64E-29164-79750

2 vaccinations 11 coded responses 16 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 750 / TX
Registered: 2021-01-07

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-07
Survey response — day 0, dose 1
MedDRA: Feeling abnormal, Neck pain — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Neck pain from middle to left side where injection was given and tipsy feeling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper, Dizziness, Fatigue, Hypersensitivity, Mental impairment, Nausea, Oropharyngeal pain, Paranasal sinus hypersecretion, Respiratory tract congestion — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: Allergy issues (like congestion, cough and drainage) seem to be worse, especially in the morning and in evening. Sore throat. Dizzy or tipsy feeling, exhausted feeling at times, can't think well at times, little stomach pain like cramping with little nausea, which seems to subside just a little after eating, and just a little irritable as if your on Prednisone, but not near as bad.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper, Allergic respiratory symptom, Nausea, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Free text: Sore throat yesterday and today, allergy symptoms and congestion seems to be more prominent than normal yesterday and today, get a little sick/cramps like at stomach but usually can eat and it will subside just a little, but not severe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Cough, Headache, Hypersensitivity, Neck pain, Oropharyngeal pain, Pain, Respiratory tract congestion — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Headache, neck, shoulder and upper area ache & pains. This gets worse as the day goes on into the night. Little sore throat today, allergies symptoms, cough, and congestion are still little worse than normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Back pain, Cough, Headache, Hypersensitivity, Myalgia, Neck pain, Oropharyngeal pain, Pre-existing disease, Respiratory tract congestion — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Neck, shoulder, and upper back pain, muscle pain & soreness all day, along with severe headache. Little more allergy, congestion, cough and sore throat symptoms more than normal, but mot as bad as the past few days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — day 7, dose 1
MedDRA: Arthralgia, Back pain, Ear pain, Headache, Neck pain, Pain in jaw — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Headache, left jaw pain and earache. Neck, shoulder and upper back pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-23
Survey response — day 14, dose 1
MedDRA: Back pain, Condition aggravated, Faeces soft, Fatigue, Frequent bowel movements, Headache, Hypersensitivity, Injection site pruritus, Injection site rash, Injection site swelling, Neck pain, Pre-existing disease — Feeling: Fair

Free text: Rash, swelling & itching at injection site on 1/17/21. But gone down now. Still little itching. Bowel movements are more, more productive & loose, but not diarrhea. Still tired,headaches, neck, upper back pain, more allergy & sinus issue than normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — day 21, dose 1
MedDRA: Arthralgia, Back pain, Diarrhoea, Fatigue, Headache, Hypersensitivity, Neck pain — Feeling: Fair

Free text: Same exhaustion/tiredness, loose stools, but not completely diarrhea, some headaches, allergies still a little worse than normal, neck shoulder & upper back pain still.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Dose 2 — Moderna
2021-02-05
Survey response — day 28, dose 1
MedDRA: Cough, Drainage, Faeces soft, Fatigue, Pre-existing disease, Sinus disorder — Feeling: Fair

Free text: Allergies, sinus, drainage, little cough from allergies and drainage issues, still soft stools as before, and tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 7, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · None

Adult check-in
2021-02-21
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-26
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-09
Survey response — 3 months, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Tiredness mostly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-09
Survey response — 6 months, dose 2
MedDRA: Chest pain, Cough, Erythema, Fatigue, Myalgia, Pre-existing disease, Secretion discharge, Skin warm, Surgery, Thoracic outlet syndrome — Feeling: Fair

Free text: Tired, more coughing up mucous (not sure if due to allergies, but doesnt seem like it), more muscle aches, some slight pains in chest, & had thoracic outlet syndrome, had surgery, have horners syndrome & left side of face gets more red when heated

MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-05	Moderna

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-07

Systemic reaction (other): Neck pain from middle to left side where injection was given and tipsy feeling.

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): Allergy issues (like congestion, cough and drainage) seem to be worse, especially in the morning and in evening. Sore throat. Dizzy or tipsy feeling, exhausted feeling at times, can't think well at times, little stomach pain like cramping with little nausea, which seems to subside just a little after eating, and just a little irritable as if your on Prednisone, but not near as bad.

2021-01-10

Systemic reaction (other): Sore throat yesterday and today, allergy symptoms and congestion seems to be more prominent than normal yesterday and today, get a little sick/cramps like at stomach but usually can eat and it will subside just a little, but not severe.

2021-01-12

Systemic reaction (other): Headache, neck, shoulder and upper area ache & pains. This gets worse as the day goes on into the night. Little sore throat today, allergies symptoms, cough, and congestion are still little worse than normal.

2021-01-13

Systemic reaction (other): Neck, shoulder, and upper back pain, muscle pain & soreness all day, along with severe headache. Little more allergy, congestion, cough and sore throat symptoms more than normal, but mot as bad as the past few days.

Release 2 — day 7, dose 1

2021-01-17

Systemic reaction (other): Headache, left jaw pain and earache. Neck, shoulder and upper back pain.

Release 2 — day 14, dose 1

2021-01-23

Symptoms: Rash, swelling & itching at injection site on 1/17/21. But gone down now. Still little itching. Bowel movements are more, more productive & loose, but not diarrhea. Still tired,headaches, neck, upper back pain, more allergy & sinus issue than normal. cut off by CDC

Release 3 — day 21, dose 1

2021-01-30

Symptoms: Same exhaustion/tiredness, loose stools, but not completely diarrhea, some headaches, allergies still a little worse than normal, neck shoulder & upper back pain still.

Release 3 — day 28, dose 1

2021-02-05

Symptoms: Allergies, sinus, drainage, little cough from allergies and drainage issues, still soft stools as before, and tired.

Release 8 — 3 months, dose 2

2021-05-09

Symptoms: Tiredness mostly.

Release 9 — 6 months, dose 2

2021-08-09

Symptoms: Tired, more coughing up mucous (not sure if due to allergies, but doesnt seem like it), more muscle aches, some slight pains in chest, & had thoracic outlet syndrome, had surgery, have horners syndrome & left side of face gets more red when heated

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	Back pain	✓	✓	✓
SD	Chest pain	✓	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Drainage	✓	✓	✓
SD	Erythema	✓	·	✓
SD	Faeces soft	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Frequent bowel movements	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Myalgia	✓	·	✓
SD	Neck pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Secretion discharge	✓	·	✓
SD	Sinus disorder	✓	✓	✓
SD	Skin warm	✓	·	✓
SD	Surgery	✓	·	✓
SD	Thoracic outlet syndrome	✓	·	✓
SRO	Abdominal discomfort	○	○	○
SRO	Abdominal pain upper	✓	✓	✓
SRO	Allergic respiratory symptom	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Mental impairment	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Paranasal sinus hypersecretion	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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