5V8-41377-77904

2 vaccinations 7 coded responses 26 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 925 / CA
Registered: 2021-04-27

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-27
Registered in v-safe
2021-04-27
Dose 1 — Moderna
2021-04-27
Health check-in — day 0, dose 1
Feeling: Fair · Headache, Diarrhea

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Poor · Fever · Chills, Headache · Be unable to do your normal daily activities

Free text: Stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling, Itching · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling, Itching · Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good · Site: Itching · Headache

Free text: I had Covid antibodies in system when getting shot, is this reason for getting so sick afterwards??

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

Adult check-in
2021-05-11
Survey response — day 14, dose 1
MedDRA: Ageusia, Diarrhoea, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Right top of foot swollen. Allergy to fish & lost taste for a few days.Still have loose bowel.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — day 21, dose 1
MedDRA: Gastric disorder, Hypoaesthesia — Feeling: Fair

Free text: Numbness in legs and feet. Still continue to have stomach issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-06-01
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-06-06
Dose 2 — Moderna
2021-06-08
Survey response — days 1–6 daily, dose 2
MedDRA: Tongue pruritus — Feeling: Good · Site: Pain

Free text: Itchiness on tongue after receiving shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Diarrhea · Be unable to work

Adult check-in
2021-06-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Diarrhea · Be unable to work

Adult check-in
2021-06-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-06-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea, Abdominal pain

Adult check-in
2021-06-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-05
Survey response — 6 months, dose 2
MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Have continually experienced diahreah siince getting my first Covid shot

MedDRA releases: 2024-11 · check-in free text available
2022-06-08
Survey response — 12 months, dose 2
MedDRA: Office visit, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Pain in both hands and forearms. Started all of a sudden six weeks ago. · Healthcare visit (other): Doctor office visit.

MedDRA releases: 2024-11 · check-in free text available
2022-06-08
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-09
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-27	Moderna
2	2021-06-06	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-28

Systemic reaction (other): Stuffy nose

2021-05-03

Systemic reaction (other): I had Covid antibodies in system when getting shot, is this reason for getting so sick afterwards??

Release 8 — day 14, dose 1

2021-05-11

Symptoms: Right top of foot swollen. Allergy to fish & lost taste for a few days.Still have loose bowel.

Release 8 — day 21, dose 1

2021-05-18

Symptoms: Numbness in legs and feet. Still continue to have stomach issues.

Release 8 — days 1–6 daily, dose 2

2021-06-08

Systemic reaction (other): Itchiness on tongue after receiving shot.

Release 10 — 6 months, dose 2

2021-12-05

Symptoms: Have continually experienced diahreah siince getting my first Covid shot

Release 11 — 12 months, dose 2

2022-06-08

Symptoms: Pain in both hands and forearms. Started all of a sudden six weeks ago.

Healthcare visit (other): Doctor office visit.

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	·	·	✓
SD	Ageusia	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Gastric disorder	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Tongue pruritus	✓	✓	✓

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