5U5-91075-53351

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 920 / CA
Registered: 2021-12-24

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

2021-12-23
Dose 1 — Moderna
2021-12-24
Registered in v-safe
2021-12-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-12-28
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness

Free text: I am so happy that I finally was able to get my first vaccination

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-12-30
Survey response — day 7, dose 1
MedDRA: Oropharyngeal pain — Feeling: Poor · 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: Mild sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2022-01-13
Survey response — day 21, dose 1
MedDRA: Cough, Headache, Medical counselling, Nasopharyngitis, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test — Feeling: Poor · Be unable to do your normal daily activities

Free text: Dry Cough Congestion Headache Low grade fever, body aches, cold symptoms. Reported to Dr. Had COVID-19 test yesterday 1-12-22

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Health check-in — day 28, dose 1
Feeling: Poor

Adult check-in
2022-01-25
Dose 2 — Moderna
2022-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness

Adult check-in
2022-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Dry eye — Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very weak. Extreme dry eyes

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Much better after 3 pm today

MedDRA releases: 2024-11 · check-in free text available
2022-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-02-01
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2022-02-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2022-02-15
Survey response — day 21, dose 2
MedDRA: Arthralgia, Pain, Tenderness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain and tenderness in joints and body.

MedDRA releases: 2024-11 · check-in free text available
2022-02-22
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2022-03-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2022-03-08
Survey response — day 42, dose 2
MedDRA: Bronchitis, Nasopharyngitis — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sinus cold bronchitis

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Survey response — 3 months, dose 2
MedDRA: Lymphadenopathy, Myalgia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Chronic muscle aches Chronic Swollen glands

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Brain fog, Fatigue, Tracheomalacia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Trachomalasia Joint pain severe Severe fatigue Brain Fog

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
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

Hospitalization · 1 call case(s)
2022-07-28
Call 1 — Left Voicemail
2023-01-30
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-12-23	Moderna	No
2	2022-01-25	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 1

2021-12-28

Systemic reaction (other): I am so happy that I finally was able to get my first vaccination

Release 10 — day 7, dose 1

2021-12-30

Systemic reaction (other): Mild sore throat

Release 10 — day 21, dose 1

2022-01-13

Symptoms: Dry Cough Congestion Headache Low grade fever, body aches, cold symptoms. Reported to Dr. Had COVID-19 test yesterday 1-12-22

Release 11 — days 1–6 daily, dose 2

2022-01-28

Systemic reaction (other): Very weak. Extreme dry eyes

2022-01-29

Systemic reaction (other): Much better after 3 pm today

Release 11 — day 21, dose 2

2022-02-15

Symptoms: Pain and tenderness in joints and body.

Release 11 — day 42, dose 2

2022-03-08

Symptoms: Sinus cold bronchitis

Release 11 — 3 months, dose 2

2022-04-28

Symptoms: Chronic muscle aches Chronic Swollen glands

Release 12 — 6 months, dose 2

2022-07-26

Symptoms: Trachomalasia Joint pain severe Severe fatigue Brain Fog

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	Arthralgia	·	·	✓
SD	Brain fog	·	·	✓
SD	Bronchitis	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Medical counselling	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test	·	·	✓
SD	Tenderness	·	·	✓
SD	Tracheomalacia	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Asthenia	·	·	✓
SRO	Dry eye	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Unevaluable event	·	·	✓

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