HHT-73206-87236

3 vaccinations 8 coded responses 39 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 018 / MA
Registered: 2021-01-11

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

2021-01-11
Registered in v-safe
2021-01-11
Dose 1 — Moderna
2021-01-11
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-09
Dose 2 — Moderna
2021-02-09
Survey response — day 28, dose 1
MedDRA: Decreased appetite, Dehydration, Dizziness, Fatigue, Nausea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Extreme dehydration, dizziness, extreme fatigue, lack of appetite, nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — day 0, dose 2
MedDRA: Dyspepsia — Feeling: Poor · Site: Pain · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Indigestion/severe heartburn feeling (similar)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-11
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
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-02
Survey response — day 21, dose 2
MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ongoing pain in my left arm and shoulder area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — 3 months, dose 2
MedDRA: Emergency care, Hospitalisation — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: I was in the emergency room and cardiac unit for four days last week or decreased blood pressure, cardiac arrhythmia and dehydration

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — 3 months, 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)
2021-08-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-08
Dose 3 — Moderna
2021-09-08
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-09-09
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-09-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-09-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-09-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-09-15
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-22
Survey response — day 14, dose 3
MedDRA: Arthralgia, Gait disturbance, Mobility decreased, Pain in extremity, Peripheral coldness — Feeling: Fair · Be unable to do your normal daily activities

Free text: My hands and feet have been extremely cold and very very painful, especially around the joints. It has been challenging to walk or use my hands well

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Survey response — day 21, dose 3
MedDRA: Arthralgia, Asthenia, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: I continue to feel pain in my joints, specifically my hands, my feet, my neck and my lower back. Im also very fatigued with low energy.

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-10-15
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-10-22
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-01-19
Call successful
Does not wish to fill out VAERS report
2022-03-09
Survey response — 6 months, dose 3
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school

Free text: I had COVID-19 about a month ago

MedDRA releases: 2024-11 · check-in free text available
2022-09-10
Survey response — 12 months, dose 3
MedDRA: Unevaluable event — Feeling: Poor · 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: I have some sort of blockage somewhere near my head/neck and I'm waiting to see a neurosurgeon. I have no idea what caused it, it could have been the vaccine. But I also have never had Covid. I would say this is probably worse.

MedDRA releases: 2024-11 · check-in free text available
2022-09-10
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-09-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna
2	2021-02-09	Moderna
3	2021-09-08	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 3 — day 0, dose 2

2021-02-09

Systemic reaction (other): Indigestion/severe heartburn feeling (similar)

Release 3 — day 28, dose 1

2021-02-09

Symptoms: Extreme dehydration, dizziness, extreme fatigue, lack of appetite, nausea

Release 4 — day 21, dose 2

2021-03-02

Symptoms: Ongoing pain in my left arm and shoulder area

Release 8 — 3 months, dose 2

2021-05-11

Symptoms: I was in the emergency room and cardiac unit for four days last week or decreased blood pressure, cardiac arrhythmia and dehydration

Release 9 — day 14, dose 3

2021-09-22

Symptoms: My hands and feet have been extremely cold and very very painful, especially around the joints. It has been challenging to walk or use my hands well

Release 9 — day 21, dose 3

2021-09-30

Symptoms: I continue to feel pain in my joints, specifically my hands, my feet, my neck and my lower back. Im also very fatigued with low energy.

Release 11 — 6 months, dose 3

2022-03-09

Symptoms: I had COVID-19 about a month ago

Release 12 — 12 months, dose 3

2022-09-10

Symptoms: I have some sort of blockage somewhere near my head/neck and I'm waiting to see a neurosurgeon. I have no idea what caused it, it could have been the vaccine. But I also have never had Covid. I would say this is probably worse.

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	COVID-19	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Dehydration	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gait disturbance	·	·	✓
SD	Hospitalisation	✓	✓	✓
SD	Mobility decreased	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral coldness	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Dyspepsia	✓	✓	✓

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