6FX-97670-83599

1 vaccination 6 coded responses 12 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 846 / UT
Registered: 2021-02-26

Relationship: Self
Race: Multiracial
Ethnicity: N/A

Timeline

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

2021-02-23
Dose 1 — Moderna
2021-02-26
Registered in v-safe
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Erythema, Eye pain, Fatigue, Gingival swelling, Glossodynia, Headache, Injection site pain, Insomnia, Myalgia, Oral pruritus, Pain in extremity, Peripheral swelling, Pruritus, Sensory disturbance, Vaginal infection — Feeling: Poor · Fever · Chills, Headache, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Day 1...headache, eyes hurt, arm hurt.....Day 2 extreme fatigue ,muscle aches, headache in back of head, vaginitis, severe itching, mouth itchy, gums swollen....Day 3. Felt great, minor arm pain at site, went shopping, visited family ....Day 4 insomnia- did not sleep all night and do not feel sleepy now, weird sensation upand down spine, tongue sore, toes red, pinkie toes swollen, slight cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-09
Survey response — day 14, dose 1
MedDRA: Amnesia, Fatigue, Reading disorder, Speech disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Short term memory loss and long term memory loss, groping for words and connections...fatigue..reading comprehension lower...not able to grasp what is said immediately.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 28, dose 1
MedDRA: Arthralgia, Cough, Injection site erythema, Injection site mass, Medical counselling, Myalgia, Pyrexia, Vaginal infection — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: The vaginitis has not receded despite medical help, a large lump at injection site with redness, sore muscles and aching joints, and currently a low grade fever. Coughing occassionally. · Healthcare visit (other): Online nurse practitioner call

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-30
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-04-06
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2021-05-27
Survey response — 3 months, dose 1
MedDRA: Limb discomfort, Limb mass, Pain in extremity, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain in my thighs that is unremmitting, stabbing, and feels like pressure as well. Pain increases and lumps develop at pain sites. Recently I have begun to experience the same pain in my upper arms. It keeps me awake. I have missed entire nights .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-24
Survey response — 6 months, dose 1
MedDRA: Cough, Smoke sensitivity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Heavy coughing from smoke filled environment.No fever

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-30
Call X — Could Not Reach Participant
2022-01-05
Call 1 — Requested Callback
2022-01-10
Call 2 — Requested Callback
2022-01-14
Call 3 — Could Not Reach Participant
2022-01-14
Callback requested for
03:00PM ET
2022-02-23
Survey response — 12 months, dose 1
MedDRA: Migraine, Seizure — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Seizures, migraines

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
Report sent to call center — 12 months, dose 1
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-02-24
Call 1 — Could Not Reach Participant
2022-03-01
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-23	Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-26

Systemic reaction (other): Day 1...headache, eyes hurt, arm hurt.....Day 2 extreme fatigue ,muscle aches, headache in back of head, vaginitis, severe itching, mouth itchy, gums swollen....Day 3. Felt great, minor arm pain at site, went shopping, visited family ....Day 4 insomnia- did not sleep all night and do not feel sleepy now, weird sensation upand down spine, tongue sore, toes red, pinkie toes swollen, slight cough

Release 5 — day 14, dose 1

2021-03-09

Symptoms: Short term memory loss and long term memory loss, groping for words and connections...fatigue..reading comprehension lower...not able to grasp what is said immediately.

Release 6 — day 28, dose 1

2021-03-23

Symptoms: The vaginitis has not receded despite medical help, a large lump at injection site with redness, sore muscles and aching joints, and currently a low grade fever. Coughing occassionally.

Healthcare visit (other): Online nurse practitioner call

Release 8 — 3 months, dose 1

2021-05-27

Symptoms: Pain in my thighs that is unremmitting, stabbing, and feels like pressure as well. Pain increases and lumps develop at pain sites. Recently I have begun to experience the same pain in my upper arms. It keeps me awake. I have missed entire nights .

Release 9 — 6 months, dose 1

2021-08-24

Symptoms: Heavy coughing from smoke filled environment.No fever

Release 11 — 12 months, dose 1

2022-02-23

Symptoms: Seizures, migraines

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	Medical counselling	✓	✓	✓
SD	Amnesia	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site mass	✓	✓	✓
SD	Limb discomfort	✓	✓	✓
SD	Limb mass	✓	✓	✓
SD	Migraine	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Reading disorder	✓	✓	✓
SD	Seizure	·	·	✓
SD	Sleep disorder	✓	✓	✓
SD	Smoke sensitivity	✓	·	✓
SD	Speech disorder	✓	✓	✓
SD	Vaginal infection	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Gingival swelling	✓	✓	✓
SRO	Glossodynia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Oral pruritus	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Sensory disturbance	✓	✓	✓
SRO	Vaginal infection	✓	✓	✓

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