5L4-27770-44450

2 vaccinations 11 coded responses 14 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 801 / CO
Registered: 2021-04-23

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

2021-03-19
Dose 1 — Moderna
2021-04-21
Dose 2 — Moderna
2021-04-23
Registered in v-safe
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: From right after the shot for 36 hrs i had a splitting headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Gastrointestinal pain — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: My intestines have sharp stabbing pains. I USUALLY have NO abdominal pain. Lack of appetite at times

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I get dizzy when I'm upright.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have been SO tired. Honestly how is it normal for the side effects to be so extreme? I had problems with both the 1st and 2nd dose. Can't we do more antibody testing?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit — Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Saw my chiropractor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-07
Survey response — day 14, dose 2
MedDRA: Toothache — Feeling: Good · Be unable to do your normal daily activities

Free text: My teeth were killing me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-19
Survey response — day 28, dose 2
MedDRA: Fatigue, Myalgia — Feeling: Fair

Free text: Fatigue/muscle aches..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — day 35, dose 2
MedDRA: Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue and tiredness at times with good days in between. Achy sore body parts have been an issue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-21
Survey response — 3 months, dose 2
MedDRA: Osteomyelitis, Tooth infection, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Tooth/jaw infection · Healthcare visit (other): See dentist

MedDRA releases: 2024-11 · check-in free text available
2021-07-21
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-27
Call 1 — Left Voicemail
2021-10-20
Survey response — 6 months, dose 2
MedDRA: Arrhythmia, Arterial occlusive disease, Cardiac disorder, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Heart problems. Irregular rhythm, downgrading than upgrading of heart function. Clogged branch of an artery. · Healthcare visit (other): Cat scans/Mri

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-10-21
Call 1 — Left Voicemail
2022-04-23
Survey response — 12 months, dose 2
MedDRA: Cardiac dysfunction, Ejection fraction decreased, Myocarditis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Myocarditus. Decreased heart function (ejection fraction)

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-04-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Moderna
2	2021-04-21	Moderna

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): From right after the shot for 36 hrs i had a splitting headache

2021-04-24

Systemic reaction (other): My intestines have sharp stabbing pains. I USUALLY have NO abdominal pain. Lack of appetite at times

2021-04-25

Systemic reaction (other): I get dizzy when I'm upright.

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): I have been SO tired. Honestly how is it normal for the side effects to be so extreme? I had problems with both the 1st and 2nd dose. Can't we do more antibody testing?

2021-04-27

Healthcare visit (other): Saw my chiropractor

Release 8 — day 14, dose 2

2021-05-07

Symptoms: My teeth were killing me.

Release 8 — day 28, dose 2

2021-05-19

Symptoms: Fatigue/muscle aches..

Release 8 — day 35, dose 2

2021-05-26

Symptoms: Extreme fatigue and tiredness at times with good days in between. Achy sore body parts have been an issue.

Release 9 — 3 months, dose 2

2021-07-21

Symptoms: Tooth/jaw infection

Healthcare visit (other): See dentist

Release 10 — 6 months, dose 2

2021-10-20

Symptoms: Heart problems. Irregular rhythm, downgrading than upgrading of heart function. Clogged branch of an artery.

Healthcare visit (other): Cat scans/Mri

Release 11 — 12 months, dose 2

2022-04-23

Symptoms: Myocarditus. Decreased heart function (ejection fraction)

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	Unevaluable event	·	·	✓
SD	Arrhythmia	·	·	✓
SD	Arterial occlusive disease	·	·	✓
SD	Cardiac disorder	·	·	✓
SD	Cardiac dysfunction	·	·	✓
SD	Ejection fraction decreased	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Myocarditis	·	·	✓
SD	Osteomyelitis	·	·	✓
SD	Pain	·	·	✓
SD	Tooth infection	·	·	✓
SD	Toothache	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Gastrointestinal pain	✓	✓	✓
SRO	Headache	✓	✓	✓

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