5SE-25676-93124

2 vaccinations 9 coded responses 20 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 532 / WI
Registered: 2021-04-05

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

2021-04-05
Registered in v-safe
2021-04-05
Dose 1 — Moderna
2021-04-05
Survey response — day 0, dose 1
MedDRA: Back pain, Neck pain, Pain in extremity — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Arm aches from hand to back of neck and lower back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Joint stiffness — Feeling: Good · Site: Pain · Joint pains

Free text: Hip joints still seem a bit stiff achy .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-04-19
Survey response — day 14, dose 1
MedDRA: Arthralgia, Epistaxis, Groin pain — Feeling: Good

Free text: Nose bleed. Dont ever remember having one before. Hip/groin pain gone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-03
Dose 2 — Moderna
2021-05-03
Survey response — day 0, dose 2
MedDRA: Piloerection — Feeling: Fair · Fatigue or tiredness

Free text: Im having waves of goosebumps, not chills, just like after the first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feet ached like crazy, oddly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Hyperhidrosis, Malaise, Mobility decreased, Vision blurred — Feeling: Good

Free text: Yeah. So the last report said the site was down when I tried to enter data and the report before that must have shown up very late. Day three I was quite ill (the day before I was fine) soaked the bed with sweat and could hardly move due to exhaustion. My vision was blurry as well. I had no fever though.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-31
Survey response — day 28, dose 2
MedDRA: Cough, Fatigue, Sneezing, Throat irritation — Feeling: Fair

Free text: Extreme fatigue, scratchy throat, tickle in throat, dry cough, sneezing and queasiness, probably unrelated. No fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-14
Survey response — day 42, dose 2
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Not sure if its relatedbut I now have had three waves of debilitating exhaustion, each lasting 2-3 days. Never thought to mention it, because that stuff happens, but three times in a few month has never happened.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-05
Survey response — 12 months, dose 2
MedDRA: Fatigue, Myalgia, Oropharyngeal pain, Pain, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I have been exhausted for nearly three months. I had a sore throat with terrible body aches. The sore throat has gone and come back and the muscles (lymph nodes?) of my neck and collar bone have been sore the entire time. Tested negative 4 COVID. · Healthcare visit (other): Tested for Covid twice, both negative.

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
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

1 call case(s)
2022-05-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Moderna
2	2021-05-03	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-05

Systemic reaction (other): Arm aches from hand to back of neck and lower back.

Release 7 — days 1–6 daily, dose 1

2021-04-11

Systemic reaction (other): Hip joints still seem a bit stiff achy .

Release 7 — day 14, dose 1

2021-04-19

Symptoms: Nose bleed. Dont ever remember having one before. Hip/groin pain gone.

Release 8 — day 0, dose 2

2021-05-03

Systemic reaction (other): Im having waves of goosebumps, not chills, just like after the first shot.

Release 8 — days 1–6 daily, dose 2

2021-05-04

Systemic reaction (other): Feet ached like crazy, oddly.

2021-05-08

Systemic reaction (other): Yeah. So the last report said the site was down when I tried to enter data and the report before that must have shown up very late. Day three I was quite ill (the day before I was fine) soaked the bed with sweat and could hardly move due to exhaustion. My vision was blurry as well. I had no fever though.

Release 8 — day 28, dose 2

2021-05-31

Symptoms: Extreme fatigue, scratchy throat, tickle in throat, dry cough, sneezing and queasiness, probably unrelated. No fever.

Release 9 — day 42, dose 2

2021-06-14

Symptoms: Not sure if its relatedbut I now have had three waves of debilitating exhaustion, each lasting 2-3 days. Never thought to mention it, because that stuff happens, but three times in a few month has never happened.

Release 11 — 12 months, dose 2

2022-05-05

Symptoms: I have been exhausted for nearly three months. I had a sore throat with terrible body aches. The sore throat has gone and come back and the muscles (lymph nodes?) of my neck and collar bone have been sore the entire time. Tested negative 4 COVID.

Healthcare visit (other): Tested for Covid twice, both negative.

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	SARS-CoV-2 test negative	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Epistaxis	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Groin pain	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sneezing	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Joint stiffness	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Piloerection	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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