5WK-12551-63686

3 vaccinations 5 coded responses 20 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 038 / NH
Registered: 2021-04-27

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

2021-03-26
Dose 1 — Moderna
2021-04-27
Registered in v-safe
2021-04-27
Dose 2 — Moderna
2021-04-27
Health check-in — day 0, dose 2
Feeling: Fair · Nausea, Vomiting

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-05-05
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Headache, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-11
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-29
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2021-10-26
Survey response — 6 months, dose 2
MedDRA: Hospitalisation, Hypotension, Kidney infection, Tachycardia — Feeling: Good · Be unable to do your normal daily activities

Free text: Kidney infection, tachycardia and low blood pressure hospitalized until things stabilized

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Dose 3 — Moderna
2022-01-08
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue, Menstruation irregular — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: *Extreme fatigue*, and an early menstrual period the night of the booster, on day 18 of my cycle

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-01-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-01-11
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue, Genitourinary symptom, Headache, Malaise, Urinary tract infection — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: I woke up with horrible bladder symptoms this morning and was diagnosed with a UTI which may have contributed to how crappy I've felt since I got the booster (the headache, extreme fatigue, etc)

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Survey response — days 1–6 daily, dose 3
MedDRA: Diarrhoea, Office visit — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Primary care physician, due to concerns about how bad the diarrhea is

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Report sent to call center — days 1–6 daily, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-13
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2022-01-17
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-20
Survey response — day 14, dose 3
MedDRA: COVID-19, Condition aggravated, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: I have covid right now, so it's exacerbated all my chronic illnesses

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Moderna
2	2021-04-27	Moderna
3	2022-01-06	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 10 — 6 months, dose 2

2021-10-26

Symptoms: Kidney infection, tachycardia and low blood pressure hospitalized until things stabilized

Release 10 — days 1–6 daily, dose 3

2022-01-08

Systemic reaction (other): *Extreme fatigue*, and an early menstrual period the night of the booster, on day 18 of my cycle

2022-01-11

Systemic reaction (other): I woke up with horrible bladder symptoms this morning and was diagnosed with a UTI which may have contributed to how crappy I've felt since I got the booster (the headache, extreme fatigue, etc)

2022-01-12

Healthcare visit (other): Primary care physician, due to concerns about how bad the diarrhea is

Release 10 — day 14, dose 3

2022-01-20

Symptoms: I have covid right now, so it's exacerbated all my chronic illnesses

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	Diarrhoea	·	·	✓
HCVO	Office visit	·	·	✓
SD	Condition aggravated	·	·	✓
SD	COVID-19	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Hypotension	·	·	✓
SD	Kidney infection	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Tachycardia	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Genitourinary symptom	·	·	✓
SRO	Headache	·	·	✓
SRO	Malaise	·	·	✓
SRO	Menstruation irregular	·	·	✓
SRO	Urinary tract infection	·	·	✓

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