5VD-14982-57116

4 vaccinations 12 coded responses 40 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 985 / WA
Registered: 2021-03-02

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

2021-03-02
Registered in v-safe
2021-03-02
Dose 1 — Moderna
2021-03-02
Survey response — day 0, dose 1
MedDRA: Dysgeusia — Feeling: Good · Site: Pain · Headache

Free text: Metallic taste in mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: No energy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-09
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-16
Survey response — day 14, dose 1
MedDRA: Injection site rash, Injection site swelling, Injection site warmth — Feeling: Good · Be unable to do your normal daily activities

Free text: Rash, heat, swelling and pain around injection sight on 9th day after vaccine lasting for about 4 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 21, dose 1
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continued tiredness, not back to my usual exercise routines.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Dose 2 — Moderna
2021-03-30
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-20
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-27
Survey response — day 28, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: I am just so tired all the time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 35, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Can't get over exhaustion I have had since first Moderna vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — day 42, dose 2
MedDRA: Fatigue, Loss of personal independence in daily activities — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continuing not being able to function as before my first vaccine. Incredibly tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-30
Survey response — 6 months, dose 2
MedDRA: Gingival swelling, Osteoarthritis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Swollen gums, osteoarthritis diagnosis

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-03
Dose 3 — Moderna
2021-12-06
Call 1 — Could Not Reach Participant
2021-12-09
Call 2 — Could Not Reach Participant
2022-03-30
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-04-13
Dose 4 — Moderna
2022-04-15
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-04-16
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2022-04-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Adult check-in
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-20
Health check-in — day 7, dose 4
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-04-27
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-04
Survey response — day 21, dose 4
MedDRA: Exercise tolerance decreased, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Seem more exhausted when I exercise

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Survey response — day 28, dose 4
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tired

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-25
Survey response — day 42, dose 4
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tiredness

MedDRA releases: 2024-11 · check-in free text available
2022-07-13
Survey response — 3 months, dose 4
MedDRA: Rhinorrhoea — Feeling: Fair

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-13
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna
2	2021-03-30	Moderna
3	2021-11-03	Moderna	No
4	2022-04-13	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-03-02

Systemic reaction (other): Metallic taste in mouth

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): No energy

Release 5 — day 14, dose 1

2021-03-16

Symptoms: Rash, heat, swelling and pain around injection sight on 9th day after vaccine lasting for about 4 days.

Release 6 — day 21, dose 1

2021-03-23

Symptoms: Continued tiredness, not back to my usual exercise routines.

Release 8 — day 28, dose 2

2021-04-27

Symptoms: I am just so tired all the time.

Release 8 — day 35, dose 2

2021-05-04

Symptoms: Can't get over exhaustion I have had since first Moderna vaccination.

Release 8 — day 42, dose 2

2021-05-11

Symptoms: Continuing not being able to function as before my first vaccine. Incredibly tired.

Release 9 — 6 months, dose 2

2021-09-30

Symptoms: Swollen gums, osteoarthritis diagnosis

Release 11 — day 21, dose 4

2022-05-04

Symptoms: Seem more exhausted when I exercise

Release 11 — day 28, dose 4

2022-05-11

Symptoms: Tired

Release 11 — day 42, dose 4

2022-05-25

Symptoms: Tiredness

Release 12 — 3 months, dose 4

2022-07-13

Symptoms: Runny nose

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	Exercise tolerance decreased	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gingival swelling	·	·	✓
SD	Injection site rash	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Osteoarthritis	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓

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