6CS-15533-09289

3 vaccinations 8 coded responses 26 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 856 / AZ
Registered: 2021-03-11

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-10
Dose 1 — Moderna
2021-03-11
Registered in v-safe
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Vision blurred — Feeling: Fair · Headache

Free text: Blurred vision (a sensation of being crossed eyed for a few moments, it was something I've never experienced before)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-03-17
Health check-in — day 7, dose 1
Feeling: Fair · Headache

Adult check-in
2021-03-24
Survey response — day 14, dose 1
MedDRA: Axillary pain, Fatigue, Injection site pruritus, Lymph node pain, Somnolence, Vaccination site pain — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Six days after the vaccine, I became very fatigued. I kept falling asleep. That same night, the lymphs under my arm started to hurt. It was painful for 2 days. Then my arm started to hurt and itch around the vaccine area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Moderna
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Dry throat, Sinus disorder, Throat irritation — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Sinuses and throat feel very dry and irritated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-12
Survey response — day 35, dose 2
MedDRA: Abdominal discomfort, Headache, Vomiting — Feeling: Fair

Free text: Headaches every day and my stimach often feels sick, sometimes to the point of vomiting.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 42, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: I noticed I get fatigued more easily.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-06
Survey response — 6 months, dose 2
MedDRA: Adnexa uteri pain, Premenstrual syndrome — Feeling: Fair · 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: About a month after the 2nd shot i started having pain in my rt ovary that lasts days. I get it every month. I haven't had any female issues or a period since before covid. Now i get symptoms of my period is going to start but no actual period.

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-08
Call 2 — Left Voicemail
2021-12-23
Dose 3 — Moderna
2022-04-08
Survey response — 12 months, dose 2
MedDRA: Arthralgia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My joints hurt. I did not have this before the vaccines.

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-13
Call 1 — Could Not Reach Participant
2022-04-19
Call 2 — Left Voicemail
2022-06-25
Survey response — 6 months, dose 3
MedDRA: Arthropathy, Blood glucose increased, Gastroenteritis viral, Office visit, Pyrexia — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Stomach bug/fever, joint issues and high sugar level. I will be going to the doctor June 28th to check about the issue with blood sugar and joint issues. · Healthcare visit (other): In office appt

MedDRA releases: 2024-11 · check-in free text available
2022-06-25
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-27
Call 1 — Left Voicemail
2022-06-27
Call 1 — Left Voicemail
2022-06-27
Call 3 — Left Voicemail
2022-06-27
Call 1 — Left Voicemail
2022-12-25
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-07	Moderna
3	2021-12-23	Moderna	No

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 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Blurred vision (a sensation of being crossed eyed for a few moments, it was something I've never experienced before)

Release 6 — day 14, dose 1

2021-03-24

Symptoms: Six days after the vaccine, I became very fatigued. I kept falling asleep. That same night, the lymphs under my arm started to hurt. It was painful for 2 days. Then my arm started to hurt and itch around the vaccine area.

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Sinuses and throat feel very dry and irritated.

Release 8 — day 35, dose 2

2021-05-12

Symptoms: Headaches every day and my stimach often feels sick, sometimes to the point of vomiting.

Release 8 — day 42, dose 2

2021-05-19

Symptoms: I noticed I get fatigued more easily.

Release 10 — 6 months, dose 2

2021-10-06

Symptoms: About a month after the 2nd shot i started having pain in my rt ovary that lasts days. I get it every month. I haven't had any female issues or a period since before covid. Now i get symptoms of my period is going to start but no actual period.

Release 11 — 12 months, dose 2

2022-04-08

Symptoms: My joints hurt. I did not have this before the vaccines.

Release 12 — 6 months, dose 3

2022-06-25

Symptoms: Stomach bug/fever, joint issues and high sugar level. I will be going to the doctor June 28th to check about the issue with blood sugar and joint issues.

Healthcare visit (other): In office appt

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 discomfort	✓	✓	✓
SD	Adnexa uteri pain	·	·	✓
SD	Arthralgia	·	·	✓
SD	Arthropathy	·	·	✓
SD	Axillary pain	✓	✓	✓
SD	Blood glucose increased	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastroenteritis viral	·	·	✓
SD	Headache	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Premenstrual syndrome	·	·	✓
SD	Pyrexia	·	·	✓
SD	Somnolence	✓	✓	✓
SD	Vaccination site pain	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Dry throat	✓	✓	✓
SRO	Sinus disorder	✓	✓	✓
SRO	Throat irritation	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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