6WD-25459-56310

5 vaccinations 7 coded responses 38 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 639 / MO
Registered: 2021-04-01

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

2021-03-31
Dose 1 — Moderna
2021-04-01
Registered in v-safe
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Itching all over body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: Some facial itchiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Diarrhea

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

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Headache · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Headache

Adult check-in
2021-04-14
Survey response — day 14, dose 1
MedDRA: Immunisation reaction — Feeling: Good

Free text: Covid Arm on day 9 after vaccinating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-05-02
Dose 2 — Moderna
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-05-06
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fever · Headache · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-09
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-13
Survey response — day 42, dose 2
MedDRA: Fatigue, Tooth infection — 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 · Outpatient clinic or urgent care clinic visit

Free text: Infection where tooth extracted by dentist. First time in my life and had many extractions in 53 yrs.Fatigue and extreme tiredness did not go away after reaction to second covid vaccine shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
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)
2021-06-21
Call 2 — Left Voicemail
2021-08-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-02
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Asthenia, Body temperature increased, Fatigue, Injection site pruritus — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Itching at injection sites, both upper arms. Still have alot of fatigue, never seemed to get my energy back. Joints hurt more and some low grade fever of 99.6

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Dose 3 — Moderna
2022-04-05
Dose 4 — Moderna
2022-05-01
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-03
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-10
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-17
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-05
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-29
Dose 5 — Moderna
2022-09-30
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-01
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-06
Health check-in — day 7, dose 5
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-10-13
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-20
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-27
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-03
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-10
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2022-12-29
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-04-01
Survey response — 6 months, dose 5
MedDRA: Renal neoplasm, Tremor — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-01
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-03
Call 1 — Left Voicemail
2023-04-03
Call 1 — Left Voicemail
2023-04-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Moderna
2	2021-05-02	Moderna
3	2021-12-11	Moderna	No
4	2022-04-05	Moderna	No
5	2022-09-29	Moderna	No

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Itching all over body

2021-04-02

Systemic reaction (other): Some facial itchiness

Release 7 — day 14, dose 1

2021-04-14

Symptoms: Covid Arm on day 9 after vaccinating

Release 8 — days 1–6 daily, dose 2

2021-05-05

Systemic reaction (other): Shortness of breath

Release 9 — day 42, dose 2

2021-06-13

Symptoms: Infection where tooth extracted by dentist. First time in my life and had many extractions in 53 yrs.Fatigue and extreme tiredness did not go away after reaction to second covid vaccine shot.

Release 10 — 6 months, dose 2

2021-11-02

Symptoms: Itching at injection sites, both upper arms. Still have alot of fatigue, never seemed to get my energy back. Joints hurt more and some low grade fever of 99.6

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	Asthenia	·	·	✓
SD	Body temperature increased	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Immunisation reaction	✓	✓	✓
SD	Injection site pruritus	·	·	✓
SD	Renal neoplasm	·	·	✓
SD	Tooth infection	✓	✓	✓
SD	Tremor	·	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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