BY5-27621-57322

3 vaccinations 13 coded responses 36 check-ins 13 free-text entries 5 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 880 / NM
Registered: 2021-04-07

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

S8N-10828-24357 Child or adolescent in my care · Female · 2021-06-25

Timeline

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

2021-04-05
Dose 1 — Moderna
2021-04-07
Registered in v-safe
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Specialist consultation — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Dentist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Muscular weakness, Palpitations, Tremor — Feeling: Poor · Fever · Nausea · Be unable to do your normal daily activities

Free text: My legs are weak and shaking and my heart is racing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-28
Survey response — day 21, dose 1
MedDRA: Unevaluable event — Feeling: Good · 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

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-02
Dose 2 — Moderna
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-24
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
Survey response — day 35, dose 2
MedDRA: Abnormal faeces, Dyspnoea, Parosmia, Taste disorder — Feeling: Fair · 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: My poop has not been the same, my taste and smell have changed, and im short of breathe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-13
Survey response — day 42, dose 2
MedDRA: Dyspnoea, Fatigue, Neuralgia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Shortness of breath and new nerve pain. Also fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-16
Call 1 — Left Voicemail
2021-10-31
Survey response — 6 months, dose 2
MedDRA: Decreased appetite, Fatigue — Feeling: Fair · 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: Severe fatigue and loss of appetite.

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-12
Dose 3 — Moderna
2021-12-12
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-13
Survey response — days 1–6 daily, dose 3
MedDRA: Hyperhidrosis, Presyncope, Tinnitus, Tremor — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: I felt like I was going to pass put and die. My ears were ringing, I was sweating, I had body tremors.

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-12-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-19
Survey response — day 7, dose 3
MedDRA: Pain, Pre-existing disease, Vaccine positive rechallenge — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Just like my other 2 shots, all of my old injury and surgical sites are in immense pain. Has to be shot related since it happened with the first 2.

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Call 1 — Left Voicemail
2021-12-26
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-03
Survey response — day 21, dose 3
MedDRA: Neuralgia — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: So much nerve pain its unbearable! It's on the side where I got my injection.

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Report sent to call center — day 21, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-04
Call 1 — Left Voicemail
2022-01-09
Survey response — day 28, dose 3
MedDRA: Bacterial infection, Lung disorder, Office visit, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: I have a high fever with issues with my lungs, but the doctors say my lungs are fine, im just fighting some sort of bacterial infection probably.

MedDRA releases: 2024-11 · check-in free text available
2022-01-16
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-23
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-13
Survey response — 3 months, dose 3
MedDRA: Fibromyalgia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Diagnosed with Fibromyalgial

MedDRA releases: 2024-11 · check-in free text available
2022-06-12
Survey response — 6 months, dose 3
MedDRA: Back pain, Fibromyalgia, Neck pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: I just got diagnosed with fibromyalgia. My back and neck pain are the worst!

MedDRA releases: 2024-11 · check-in free text available
2022-12-12
Survey response — 12 months, dose 3
MedDRA: Fibromyalgia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Diagnosed with Fibromyalgia.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Moderna
2	2021-05-02	Moderna
3	2021-12-12	Moderna	No

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-07

Healthcare visit (other): Dentist

2021-04-08

Systemic reaction (other): My legs are weak and shaking and my heart is racing.

Release 8 — day 21, dose 1

2021-04-28

Symptoms: Infection

Release 8 — day 35, dose 2

2021-06-06

Symptoms: My poop has not been the same, my taste and smell have changed, and im short of breathe.

Release 9 — day 42, dose 2

2021-06-13

Symptoms: Shortness of breath and new nerve pain. Also fatigue.

Release 10 — 6 months, dose 2

2021-10-31

Symptoms: Severe fatigue and loss of appetite.

Release 10 — days 1–6 daily, dose 3

2021-12-13

Systemic reaction (other): I felt like I was going to pass put and die. My ears were ringing, I was sweating, I had body tremors.

Release 10 — day 7, dose 3

2021-12-19

Systemic reaction (other): Just like my other 2 shots, all of my old injury and surgical sites are in immense pain. Has to be shot related since it happened with the first 2.

Release 10 — day 21, dose 3

2022-01-03

Symptoms: So much nerve pain its unbearable! It's on the side where I got my injection.

Release 10 — day 28, dose 3

2022-01-09

Symptoms: I have a high fever with issues with my lungs, but the doctors say my lungs are fine, im just fighting some sort of bacterial infection probably.

Release 11 — 3 months, dose 3

2022-03-13

Symptoms: Diagnosed with Fibromyalgial

Release 12 — 6 months, dose 3

2022-06-12

Symptoms: I just got diagnosed with fibromyalgia. My back and neck pain are the worst!

Release 12 — 12 months, dose 3

2022-12-12

Symptoms: Diagnosed with Fibromyalgia.

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	Specialist consultation	✓	✓	✓
SD	Abnormal faeces	✓	✓	✓
SD	Back pain	·	·	✓
SD	Bacterial infection	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Fibromyalgia	·	·	✓
SD	Lung disorder	·	·	✓
SD	Neck pain	·	·	✓
SD	Neuralgia	✓	✓	✓
SD	Office visit	·	·	✓
SD	Parosmia	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Taste disorder	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Palpitations	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Presyncope	·	·	✓
SRO	Tinnitus	·	·	✓
SRO	Tremor	✓	✓	✓
SRO	Vaccine positive rechallenge	·	·	✓

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