6W3-28546-43636

3 vaccinations 10 coded responses 22 check-ins 10 free-text entries 1 call case

Sex: —
Age at first dose: 56-60
ZIP prefix: 787 / TX
Registered: 2021-07-15

Relationship: Self
Race: N/A
Ethnicity: Hispanic or Latino

Timeline

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

2021-07-13
Dose 1 — Moderna
2021-07-15
Registered in v-safe
2021-07-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Nausea, Abdominal pain

Adult check-in
2021-07-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-07-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Headache, Nausea

Adult check-in
2021-07-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Joint pains, Nausea

Adult check-in
2021-07-19
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Chills, Nausea, Vomiting, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-07-20
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Chills, Fatigue or tiredness, Nausea

Adult check-in
2021-07-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-08-03
Survey response — day 21, dose 1
MedDRA: Bone pain, Malaise, Nausea — Feeling: Fair

Free text: NauseaBone achesFeel sick

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
Dose 2 — Moderna
2021-08-10
Survey response — day 0, dose 2
MedDRA: Malaise — Feeling: Fair · Fever · Fatigue or tiredness

Free text: Malaise. Feel sick ish. Like coming down with something.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-11
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Brain fog, Defaecation urgency, Mood altered — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Urgency to have a bm. But not loose. Mentally foggy. All my joints hurt/SI joint included. Mood disturbance.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-12
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoacusis, Illusion — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: The first day I received the vacc. I noticed that sound was altered. Also my general perception was 'flat'.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-08-14
Survey response — days 1–6 daily, dose 2
MedDRA: Mental disorder — Feeling: Fair · Site: Pain · Headache, Nausea, Diarrhea · Be unable to work or attend school

Free text: Mental.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-16
Survey response — days 1–6 daily, dose 2
MedDRA: Mental disorder — Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Mental.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-17
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-08-25
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-08-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-09-07
Survey response — day 28, dose 2
MedDRA: Migraine, Pre-existing disease — Feeling: Fair · Be unable to work or attend school

Free text: More frequent migraines. I don't know if it's related but my incidence of migraine has gone from 1 or 2/wk to 4-5 times/wk.

MedDRA releases: 2024-11 · check-in free text available
2021-09-14
Survey response — day 35, dose 2
MedDRA: Migraine, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: My migraines and nausea have been more frequent and severe since.

MedDRA releases: 2024-11 · check-in free text available
2021-09-21
Survey response — day 42, dose 2
MedDRA: Asthma, Mental disorder, Panic attack — 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

Free text: Panic attack lead to asthma episode.There's mental health effects Maybe.

MedDRA releases: 2024-11 · check-in free text available
2021-09-21
Report sent to call center — day 42, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-09-24
Call 1 — Left Voicemail
2021-10-10
Dose 3 — Moderna
2021-11-09
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-02-08
Survey response — 6 months, dose 2
MedDRA: Diarrhoea, Headache, Influenza like illness, Pain, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Diarrhea. Booster shot flu like symptoms. Headache, body ache, low fever

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-13	Moderna	No
2	2021-08-10	Moderna	No
3	2021-10-10	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — day 21, dose 1

2021-08-03

Symptoms: NauseaBone achesFeel sick

Release 9 — day 0, dose 2

2021-08-10

Systemic reaction (other): Malaise. Feel sick ish. Like coming down with something.

Release 9 — days 1–6 daily, dose 2

2021-08-11

Systemic reaction (other): Urgency to have a bm. But not loose. Mentally foggy. All my joints hurt/SI joint included. Mood disturbance.

2021-08-12

Systemic reaction (other): The first day I received the vacc. I noticed that sound was altered. Also my general perception was 'flat'.

2021-08-14

Systemic reaction (other): Mental.

2021-08-16

Systemic reaction (other): Mental.

Release 9 — day 28, dose 2

2021-09-07

Symptoms: More frequent migraines. I don't know if it's related but my incidence of migraine has gone from 1 or 2/wk to 4-5 times/wk.

Release 9 — day 35, dose 2

2021-09-14

Symptoms: My migraines and nausea have been more frequent and severe since.

Release 9 — day 42, dose 2

2021-09-21

Symptoms: Panic attack lead to asthma episode.There's mental health effects Maybe.

Release 11 — 6 months, dose 2

2022-02-08

Symptoms: Diarrhea. Booster shot flu like symptoms. Headache, body ache, low fever

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	Asthma	·	·	✓
SD	Bone pain	✓	·	✓
SD	Diarrhoea	·	·	✓
SD	Headache	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Malaise	✓	·	✓
SD	Mental disorder	·	·	✓
SD	Migraine	·	·	✓
SD	Nausea	✓	·	✓
SD	Pain	·	·	✓
SD	Panic attack	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SRO	Arthralgia	✓	·	✓
SRO	Brain fog	✓	·	✓
SRO	Defaecation urgency	✓	·	✓
SRO	Hypoacusis	✓	·	✓
SRO	Illusion	✓	·	✓
SRO	Malaise	✓	·	✓
SRO	Mental disorder	✓	·	✓
SRO	Mood altered	✓	·	✓

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