6WU-24158-75355

2 vaccinations 10 coded responses 16 check-ins 10 free-text entries 4 call cases

Sex: —
Age at first dose: 51-55
ZIP prefix: 180 / PA
Registered: 2020-12-30

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

2020-12-28
Dose 1 — Moderna
2020-12-30
Registered in v-safe
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Ocular discomfort — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Eye discomfort since the day of the injection, especially the right.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-03
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Survey response — day 14, dose 1
MedDRA: Anxiety, Memory impairment, Musculoskeletal chest pain, Pain, Palpitations — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Palpitations, widespread pain including intercostal pain, anxiety, forgetfulness. Just a feeling of unease that is overwhelming at times.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-20
Survey response — day 21, dose 1
MedDRA: Dizziness, Fatigue, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Severe achiness, fatigue and somtimes lightheadedness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Dose 2 — Moderna
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Palpitations — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Palpitations, chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Abnormal dreams, Night sweats, Palpitations — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, 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

Free text: Pounding heart palpitations, vivid dreams, night sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
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)
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-01
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-08
Survey response — day 14, dose 2
MedDRA: Arthralgia, Fatigue, Hot flush, Weight decreased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased joint pain, fatigue. Weight loss. Also extreme hot flashes .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — day 21, dose 2
MedDRA: Anxiety, Arthralgia, Back pain, Chest discomfort, Condition aggravated, Musculoskeletal chest pain, Palpitations, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worsening joint pain, back and rib pain. Experiencing heart palpitations and chest discomfort at night. Brain fog, and anxiety. Negative covid test.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — day 28, dose 2
MedDRA: Arthralgia, Back pain, Musculoskeletal chest pain, Palpitations — Feeling: Poor · Be unable to do your normal daily activities

Free text: Joint and back pain, rib pain, palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 35, dose 2
MedDRA: Arthralgia, Chest discomfort, Dizziness, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle pain, joint pain, chest discomfort , occasional dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — day 42, dose 2
MedDRA: Arthralgia, Myalgia, Palpitations — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pain, muscle pain, palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-25	Moderna

Call center

4 call center cases

1 unsuccessful · 3 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-30

Systemic reaction (other): Eye discomfort since the day of the injection, especially the right.

Release 1 — day 14, dose 1

2021-01-13

Symptoms: Palpitations, widespread pain including intercostal pain, anxiety, forgetfulness. Just a feeling of unease that is overwhelming at times.

Release 2 — day 21, dose 1

2021-01-20

Symptoms: Severe achiness, fatigue and somtimes lightheadedness.

Release 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): Palpitations, chest pain

2021-01-28

Systemic reaction (other): Pounding heart palpitations, vivid dreams, night sweats

Release 3 — day 14, dose 2

2021-02-08

Symptoms: Increased joint pain, fatigue. Weight loss. Also extreme hot flashes .

Release 4 — day 21, dose 2

2021-02-15

Symptoms: Worsening joint pain, back and rib pain. Experiencing heart palpitations and chest discomfort at night. Brain fog, and anxiety. Negative covid test.

Release 4 — day 28, dose 2

2021-02-22

Symptoms: Joint and back pain, rib pain, palpitations

Release 4 — day 35, dose 2

2021-03-03

Symptoms: Muscle pain, joint pain, chest discomfort , occasional dizziness

Release 5 — day 42, dose 2

2021-03-10

Symptoms: Joint pain, muscle pain, palpitations

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	Anxiety	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Discomfort	○	○	○
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hot flush	✓	✓	✓
SD	Memory impairment	✓	✓	✓
SD	Musculoskeletal chest pain	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Weight decreased	✓	✓	✓
SRO	Abnormal dreams	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Ocular discomfort	✓	✓	✓
SRO	Palpitations	✓	✓	✓

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