6RB-28866-39789

3 vaccinations 7 coded responses 20 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 064 / CT
Registered: 2021-03-09

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

2021-03-08
Dose 1 — Moderna
2021-03-09
Registered in v-safe
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Balance disorder, Eye pain, Mental impairment, Pain of skin — Feeling: Poor · Site: Pain, Swelling · 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: Eyes hurt, skin hurts, balance, difficult processing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Unevaluable event — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): I feel my body symptoms today are from my me/cfs; i am taking medication for this illness. · Healthcare visit (other): Allergy shot/in office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good

Free text: Symptoms that match my health conditions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — day 14, dose 1
MedDRA: Chronic fatigue syndrome, Headache — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: I had head ache yesterday to today, which can be attributed to over exertion (diagnosed chronic fatigue syndrome) or even gamma guard treatment.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Dose 2 — Moderna
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Skin sensitisation — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Free text: Skin sensitivity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Pain of skin — Feeling: Fair · Site: Pain · 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: Skin pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-14
Survey response — day 7, dose 2
MedDRA: Blindness, Pre-existing disease — Feeling: Good

Free text: Symptoms related to otherbillness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-26
Dose 3 — Moderna
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-09
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-18
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-25
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
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-02
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-08	Moderna
2	2021-04-05	Moderna
3	2021-10-26	Moderna	No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-09

Systemic reaction (other): Eyes hurt, skin hurts, balance, difficult processing

2021-03-12

Systemic reaction (other): I feel my body symptoms today are from my me/cfs; i am taking medication for this illness.

Healthcare visit (other): Allergy shot/in office

2021-03-14

Systemic reaction (other): Symptoms that match my health conditions

Release 6 — day 14, dose 1

2021-03-22

Symptoms: I had head ache yesterday to today, which can be attributed to over exertion (diagnosed chronic fatigue syndrome) or even gamma guard treatment.

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Skin sensitivity

2021-04-07

Systemic reaction (other): Skin pain

Release 7 — day 7, dose 2

2021-04-14

Systemic reaction (other): Symptoms related to otherbillness

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	Unevaluable event	✓	✓	✓
SD	Chronic fatigue syndrome	✓	✓	✓
SD	Headache	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Blindness	✓	✓	○
SRO	Condition aggravated	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Mental impairment	✓	✓	✓
SRO	Pain of skin	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Skin sensitisation	✓	✓	✓

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