6KC-13584-52305

3 vaccinations 7 coded responses 28 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 547 / WI
Registered: 2021-03-19

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

2021-02-18
Dose 1 — Moderna
2021-03-18
Dose 2 — Moderna
2021-03-19
Registered in v-safe
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Fever · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Headache, Joint pains, Muscle or body aches

Free text: Enlarged lymph nodes - neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-01
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-15
Survey response — day 28, dose 2
MedDRA: Arthralgia, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Significant increase in joint and muscle pain, especially back, shoulders, hips and knees.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-29
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-17
Survey response — 3 months, dose 2
MedDRA: Respiratory tract congestion — Feeling: Good

Free text: Congested most of the time. Not sure if its related to the vaccine or just coincidental.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-16
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Flare-up of chronic pouchitis

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Dose 3 — Moderna
2021-11-15
Health check-in — day 0, dose 3
Feeling: Fair · Site: Swelling · Headache

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-22
Survey response — day 7, dose 3
MedDRA: Burning sensation — Feeling: Good · Site: Itching · Headache, Joint pains, Muscle or body aches

Free text: I started having a "burning sensation" in my toes the day after I rec'd my booster and I've had episodes of this every day since then.

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Survey response — day 14, dose 3
MedDRA: Condition aggravated, Irritable bowel syndrome, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worsening of my chronic pouchitis and IBD

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-20
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-27
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-14
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-16
Survey response — 6 months, dose 3
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Recurrent sinusitis

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-18	Moderna
2	2021-03-18	Moderna
3	2021-11-15	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-24

Systemic reaction (other): Enlarged lymph nodes - neck

Release 7 — day 28, dose 2

2021-04-15

Symptoms: Significant increase in joint and muscle pain, especially back, shoulders, hips and knees.

Release 9 — 3 months, dose 2

2021-06-17

Symptoms: Congested most of the time. Not sure if its related to the vaccine or just coincidental.

Release 9 — 6 months, dose 2

2021-09-16

Symptoms: Flare-up of chronic pouchitis

Release 10 — day 7, dose 3

2021-11-22

Systemic reaction (other): I started having a "burning sensation" in my toes the day after I rec'd my booster and I've had episodes of this every day since then.

Release 10 — day 14, dose 3

2021-11-29

Symptoms: Worsening of my chronic pouchitis and IBD

Release 11 — 6 months, dose 3

2022-05-16

Symptoms: Recurrent sinusitis

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	Arthralgia	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Irritable bowel syndrome	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Burning sensation	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓

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