68W-10359-31861

3 vaccinations 8 coded responses 19 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 201 / VA
Registered: 2021-01-07

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

ALS-85336-13954 Child or adolescent in my care · Male · 2022-01-09

LXF-57026-89872 Child or adolescent in my care · Female · 2022-01-11

Timeline

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

2021-01-05
Dose 1 — Moderna
2021-01-07
Registered in v-safe
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-12
Survey response — day 7, dose 1
MedDRA: Abdominal distension, Diarrhoea, Flatulence — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Diarrhea. Gas. Bloating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — day 14, dose 1
MedDRA: Cough, Diarrhoea, Headache, Migraine, Pain — Feeling: Fair

Free text: Body aches, diarrhea headache and cough last week. Migraine yesterday but think that one was unrelated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-02
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-03
Dose 2 — Moderna
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-10
Survey response — day 7, dose 2
MedDRA: Allergic respiratory symptom, Cough, Eye pruritus, Lacrimation increased, Nasal congestion — Feeling: Fair · Chills, Joint pains

Free text: Allergy like symptoms itchy runny eyes some nasal congestion and cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — day 14, dose 2
MedDRA: Abdominal pain upper, Diarrhoea, Nausea, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Diarrhea nausea epigastric pain intermittently · Healthcare visit (other): Scheduled GI appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-05
Survey response — 3 months, dose 2
MedDRA: Diarrhoea, Nausea, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Had to see GI doctor bc nausea and diarrhea never resolved after vaccine. Took nexium for a bit and then resolved

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-16
Call 1 — Left Voicemail
2021-08-04
Survey response — 6 months, dose 2
MedDRA: Cough, Dyspnoea, Emergency care, Laryngitis, Oropharyngeal pain, Rhabdomyolysis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Sore throat, laryngitis, shortness of breath w cough. Neg rapid Covid test. Rhabdomyolisis- likely unrelated · Healthcare visit (other): ER was for rhabdomyolisis

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-04
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-15
Call 1 — Left Voicemail
2021-12-26
Dose 3 — Moderna
2022-01-11
Survey response — day 14, dose 3
MedDRA: Dizziness, Nausea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Dizziness, nausea - may have contracted COVID, not sure yet

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Survey response — day 28, dose 3
MedDRA: Dizziness, Nausea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Dizziness, nausea

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Report sent to call center — day 28, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-26
Call 1 — Left Voicemail
2022-01-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-03	Moderna
3	2021-12-26	Moderna	No

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 1 — day 7, dose 1

2021-01-12

Systemic reaction (other): Diarrhea. Gas. Bloating

Release 2 — day 14, dose 1

2021-01-21

Symptoms: Body aches, diarrhea headache and cough last week. Migraine yesterday but think that one was unrelated.

Release 4 — day 7, dose 2

2021-02-10

Systemic reaction (other): Allergy like symptoms itchy runny eyes some nasal congestion and cough

Release 4 — day 14, dose 2

2021-02-20

Symptoms: Diarrhea nausea epigastric pain intermittently

Healthcare visit (other): Scheduled GI appointment

Release 8 — 3 months, dose 2

2021-05-05

Symptoms: Had to see GI doctor bc nausea and diarrhea never resolved after vaccine. Took nexium for a bit and then resolved

Release 9 — 6 months, dose 2

2021-08-04

Symptoms: Sore throat, laryngitis, shortness of breath w cough. Neg rapid Covid test. Rhabdomyolisis- likely unrelated

Healthcare visit (other): ER was for rhabdomyolisis

Release 10 — day 14, dose 3

2022-01-11

Symptoms: Dizziness, nausea - may have contracted COVID, not sure yet

Release 11 — day 28, dose 3

2022-01-25

Symptoms: Dizziness, nausea

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	Emergency care	✓	·	✓
HCVO	Rhabdomyolysis	✓	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	✓	·	✓
SD	Headache	✓	✓	✓
SD	Laryngitis	✓	·	✓
SD	Migraine	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pain	✓	✓	✓
SD	Rhabdomyolysis	✓	·	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SD	Self-medication	✓	✓	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Allergic respiratory symptom	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Lacrimation increased	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓

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