6M7-20462-62039

4 vaccinations 13 coded responses 39 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 855 / AZ
Registered: 2021-01-21

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2020-12-24
Dose 1 — Moderna
2021-01-21
Registered in v-safe
2021-01-21
Dose 2 — Moderna
2021-01-21
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-01-22
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Chills — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: a brief shivering or trembling but not from feeling cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-28
Survey response — day 7, dose 2
MedDRA: Fatigue — Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to work

Free text: Less fatigued than yesterday.

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

Adult check-in
2021-02-11
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-02-25
Survey response — day 35, dose 2
MedDRA: Fatigue, Pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Persistent daily, increased aches and fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 42, dose 2
MedDRA: Asthenia, Insomnia, Pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Worsening insomnia. Which I already had, but it's worse. I also already had aches and lack of energy, but they've also gotten worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-22
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-13
Dose 3 — Moderna
2021-10-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-17
Survey response — days 1–6 daily, dose 3
MedDRA: Pruritus — Feeling: Fair · Site: Redness, Itching · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school

Free text: Itching started yesterday. I forgot to report.

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-19
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-20
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-29
Survey response — day 14, dose 3
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sudden pain in left shoulder joint. Sudden pain in right hip joint. Both inexplicable, both went away in hours.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-17
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-24
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-12
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-13
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-27
Dose 4 — Moderna
2022-09-27
Health check-in — day 0, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-09-28
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2022-09-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-10-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-03
Survey response — days 1–6 daily, dose 4
MedDRA: Diarrhoea, Pre-existing disease, Rash, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have Chronic Fatigue Syndrome, Irritable Bowel Syndrome, and Gastritis so I'm never going to report feeling good. And except for vomiting, diarrhea and rash I have the other symptoms regularly. I've only reported what is worse than my norm.

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Survey response — day 7, dose 4
MedDRA: Fatigue, Myalgia — Feeling: Fair · Be unable to work or attend school

Free text: Muscle aches & fatigue, perhaps from my conditions of fibromyalgia & chronic fatigue syndrome.

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-18
Survey response — day 21, dose 4
MedDRA: Decreased appetite, Gastrointestinal disorder, Gastrointestinal pain, Nausea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Digestive issues with both stomach and intestines, including nausea, loss of appetite and intestinal cramps. I made an appt with my Dr who could see me Nov 8 at the earliest.

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-11-01
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-11-08
Survey response — day 42, dose 4
MedDRA: Decreased appetite, Gastritis, Gastrointestinal pain, Nausea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Gastritis, intestinal pain and soreness, nausea, lack of appetite.

MedDRA releases: 2024-11 · check-in free text available
2022-11-08
Report sent to call center — day 42, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-09
Call 1 — Could Not Reach Participant
2022-11-14
Call 2 — Left Voicemail
2022-12-27
Survey response — 3 months, dose 4
MedDRA: Fatigue, Gastritis, Office visit — Feeling: Poor · Be unable to work or attend school, 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: Symptoms: Gastritis and more fatigue. · Healthcare visit (other): Gastroenterologist

MedDRA releases: 2024-11 · check-in free text available
2022-12-27
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-28
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-28
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-28
Survey response — 6 months, dose 4
MedDRA: Chest discomfort, Condition aggravated, Palpitations, Pre-existing disease, Thyroid cancer, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-28
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-29
Call 1 — Requested Callback
2023-03-30
Call 2 — Left Voicemail
2023-03-30
Callback requested for
05:00PM

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-24	Moderna
2	2021-01-21	Moderna
3	2021-10-13	Moderna	No
4	2022-09-27	Moderna	No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-22

Systemic reaction (other): brain fog

2021-01-24

Systemic reaction (other): a brief shivering or trembling but not from feeling cold

Release 2 — day 7, dose 2

2021-01-28

Systemic reaction (other): Less fatigued than yesterday.

Release 4 — day 35, dose 2

2021-02-25

Symptoms: Persistent daily, increased aches and fatigue.

Release 5 — day 42, dose 2

2021-03-04

Symptoms: Worsening insomnia. Which I already had, but it's worse. I also already had aches and lack of energy, but they've also gotten worse.

Release 10 — days 1–6 daily, dose 3

2021-10-17

Systemic reaction (other): Itching started yesterday. I forgot to report.

Release 10 — day 14, dose 3

2021-10-29

Symptoms: Sudden pain in left shoulder joint. Sudden pain in right hip joint. Both inexplicable, both went away in hours.

Release 12 — days 1–6 daily, dose 4

2022-10-03

Systemic reaction (other): I have Chronic Fatigue Syndrome, Irritable Bowel Syndrome, and Gastritis so I'm never going to report feeling good. And except for vomiting, diarrhea and rash I have the other symptoms regularly. I've only reported what is worse than my norm.

Release 12 — day 7, dose 4

2022-10-04

Systemic reaction (other): Muscle aches & fatigue, perhaps from my conditions of fibromyalgia & chronic fatigue syndrome.

Release 12 — day 21, dose 4

2022-10-18

Symptoms: Digestive issues with both stomach and intestines, including nausea, loss of appetite and intestinal cramps. I made an appt with my Dr who could see me Nov 8 at the earliest.

Release 12 — day 42, dose 4

2022-11-08

Symptoms: Gastritis, intestinal pain and soreness, nausea, lack of appetite.

Release 12 — 3 months, dose 4

2022-12-27

Symptoms: Gastritis and more fatigue.

Healthcare visit (other): Gastroenterologist

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	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Chest discomfort	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastritis	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Gastrointestinal pain	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pain	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Thyroid cancer	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Diarrhoea	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Myalgia	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Pruritus	·	·	✓
SRO	Rash	·	·	✓
SRO	Vomiting	·	·	✓

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