6F6-12448-04706

2 vaccinations 7 coded responses 14 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 539 / WI
Registered: 2021-01-05

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2020-12-30
Dose 1 — Moderna
2021-01-05
Registered in v-safe
2021-01-27
Dose 2 — Moderna
2021-01-27
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain, Appetite disorder, Feeling abnormal, Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Shot time yesterday was 2pm. I woke up with a fever at 4am. Felt not quite in my body for several hours this am. I had very similar response with my first shot. I also had intestinal issues with first shot and had to start taking an additional floragen 3 daily. So I have been taking 3 floragen 3s every am since then do to colicky tummy. This second shot seemed to hit me harder. Appetite not great again with this second shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal discomfort, Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Fever finally broke at around 1030am today. Still felt feverish for the rest of the day. Other symptoms above lasted most of the day but subsided. Stomach issues were more colicky today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis, Pyrexia — Feeling: Fair · Site: Pain, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: No fever today but felt feverish and was sweating profusely when I tried to take the dog for a walk outside in 33degree weather. I tired quickly on the walk and turned back. Same happened with the first vaccine. Stomach issues today had to take simethicone to help with the colic.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal discomfort, Fatigue, Pain in extremity, Pyrexia — Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: No fever but felt feverish at times today. Fatigued still especially after exertion when I took the dog for a walk. Still stomach issues had to take a simethicone again. Arm still hurts a bit where the shot was done.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Gastrointestinal disorder — Feeling: Fair · Muscle or body aches, Abdominal pain

Free text: Stomach issues better, lower back still hurts.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — day 7, dose 2
MedDRA: Abdominal discomfort, Back pain — Feeling: Fair · Muscle or body aches, Abdominal pain

Free text: Minimal stomach issues today. Lower back still hurts off and on throughout the day mostly when I took the dog for a walk.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-17
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-02-24
Health check-in — day 28, dose 2
Feeling: Good

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

Adult check-in
2021-03-11
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-31
Survey response — 6 months, dose 2
MedDRA: Gastrointestinal disorder — Feeling: Good · Be unable to do your normal daily activities

Free text: Worse intestinal issues. Had to add on a digestive enzyme regimen every day which helps. The last question below is considered worse only because my intestinal issues were ok before the vaccine and have had issues since. Not sure if coincidental.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-01-29
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-27	Moderna

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Shot time yesterday was 2pm. I woke up with a fever at 4am. Felt not quite in my body for several hours this am. I had very similar response with my first shot. I also had intestinal issues with first shot and had to start taking an additional floragen 3 daily. So I have been taking 3 floragen 3s every am since then do to colicky tummy. This second shot seemed to hit me harder. Appetite not great again with this second shot.

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Fever finally broke at around 1030am today. Still felt feverish for the rest of the day. Other symptoms above lasted most of the day but subsided. Stomach issues were more colicky today.

2021-01-30

Systemic reaction (other): No fever today but felt feverish and was sweating profusely when I tried to take the dog for a walk outside in 33degree weather. I tired quickly on the walk and turned back. Same happened with the first vaccine. Stomach issues today had to take simethicone to help with the colic.

2021-01-31

Systemic reaction (other): No fever but felt feverish at times today. Fatigued still especially after exertion when I took the dog for a walk. Still stomach issues had to take a simethicone again. Arm still hurts a bit where the shot was done.

2021-02-02

Systemic reaction (other): Stomach issues better, lower back still hurts.

Release 3 — day 7, dose 2

2021-02-03

Systemic reaction (other): Minimal stomach issues today. Lower back still hurts off and on throughout the day mostly when I took the dog for a walk.

Release 9 — 6 months, dose 2

2021-07-31

Symptoms: Worse intestinal issues. Had to add on a digestive enzyme regimen every day which helps. The last question below is considered worse only because my intestinal issues were ok before the vaccine and have had issues since. Not sure if coincidental.

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	Gastrointestinal disorder	✓	·	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Appetite disorder	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Gastrointestinal disorder	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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