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5SP-29732-89546

3 vaccinations 18 coded responses 36 check-ins 18 free-text entries 5 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
928 / CA
Registered
2021-03-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-02
    Registered in v-safe
  2. 2021-03-02
    Dose 1 — Moderna
  3. 2021-03-02
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Occasional brief sharp pains in various parts of my body. Some trouble emptying bladder.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I felt better in the morning but symptoms returned mid morning. Greater fatigue today. I worked but did not feel up to chores in the afternoon.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Headache — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Extreme fatigue yesterday afternoon/evening. Headache is new, began late last night; other symptoms decreasing today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  8. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-23
    Survey response — day 21, dose 1
    MedDRA: Arthralgia, Chest discomfort — Feeling: Good
    Free text: Joint pain in both hands, worse in left hand (had vaccine in left arm). Occasional discomfort in chest left side (heart?).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-30
    Dose 2 — Moderna
  14. 2021-03-30
    Survey response — day 0, dose 2
    MedDRA: Asthenopia, Eye swelling — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Eyes feel swollen and heavy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Constipation, Joint swelling — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Swollen hands. Mild constipation.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite, Vision blurred — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Better appetite today; little appetite Tues pm and all day Wed. Also had some blurry vision off and on Tues..
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness
    Adult check-in
  18. 2021-04-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Migraine — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness
    Free text: Migraine last night, but i regularly have them.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Joint pains
    Adult check-in
  20. 2021-04-06
    Survey response — day 7, dose 2
    MedDRA: Fatigue — Feeling: Good · Site: Pain · Joint pains, Nausea
    Free text: I forgot to check in yesterday. Same symptoms as today + slight fatigue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-13
    Survey response — day 14, dose 2
    MedDRA: Abdominal distension, Decreased appetite, Diarrhoea — 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: Diarrhea, bloating, loss of appetite, which might be caused by vaccine affecting IBS.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-13
    Report sent to call center — day 14, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-04-20
    Survey response — day 21, dose 2
    MedDRA: Angina pectoris, Irritable bowel syndrome, Pre-existing disease — 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: IBS and angina seem worse since vaccines.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-20
    Report sent to call center — day 21, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-04-27
    Survey response — day 28, dose 2
    MedDRA: Angina pectoris, Chest pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Continued occasional angina and chest pain. I'm not sure if this is related to the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-04-27
    Report sent to call center — day 28, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  27. 2021-05-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-05-11
    Survey response — day 42, dose 2
    MedDRA: Gastrointestinal disorder, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: GI symptoms were better last week, but worse since Sunday night. I do not think there is a connection to the vaccine but I am not certain. · Healthcare visit (other): Call today to primary Dr. Waiting for reply.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  29. 2021-05-11
    Report sent to call center — day 42, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  30. 2021-07-01
    Survey response — 3 months, dose 2
    MedDRA: Angina pectoris, Fatigue, Unevaluable event — 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: Increased GI symptoms, chronic fatigue, occasional angina. I possibly had COVID -19 in Jan-Feb 2020 before testing done, but no way to confirm. · Healthcare visit (other): Tests ordered by physicianss
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  31. 2021-07-01
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  32. 2021-07-05
  33. 2021-07-06
  34. 2021-09-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  35. 2021-12-06
    Dose 3 — Moderna
  36. 2021-12-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chills, Fatigue, Headache, Nausea, Pain, Syncope — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Since 12/6 PM Fatigue, throbbing headache, body aches, nausea off + on, chills; 12/7 AM fainted when arising
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-12-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Neck pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Left sided neck pain was severe, then moderate since injection, but mild today.
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-12-10
    Survey response — days 1–6 daily, dose 3
    MedDRA: Muscle spasms — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Leg cramps awakening me last night and the first night after vaccine.
    MedDRA releases: 2024-11 · check-in free text available
  39. 2021-12-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness
    Adult check-in
  40. 2021-12-12
    Survey response — days 1–6 daily, dose 3
    MedDRA: Nausea — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness, Nausea
    Free text: Some nausea last night
    MedDRA releases: 2024-11 · check-in free text available
  41. 2021-12-13
    Health check-in — day 7, dose 3
    Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness
    Adult check-in
  42. 2021-12-20
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-01-03
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  44. 2022-01-10
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-01-17
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  46. 2022-03-07
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  47. 2022-06-06
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-02Moderna
22021-03-30Moderna
32021-12-06Moderna No

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Occasional brief sharp pains in various parts of my body. Some trouble emptying bladder.

2021-03-04

Systemic reaction (other): I felt better in the morning but symptoms returned mid morning. Greater fatigue today. I worked but did not feel up to chores in the afternoon.

2021-03-05

Systemic reaction (other): Extreme fatigue yesterday afternoon/evening. Headache is new, began late last night; other symptoms decreasing today.

Release 6 — day 21, dose 1

2021-03-23

Symptoms: Joint pain in both hands, worse in left hand (had vaccine in left arm). Occasional discomfort in chest left side (heart?).

Release 6 — day 0, dose 2

2021-03-30

Systemic reaction (other): Eyes feel swollen and heavy

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): Swollen hands. Mild constipation.

2021-04-01

Systemic reaction (other): Better appetite today; little appetite Tues pm and all day Wed. Also had some blurry vision off and on Tues..

2021-04-03

Systemic reaction (other): Migraine last night, but i regularly have them.

Release 7 — day 7, dose 2

2021-04-06

Systemic reaction (other): I forgot to check in yesterday. Same symptoms as today + slight fatigue.

Release 7 — day 14, dose 2

2021-04-13

Symptoms: Diarrhea, bloating, loss of appetite, which might be caused by vaccine affecting IBS.

Release 7 — day 21, dose 2

2021-04-20

Symptoms: IBS and angina seem worse since vaccines.

Release 8 — day 28, dose 2

2021-04-27

Symptoms: Continued occasional angina and chest pain. I'm not sure if this is related to the vaccine.

Release 8 — day 42, dose 2

2021-05-11

Symptoms: GI symptoms were better last week, but worse since Sunday night. I do not think there is a connection to the vaccine but I am not certain.
Healthcare visit (other): Call today to primary Dr. Waiting for reply.

Release 9 — 3 months, dose 2

2021-07-01

Symptoms: Increased GI symptoms, chronic fatigue, occasional angina. I possibly had COVID -19 in Jan-Feb 2020 before testing done, but no way to confirm.
Healthcare visit (other): Tests ordered by physicianss

Release 10 — days 1–6 daily, dose 3

2021-12-08

Systemic reaction (other): Since 12/6 PM Fatigue, throbbing headache, body aches, nausea off + on, chills; 12/7 AM fainted when arising

2021-12-09

Systemic reaction (other): Left sided neck pain was severe, then moderate since injection, but mild today.

2021-12-10

Systemic reaction (other): Leg cramps awakening me last night and the first night after vaccine.

2021-12-12

Systemic reaction (other): Some nausea last night

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event ✓ ✓ ✓
SDAbdominal distension ✓ ✓ ✓
SDAngina pectoris ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDChest discomfort ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDDecreased appetite ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDGastrointestinal disorder ✓ ✓ ✓
SDIrritable bowel syndrome ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SROAsthenopia ✓ ✓ ✓
SROChills · · ✓
SROConstipation ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SROEye swelling ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROJoint swelling ✓ ✓ ✓
SROMigraine ✓ ✓ ✓
SROMuscle spasms · · ✓
SRONausea · · ✓
SRONeck pain · · ✓
SROPain ✓ ✓ ✓
SROSyncope · · ✓
SROVision blurred ✓ ✓ ✓

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

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