R4S-14753-27669

3 vaccinations 5 coded responses 26 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 319 / GA
Registered: 2021-03-11

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Moderna
2021-03-11
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Chills, Fatigue or tiredness, Vomiting, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea, Diarrhea

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Survey response — day 14, dose 1
MedDRA: Asthenia, Breast pain, Breast tenderness, Fatigue, Myalgia, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities

Free text: I feel weak and exhausted. My muscles ache and my breast are tender and sore. The muscles in my right arm hurts tremendously. Even my fingers ache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-08
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease, Pyrexia, Self-medication — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: I put moderate only because I am prescription Ibruprophenand medicine for my fever. I do not have a spleen and I'm missing a kidney. I do not know if that increases my symptoms or not.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-16
Dose 3 — Moderna
2021-10-07
Survey response — 6 months, dose 2
MedDRA: COVID-19, Chills, Decreased appetite, Exposure to SARS-CoV-2, Fatigue, Nasal congestion, Oropharyngeal pain — Feeling: Good

Free text: I caught Covid. I had a sore throat, mild stuffed up nose, lack of appetite, chills, and fatigue. It lasted less than two days. I was around a relative who had Covid two months ago, and I didn't catch it. However, I did catch this strain.

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-14
Survey response — 6 months, dose 3
MedDRA: Back pain, COVID-19, Cough, Dyspnoea, Exposure to SARS-CoV-2, Fatigue, Pre-existing disease, Pyrexia — Feeling: Good · 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

Free text: I got my booster shot on 8/16. I've been exposed to Covid x3. The first two times I had mild symptoms. The 3rd time I caught Covid it felt similar to the time I had pneumonia. I had shortness of breath, back pain, fever, a dry cough, & fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-02-14
Report sent to call center — 6 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 · 1 call case(s)
2022-02-17
Call 1 — Left Voicemail
2022-08-16
Survey response — 12 months, dose 3
MedDRA: Abdominal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Intense pain after eating. Not sure if it's related though.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna
3	2021-08-16	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-25

Symptoms: I feel weak and exhausted. My muscles ache and my breast are tender and sore. The muscles in my right arm hurts tremendously. Even my fingers ache.

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): I put moderate only because I am prescription Ibruprophenand medicine for my fever. I do not have a spleen and I'm missing a kidney. I do not know if that increases my symptoms or not.

Release 10 — 6 months, dose 2

2021-10-07

Symptoms: I caught Covid. I had a sore throat, mild stuffed up nose, lack of appetite, chills, and fatigue. It lasted less than two days. I was around a relative who had Covid two months ago, and I didn't catch it. However, I did catch this strain.

Release 11 — 6 months, dose 3

2022-02-14

Symptoms: I got my booster shot on 8/16. I've been exposed to Covid x3. The first two times I had mild symptoms. The 3rd time I caught Covid it felt similar to the time I had pneumonia. I had shortness of breath, back pain, fever, a dry cough, & fatigue.

Release 12 — 12 months, dose 3

2022-08-16

Symptoms: Intense pain after eating. Not sure if it's related though.

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	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Back pain	·	·	✓
SD	Breast pain	✓	✓	✓
SD	Breast tenderness	✓	✓	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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