67Q-96157-91810

4 vaccinations 9 coded responses 36 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 301 / GA
Registered: 2021-01-26

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

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Moderna
2021-01-26
Health check-in — day 0, dose 1
Feeling: Fair · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-16
Survey response — day 21, dose 1
MedDRA: Arthralgia, Gastrointestinal pain, Headache, Insomnia, Musculoskeletal chest pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Pain in my right shoulder and pain in my torso ribs and gut, lack of sleep and headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — day 28, dose 1
MedDRA: Back pain, Fatigue, Gastritis, Insomnia, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Back pain, gastritis, fatigue, sleeplessness, muscle aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 35, dose 1
Feeling: Poor

Adult check-in
2021-03-09
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2021-03-10
Dose 2 — Moderna
2021-03-10
Health check-in — day 0, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-03-17
Survey response — day 7, dose 2
MedDRA: Ear pain, Rhinorrhoea, Sneezing — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Runny nose earache sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-31
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-07
Survey response — day 28, dose 2
MedDRA: Asthenia, Fatigue, Nasal congestion, Pain in extremity, Productive cough — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nasal congestion and productive cough. Very tired and weak. My legs hurt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-08
Survey response — 6 months, dose 2
MedDRA: Constipation, Gastrointestinal disorder, Nausea, Pain, Vomiting — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Gastro intestinal issues mostly related to constipation. What was an annoying condition has resulted in two all night bouts of intense pain nausea and vomiting. No idea if its related in any way to COVID or the vaccine but since you asked

MedDRA releases: 2024-11 · check-in free text available
2021-09-08
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

1 call case(s)
2021-09-14
Call 2 — Left Voicemail
2021-11-11
Dose 3 — Moderna
Co-administered: Flu
2022-03-10
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-09-30
Dose 4 — Moderna
Co-administered: Flu
2022-10-16
Survey response — day 14, dose 4
MedDRA: Cough, Fatigue, Oropharyngeal pain, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Coughing, sinus congestion, sore throat, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Survey response — day 21, dose 4
MedDRA: Diarrhoea, Sinus congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Heavy sinus congestion; diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-11-04
Survey response — day 35, dose 4
MedDRA: Diarrhoea, Fatigue, Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Diarrhea, headache, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-12-30
Survey response — 3 months, dose 4
MedDRA: Asthenia, Confusional state, Cough, Diarrhoea, Headache, Nasal congestion, Office visit, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Nov 27 runny nose, weakness, confusion, sore throat, cannot stop coughing. No fever. Mild headache. Felt better after 2 weeks, but got worse again. Currently still coughing, runny nose, nasal congestion, and briefly diarrhea · Healthcare visit (other): Office visit to FNP at my primary care

MedDRA releases: 2024-11 · check-in free text available
2022-12-30
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2023-01-03
Call 1 — Left Voicemail
2023-01-03
Call 1 — Left Voicemail
2023-03-31
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-03-10	Moderna
3	2021-11-11	Moderna	Flu
4	2022-09-30	Moderna	Flu

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 4 — day 21, dose 1

2021-02-16

Symptoms: Pain in my right shoulder and pain in my torso ribs and gut, lack of sleep and headache

Release 4 — day 28, dose 1

2021-02-23

Symptoms: Back pain, gastritis, fatigue, sleeplessness, muscle aches

Release 5 — day 7, dose 2

2021-03-17

Systemic reaction (other): Runny nose earache sneezing

Release 7 — day 28, dose 2

2021-04-07

Symptoms: Nasal congestion and productive cough. Very tired and weak. My legs hurt

Release 9 — 6 months, dose 2

2021-09-08

Symptoms: Gastro intestinal issues mostly related to constipation. What was an annoying condition has resulted in two all night bouts of intense pain nausea and vomiting. No idea if its related in any way to COVID or the vaccine but since you asked

Release 12 — day 14, dose 4

2022-10-16

Symptoms: Coughing, sinus congestion, sore throat, fatigue

Release 12 — day 21, dose 4

2022-10-21

Symptoms: Heavy sinus congestion; diarrhea

Release 12 — day 35, dose 4

2022-11-04

Symptoms: Diarrhea, headache, fatigue

Release 12 — 3 months, dose 4

2022-12-30

Symptoms: Nov 27 runny nose, weakness, confusion, sore throat, cannot stop coughing. No fever. Mild headache. Felt better after 2 weeks, but got worse again. Currently still coughing, runny nose, nasal congestion, and briefly diarrhea

Healthcare visit (other): Office visit to FNP at my primary care

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	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Confusional state	·	·	✓
SD	Constipation	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastritis	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Gastrointestinal pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Musculoskeletal chest pain	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Vomiting	·	·	✓
SRO	Ear pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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