive spent most of my saving getting treated and I might lose my employm

Release 11 — 12 months, dose 2

2022-03-11

Symptoms: My legs will stop working, Im in physical therapy and they say it's that my brain isn't recognizing my legs, never has this symptom before the bronchospasms and immune response from vaccine.

Healthcare visit (other): Physical therapy

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	✓	✓	✓
HCVO	Physiotherapy	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Asthma	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Bronchospasm	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Dyspnoea exertional	✓	✓	✓
SD	Dysstasia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Gait disturbance	✓	✓	✓
SD	Impaired driving ability	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Muscular weakness	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Neuralgia	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Physiotherapy	·	·	✓
SD	Type III immune complex mediated reaction	·	·	✓
SRO	Burning sensation	✓	✓	✓
SRO	Confusional state	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Toothache	✓	✓	✓

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