6KE-33466-41693

4 vaccinations 18 coded responses 38 check-ins 18 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 600 / IL
Registered: 2021-02-21

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

2021-02-17
Dose 1 — Moderna
2021-02-21
Registered in v-safe
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Joint pains, Nausea

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 1
MedDRA: Lethargy — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Lethargic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 7, dose 1
Feeling: Fair · Site: Swelling, Itching · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-03
Survey response — day 14, dose 1
MedDRA: Arthralgia, Muscular weakness — Feeling: Fair

Free text: Joints still sore from first shot. Muscles in legs feel weak.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-19
Dose 2 — Moderna
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-03-26
Survey response — day 7, dose 2
MedDRA: Feeling abnormal — Feeling: Good · Joint pains, Fatigue or tiredness

Free text: Brain fog

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

Adult check-in
2021-04-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-16
Survey response — day 28, dose 2
MedDRA: Fatigue, Headache — Feeling: Fair

Free text: Headache and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 35, dose 2
MedDRA: Pain in extremity — Feeling: Fair

Free text: Feeling of soreness but mainly not as much power in top part of arm where shot was given.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 42, dose 2
MedDRA: Injection site muscle weakness, Injection site pain — Feeling: Fair

Free text: Tenderness and a feeling of little muscle power in injection area of arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-26
Dose 3 — Moderna
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Brain fog — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Brain fog

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal pain — Feeling: Good · Site: Redness, Swelling, Itching

Free text: Off and on abdominal pain with this shot

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea — Feeling: Poor · Site: Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Breathless

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Health check-in — day 7, dose 3
Feeling: Fair · Site: Redness · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-11-09
Survey response — day 14, dose 3
MedDRA: Discomfort, Fatigue — Feeling: Fair

Free text: Very tired with a heavy feeling.

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-23
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-30
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-07
Survey response — day 42, dose 3
MedDRA: Erythema, Injection site erythema, Injection site muscle weakness, Injection site pain, Injection site pruritus, Pruritus — Feeling: Good

Free text: Shot area in arm sore and not full power in addition to redness and itching in shot area and entire arm.

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-28
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-10
Dose 4 — Moderna
2022-05-18
Survey response — day 7, dose 4
MedDRA: Arthralgia, Fatigue, Pyrexia — Feeling: Fair · Site: Redness, Itching · Joint pains, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Extreme pain in joints after shot for48 hours, fever, exhaustion

MedDRA releases: 2024-11 · check-in free text available
2022-05-24
Survey response — day 14, dose 4
MedDRA: Headache, Pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Relapses of severe aching, headache and low fever.

MedDRA releases: 2024-11 · check-in free text available
2022-05-31
Survey response — day 21, dose 4
MedDRA: Arthralgia, Chills — Feeling: Good · Be unable to do your normal daily activities

Free text: Bouts of same symptoms I had after booster. Extreme joint pain and shivers. It passed once again after 24 hours.

MedDRA releases: 2024-11 · check-in free text available
2022-06-07
Survey response — day 28, dose 4
MedDRA: Arthralgia, Discomfort, Nasal congestion, Throat irritation — Feeling: Poor

Free text: Stuffy nose Throat irritation Heavy feeling Sore joints

MedDRA releases: 2024-11 · check-in free text available
2022-06-16
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-21
Survey response — day 42, dose 4
MedDRA: Arthralgia, Cough, Pyrexia, Sinus congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sinus congestion, cough, sore joints, low fever

MedDRA releases: 2024-11 · check-in free text available
2022-06-21
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-22
Call 1 — Left Voicemail
2022-08-09
Survey response — 3 months, dose 4
MedDRA: Diarrhoea, Headache, Hypoacusis, Injection site reaction, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very sensitive to hear, diarrhea and nausea. Headache with nausea. Stuff around injection site

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Survey response — 6 months, dose 4
MedDRA: Dyspepsia — Feeling: Good

Free text: Indigestion issues

MedDRA releases: 2024-11 · check-in free text available
2023-05-12
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Moderna
2	2021-03-19	Moderna
3	2021-10-26	Moderna	No
4	2022-05-10	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-23

Systemic reaction (other): Lethargic

Release 5 — day 14, dose 1

2021-03-03

Symptoms: Joints still sore from first shot. Muscles in legs feel weak.

Release 6 — day 7, dose 2

2021-03-26

Systemic reaction (other): Brain fog

Release 7 — day 28, dose 2

2021-04-16

Symptoms: Headache and fatigue

Release 7 — day 35, dose 2

2021-04-23

Symptoms: Feeling of soreness but mainly not as much power in top part of arm where shot was given.

Release 8 — day 42, dose 2

2021-04-30

Symptoms: Tenderness and a feeling of little muscle power in injection area of arm.

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): Brain fog

2021-10-31

Systemic reaction (other): Off and on abdominal pain with this shot

2021-11-01

Systemic reaction (other): Breathless

Release 10 — day 14, dose 3

2021-11-09

Symptoms: Very tired with a heavy feeling.

Release 10 — day 42, dose 3

2021-12-07

Symptoms: Shot area in arm sore and not full power in addition to redness and itching in shot area and entire arm.

Release 11 — day 7, dose 4

2022-05-18

Systemic reaction (other): Extreme pain in joints after shot for48 hours, fever, exhaustion

Release 11 — day 14, dose 4

2022-05-24

Symptoms: Relapses of severe aching, headache and low fever.

Release 11 — day 21, dose 4

2022-05-31

Symptoms: Bouts of same symptoms I had after booster. Extreme joint pain and shivers. It passed once again after 24 hours.

Release 11 — day 28, dose 4

2022-06-07

Symptoms: Stuffy nose Throat irritation Heavy feeling Sore joints

Release 12 — day 42, dose 4

2022-06-21

Symptoms: Sinus congestion, cough, sore joints, low fever

Release 12 — 3 months, dose 4

2022-08-09

Symptoms: Very sensitive to hear, diarrhea and nausea. Headache with nausea. Stuff around injection site

Release 12 — 6 months, dose 4

2022-11-10

Symptoms: Indigestion issues

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	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Discomfort	·	·	✓
SD	Dyspepsia	·	·	✓
SD	Erythema	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoacusis	·	·	✓
SD	Injection site erythema	·	·	✓
SD	Injection site muscle weakness	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	·	·	✓
SD	Injection site reaction	·	·	✓
SD	Muscular weakness	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pruritus	·	·	✓
SD	Pyrexia	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Throat irritation	·	·	✓
SRO	Abdominal pain	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Brain fog	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Lethargy	✓	✓	✓
SRO	Pyrexia	·	·	✓

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