6CG-91785-45306

2 vaccinations 5 coded responses 17 check-ins 5 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 770 / TX
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: Good · Site: Pain · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-02
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-02-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-23
Dose 2 — Moderna
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-23
Survey response — day 28, dose 2
MedDRA: Alopecia, Fatigue, Insomnia, Pain in extremity, Vision blurred — Feeling: Good · Be unable to do your normal daily activities

Free text: Fatigue severe pain in hands, fingers, blurry vision, hair loss trouble sleeping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 35, dose 2
MedDRA: Alopecia, Anxiety, Arthralgia, Brain fog, Eye disorder, Feeling abnormal, Insomnia, Ocular discomfort, Office visit, Restlessness — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Hair loss, pain in joints, restless, trouble sleeping, anxiety, brain fog, problem with eyes · Healthcare visit (other): Office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-07
Survey response — day 42, dose 2
MedDRA: Alopecia, Confusional state, Insomnia, Lethargy, Pain — 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

Free text: Aches and pains all over. Hair loss, brain confusion, sleeplessness, lethargy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-25
Survey response — 3 months, dose 2
MedDRA: Alopecia, Brain fog, Fatigue, Formication, Headache, Insomnia, Pain in extremity, Palpitations — Feeling: Poor · 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: Not sleeping, pain in hands, fingers legs, brain fog, hair loss, feels like bugs are crawling inside my legs and headaches. Tired all the time, heart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-10
Call 1 — Left Voicemail
2022-02-23
Survey response — 12 months, dose 2
MedDRA: Abdominal pain upper, Diarrhoea, Headache, 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: Pain in stomach, throwing up, diarrhea, headaches

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
Report sent to call center — 12 months, dose 2
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 · 1 call case(s)
2022-04-29
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-23	Moderna

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — day 28, dose 2

2021-03-23

Symptoms: Fatigue severe pain in hands, fingers, blurry vision, hair loss trouble sleeping

Release 6 — day 35, dose 2

2021-03-30

Symptoms: Hair loss, pain in joints, restless, trouble sleeping, anxiety, brain fog, problem with eyes

Healthcare visit (other): Office visit

Release 7 — day 42, dose 2

2021-04-07

Symptoms: Aches and pains all over. Hair loss, brain confusion, sleeplessness, lethargy

Release 8 — 3 months, dose 2

2021-05-25

Symptoms: Not sleeping, pain in hands, fingers legs, brain fog, hair loss, feels like bugs are crawling inside my legs and headaches. Tired all the time, heart palpitations

Release 11 — 12 months, dose 2

2022-02-23

Symptoms: Pain in stomach, throwing up, diarrhea, headaches

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	Abdominal pain upper	·	·	✓
SD	Alopecia	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Brain fog	✓	✓	✓
SD	Confusional state	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Eye disorder	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	○	✓	○
SD	Formication	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Lethargy	✓	✓	✓
SD	Ocular discomfort	○	✓	○
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Restlessness	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SD	Vomiting	·	·	✓

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