XUS-22781-99769

3 vaccinations 11 coded responses 26 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 782 / TX
Registered: 2021-03-13

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-09
Dose 1 — Moderna
2021-03-13
Registered in v-safe
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-16
Health check-in — 7 day, dose 1
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-04-06
Dose 2 — Moderna
2021-04-06
Survey response — 0 day, dose 2
MedDRA: Nodule — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fever · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Survey response — 7 day, dose 2
MedDRA: Renal impairment — Feeling: Poor · Site: Itching · Fever · Diarrhea, Abdominal pain · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-20
Survey response — 14 day, dose 2
MedDRA: Abdominal pain upper, Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-11
Survey response — 35 day, dose 2
MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-18
Survey response — 42 day, dose 2
MedDRA: Diarrhoea, Parosmia — Feeling: Fair

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-12-02
Dose 3 — Moderna
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Fever · Headache, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-09
Health check-in — 7 day, dose 3
Feeling: Fair · Site: Pain, Itching · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-12-16
Survey response — 14 day, dose 3
MedDRA: Body temperature increased, Diarrhoea, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-12-23
Survey response — 21 day, dose 3
MedDRA: Body temperature increased, Diarrhoea, Feeling hot, Hypersomnia, Sluggishness — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-12-30
Survey response — 28 day, dose 3
MedDRA: Body temperature increased, Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-01-06
Survey response — 35 day, dose 3
MedDRA: Body temperature increased, Eye irritation, Fatigue, Hypersomnia, Lethargy — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-01-13
Survey response — 42 day, dose 3
MedDRA: Body temperature increased, Lethargy, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-06-04
Survey response — 6 month, dose 3
MedDRA: Unevaluable event — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-06	Moderna
3	2021-12-02	Moderna	No

Free text

Release 7

Systemic reaction (other): Knot is arm I received first shot in.

Systemic reaction (other): Kidney functioning affected early on, not as much output and darker in color, but has been improving over the past few days.

Symptoms: Sever diarrhea up to 7 times per day all week with stomach cramping. Temp 99.3 daily

Release 8

Symptoms: Still have diarrhea. Sometimes have to stick close th bathroom.

Symptoms: Mild diarrhea. Still smells like covid.

Release 10

Symptoms: Diarrhea with vomiting Running temp 99.5

Symptoms: Running fever daily 99.4 today. Usually 99.5. Some diarrhea still. Generally feeling feverish and sliuggish, sleeping a lot.

Symptoms: Still running temp 99.5 and have diarrhea.

Symptoms: 99.2 temp. Eyes burning, tired and lethargic, slept most of the day.

Symptoms: Fever still running 99.4 on a daily basis. Also still lethargic and sleeping most of the day.

Release 11

Symptoms: I have not taken my 4th shot. Don't know why I'm getting this text message.

Free-text releases are not linked to a specific 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	Body temperature increased	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Eye irritation	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling hot	·	·	✓
SD	Hypersomnia	·	·	✓
SD	Lethargy	·	·	✓
SD	Parosmia	✓	✓	✓
SD	Sluggishness	·	·	✓
SD	Somnolence	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Vomiting	·	·	✓
SRO	Nodule	✓	✓	✓
SRO	Renal impairment	✓	✓	✓

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