5M9-17619-19573

4 vaccinations 11 coded responses 47 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 958 / CA
Registered: 2021-01-29

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

2021-01-29
Registered in v-safe
2021-01-29
Dose 1 — Moderna
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: I continue to feel tired but cannot specifically link it to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-19
Survey response — day 21, dose 1
MedDRA: Body temperature decreased, Body temperature increased, Headache, Unevaluable event — Feeling: Good

Free text: I had a low grade fever and headache for 3 days. Temp 98.4 to 99.1, my normal is 97.6

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Dose 2 — Moderna
2021-02-26
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Joint pains, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fever · Joint pains, Fatigue or tiredness, Diarrhea · Be unable to work

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-26
Survey response — day 28, dose 2
MedDRA: Hypoaesthesia — Feeling: Good

Free text: Numbness on tips of fingers

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-30
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Cough, Fatigue, Headache, Hypoaesthesia, Medical counselling, Painful respiration, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Beginning last Monday, May 24, headache, mild cough, achy to breathe, fever, joint aches, fatigue. Feel better each day. Got Covid test, negative, so assume its another cause. Finger tips still numb. My doctor is aware of this.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Report sent to call center — 3 months, 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)
2021-08-27
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Back pain, Body temperature increased, Chills, Cough, Diarrhoea, Exposure to SARS-CoV-2, Fatigue, Pulmonary pain, Respiratory tract congestion, Self-medication — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Was exposed to someone with COVID. 4 days later awoke tired, then backache, chills, fever (100), joint aches, diarrhea, cough, lung pain &congestion-all mild, manageable with Tylenol, Benadryl, sleep.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-08
Dose 3 — Moderna
2021-12-10
Survey response — days 1–6 daily, dose 3
MedDRA: Painful respiration, Pulmonary pain, Self-medication — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Lungs ache when I breathe. Took Benadryl to ease it. Lasted from soon after injection on Dec 8 to yesterday evening Dec 9

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-15
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-22
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-05
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-12
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-19
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-09
Survey response — 3 months, dose 3
MedDRA: Blue toe syndrome — Feeling: Fair

Free text: Purple toes, Reynauds like when feet are hot or cold. Doctor ordered ultrasound of foot.

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Call 1 — Left Voicemail
2022-05-20
Dose 4 — Moderna
2022-05-22
Survey response — days 1–6 daily, dose 4
MedDRA: Pulmonary pain, Reaction to previous exposure to any vaccine, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Achy lungs took Benadryl as last time

MedDRA releases: 2024-11 · check-in free text available
2022-05-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness

Adult check-in
2022-05-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-05-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-27
Health check-in — day 7, dose 4
Feeling: Good · Fever · Headache

Adult check-in
2022-06-05
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-06-10
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-06-19
Survey response — day 28, dose 4
MedDRA: Abdominal discomfort, Cough, Fatigue, Pulmonary pain — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Stomach and gut discomfort, lung aches and cough, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-06-19
Report sent to call center — day 28, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-21
Call 2 — Left Voicemail
2022-06-21
Call 1 — Left Voicemail
2022-07-01
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-19
Survey response — 3 months, dose 4
MedDRA: Adverse reaction, Hypoaesthesia — Feeling: Fair

Free text: Finger tips still numb on middle and index fingers. Other new issues are not related to covid

MedDRA releases: 2024-11 · check-in free text available
2022-11-19
Survey response — 6 months, dose 4
MedDRA: Neoplasm malignant — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Cancer diagnosis

MedDRA releases: 2024-11 · check-in free text available
2022-11-19
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-21
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-21
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-21
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-02-26	Moderna
3	2021-12-08	Moderna	No
4	2022-05-20	Moderna	No

Call center

3 call center cases

3 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-04

Systemic reaction (other): I continue to feel tired but cannot specifically link it to the vaccine.

Release 4 — day 21, dose 1

2021-02-19

Symptoms: I had a low grade fever and headache for 3 days. Temp 98.4 to 99.1, my normal is 97.6

Release 6 — day 28, dose 2

2021-03-26

Symptoms: Numbness on tips of fingers

Release 8 — 3 months, dose 2

2021-05-30

Symptoms: Beginning last Monday, May 24, headache, mild cough, achy to breathe, fever, joint aches, fatigue. Feel better each day. Got Covid test, negative, so assume its another cause. Finger tips still numb. My doctor is aware of this.

Release 9 — 6 months, dose 2

2021-08-27

Symptoms: Was exposed to someone with COVID. 4 days later awoke tired, then backache, chills, fever (100), joint aches, diarrhea, cough, lung pain &congestion-all mild, manageable with Tylenol, Benadryl, sleep.

Release 10 — days 1–6 daily, dose 3

2021-12-10

Systemic reaction (other): Lungs ache when I breathe. Took Benadryl to ease it. Lasted from soon after injection on Dec 8 to yesterday evening Dec 9

Release 11 — 3 months, dose 3

2022-03-09

Symptoms: Purple toes, Reynauds like when feet are hot or cold. Doctor ordered ultrasound of foot.

Release 11 — days 1–6 daily, dose 4

2022-05-22

Systemic reaction (other): Achy lungs took Benadryl as last time

Release 12 — day 28, dose 4

2022-06-19

Symptoms: Stomach and gut discomfort, lung aches and cough, fatigue

Release 12 — 3 months, dose 4

2022-08-19

Symptoms: Finger tips still numb on middle and index fingers. Other new issues are not related to covid

Release 12 — 6 months, dose 4

2022-11-19

Symptoms: Cancer diagnosis

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 discomfort	·	·	✓
SD	Adverse reaction	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	·	✓
SD	Blue toe syndrome	·	·	✓
SD	Body temperature decreased	✓	·	✓
SD	Body temperature increased	✓	·	✓
SD	Chills	✓	·	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	·	✓
SD	Exposure to SARS-CoV-2	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Neoplasm malignant	·	·	✓
SD	Painful respiration	✓	✓	✓
SD	Pulmonary pain	✓	·	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	✓	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Self-medication	✓	·	✓
SD	Unevaluable event	○	✓	○
SRO	Fatigue	✓	✓	✓
SRO	Painful respiration	·	·	✓
SRO	Pulmonary pain	·	·	✓
SRO	Reaction to previous exposure to any vaccine	·	·	✓
SRO	Self-medication	·	·	✓

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