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6YL-23019-05742

2 vaccinations 5 coded responses 10 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
921 / CA
Registered
2021-04-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-12
    Dose 1 — Moderna
  2. 2021-04-09
    Registered in v-safe
  3. 2021-04-09
    Dose 2 — Moderna
  4. 2021-04-09
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: I already have multiple sclerosis and deal with tiredness from that disease. However after both my first shot and my second shot I had extreme exhaustion for 24 to 32 hours after the shot and then it got much better at the 48-hour mark and by the third day it was back to normal
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain, Nasal congestion — Feeling: Good · Fatigue or tiredness, Abdominal pain
    Free text: Last night for the first time I woke up with odd pains in my abdomen. They didn't last very long and I was able to go back to sleep fairly quickly. I also had a stuffed nose yesterday afternoon and all night last night but after I showered this morning it went away.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache, Self-medication — Feeling: Good · Headache
    Free text: Woke up again with a mild headache but after I took Advil it went away
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-04-16
    Health check-in — day 7, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  12. 2021-10-08
    Survey response — 6 months, dose 2
    MedDRA: Asthenia, Fatigue, Mobility decreased, Multiple sclerosis, Pre-existing disease — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I received my third covid shot the booster on September 25, 2021. My side effects were much greater this time. I was exhausted and unable to properly sit up or walk for 48 hours. Because of my MS my right side has always been weak. But not like this.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-04-09
    Survey response — 12 months, dose 2
    MedDRA: Asthenia, Back pain, Discomfort, Flank pain, Kidney infection, Urinary tract infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I developed a UTI that spread to my kidney. I had pain first on my side but then along my back I had immense pressure on my bladder and I was very weak . It took two courses of antibiotics but I'm feeling much better now 34 days after 1st symptom.
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-04-09
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  15. 2022-04-26
    Call successful
    Not applicable - Accidental Reporting

Vaccinations

DoseDateManufacturerCo-administered
12021-03-12Moderna
22021-04-09Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): I already have multiple sclerosis and deal with tiredness from that disease. However after both my first shot and my second shot I had extreme exhaustion for 24 to 32 hours after the shot and then it got much better at the 48-hour mark and by the third day it was back to normal

2021-04-13

Systemic reaction (other): Last night for the first time I woke up with odd pains in my abdomen. They didn't last very long and I was able to go back to sleep fairly quickly. I also had a stuffed nose yesterday afternoon and all night last night but after I showered this morning it went away.

2021-04-14

Systemic reaction (other): Woke up again with a mild headache but after I took Advil it went away

Release 10 — 6 months, dose 2

2021-10-08

Symptoms: I received my third covid shot the booster on September 25, 2021. My side effects were much greater this time. I was exhausted and unable to properly sit up or walk for 48 hours. Because of my MS my right side has always been weak. But not like this. cut off by CDC

Release 11 — 12 months, dose 2

2022-04-09

Symptoms: I developed a UTI that spread to my kidney. I had pain first on my side but then along my back I had immense pressure on my bladder and I was very weak . It took two courses of antibiotics but I'm feeling much better now 34 days after 1st symptom.

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

FieldPreferred term2021-092023-042024-11
SDAsthenia · · ✓
SDBack pain · · ✓
SDDiscomfort · · ✓
SDFatigue · · ✓
SDFlank pain · · ✓
SDKidney infection · · ✓
SDMobility decreased · · ✓
SDMultiple sclerosis · · ✓
SDPre-existing disease · · ✓
SDUrinary tract infection · · ✓
SROAbdominal pain ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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