KMC-74769-04855

3 vaccinations 3 coded responses 29 check-ins 3 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 891 / NV
Registered: 2021-03-30

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

2021-03-30
Registered in v-safe
2021-03-30
Dose 1 — Moderna
2021-03-30
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · 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

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-27
Dose 2 — Moderna
2021-04-27
Survey response — day 0, dose 2
MedDRA: Fatigue — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Severe fatigue ongoing since first vaccine

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

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · 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
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-05-11
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2022-01-12
Dose 3 — Pfizer-BioNTech
2022-01-12
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2022-01-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-01-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-19
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-28
Survey response — day 14, dose 3
MedDRA: Cough, Diarrhoea, Headache, Oropharyngeal pain, Pyrexia — 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

Free text: Fever, headache, sore throat, cough, diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Report sent to call center — day 14, 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 · 1 call case(s)
2022-02-02
Survey response — day 21, dose 3
MedDRA: Abdominal pain upper, Ageusia, Cough, Decreased appetite, Fatigue, Headache, Hyperhidrosis, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive, Sinus congestion — 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

Free text: Positive covid test. Headache, sweats, sinus congestion, chest congestion, cough, sore throat, fatigue, stomach ache, loss of appetite, loss of taste

MedDRA releases: 2024-11 · check-in free text available
2022-02-02
Report sent to call center — day 21, 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 · 1 call case(s)
2022-02-03
Call 1 — Left Voicemail
2022-02-04
Call 2 — Left Voicemail
2022-02-09
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-02-18
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-02-23
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Moderna
2	2021-04-27	Moderna
3	2022-01-12	Pfizer-BioNTech	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 8 — day 0, dose 2

2021-04-27

Systemic reaction (other): Severe fatigue ongoing since first vaccine

Release 11 — day 14, dose 3

2022-01-28

Symptoms: Fever, headache, sore throat, cough, diarrhea

Release 11 — day 21, dose 3

2022-02-02

Symptoms: Positive covid test. Headache, sweats, sinus congestion, chest congestion, cough, sore throat, fatigue, stomach ache, loss of appetite, loss of taste

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	Abdominal pain upper	·	·	✓
SD	Ageusia	·	·	✓
SD	Cough	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hyperhidrosis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinus congestion	·	·	✓
SRO	Fatigue	✓	✓	✓

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