YSK-73447-50473

3 vaccinations 15 coded responses 35 check-ins 15 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 961 / CA
Registered: 2021-03-21

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

2021-03-20
Dose 1 — Moderna
2021-03-21
Registered in v-safe
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-29
Health check-in — day 7, dose 1
Feeling: Fair · Site: Itching · Joint pains

Adult check-in
2021-04-03
Survey response — day 14, dose 1
MedDRA: Back pain, Muscle spasms — Feeling: Poor · 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: Chronic back problems turned into big muscle spasms. Being treated with tizanidine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-10
Survey response — day 21, dose 1
MedDRA: Adverse drug reaction, Arthritis, Back pain, Dizziness, Feeling abnormal, Pain in extremity, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Back pain, thumb pain... arthritis, dizzy/out of sorts from muscle relaxer and allergy meds. Done with relaxer in two days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Dose 2 — Moderna
2021-04-17
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-04-21
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Headache

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-24
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-05-02
Survey response — day 14, dose 2
MedDRA: Arthralgia, Back pain, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Hip and back pain ... Chronic.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-15
Survey response — day 28, dose 2
MedDRA: Arthritis, Fatigue, Pain in extremity, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain at base of thumbs ... Probably arthritis. Fatigue and sleeping excessively.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-29
Survey response — day 42, dose 2
MedDRA: Abdominal discomfort, Anal incontinence — Feeling: Fair · Be unable to do your normal daily activities

Free text: Upset stomach with peculiar bowel movement.one day unable to control movement in time to reach bathroom.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Call 1 — Left Voicemail
2021-07-17
Survey response — 3 months, dose 2
MedDRA: Bowel movement irregularity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Irregular bowel movements

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Survey response — 6 months, dose 2
MedDRA: Haematochezia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Per cologuard, blood in stool. Colonoscopy is scheduled.

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-19
Call 1 — Left Voicemail
2021-10-19
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-04
Dose 3 — Moderna
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Diarrhea

Adult check-in
2021-11-08
Survey response — days 1–6 daily, dose 3
MedDRA: Malaise — Feeling: Poor · Headache, Fatigue or tiredness, Abdominal pain

Free text: General malaise afternoon

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-10
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches

Free text: I have chronic muscle and joint pain, same as pre-vaccinations.

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — day 7, dose 3
MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches

Free text: Chronic pain before covid shots

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Survey response — day 14, dose 3
MedDRA: Abdominal discomfort, Eructation — Feeling: Poor · Be unable to do your normal daily activities

Free text: Upset stomach and belching

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Survey response — day 21, dose 3
MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Upset stomach, diarrhea

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Survey response — day 28, dose 3
MedDRA: Arthralgia, Self-medication — Feeling: Poor

Free text: pain from lower back knee is severe today and Aleve isn't doing it's job.

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-03
Survey response — 3 months, dose 3
MedDRA: Colonoscopy abnormal, Gastrointestinal disorder, Large intestinal polypectomy, Large intestine polyp — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Colonoscopy removed polyps. Stomach and digestive issues.

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-08
Call 1 — Could Not Reach Participant
2022-02-11
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-05-08
Survey response — 6 months, dose 3
MedDRA: Abdominal pain upper, Constipation, Diarrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Stomach pain; constipation, diarrhea

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Moderna
2	2021-04-17	Moderna
3	2021-11-04	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-03	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-04-21	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-16	Successful 2021-10-19	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-03	Successful 2022-02-11	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 6 — day 14, dose 1

2021-04-03

Symptoms: Chronic back problems turned into big muscle spasms. Being treated with tizanidine.

Release 7 — day 21, dose 1

2021-04-10

Symptoms: Back pain, thumb pain... arthritis, dizzy/out of sorts from muscle relaxer and allergy meds. Done with relaxer in two days.

Release 8 — day 14, dose 2

2021-05-02

Symptoms: Hip and back pain ... Chronic.

Release 8 — day 28, dose 2

2021-05-15

Symptoms: Pain at base of thumbs ... Probably arthritis. Fatigue and sleeping excessively.

Release 8 — day 42, dose 2

2021-05-29

Symptoms: Upset stomach with peculiar bowel movement.one day unable to control movement in time to reach bathroom.

Release 9 — 3 months, dose 2

2021-07-17

Symptoms: Irregular bowel movements

Release 10 — 6 months, dose 2

2021-10-16

Symptoms: Per cologuard, blood in stool. Colonoscopy is scheduled.

Release 10 — days 1–6 daily, dose 3

2021-11-08

Systemic reaction (other): General malaise afternoon

2021-11-10

Systemic reaction (other): I have chronic muscle and joint pain, same as pre-vaccinations.

Release 10 — day 7, dose 3

2021-11-11

Systemic reaction (other): Chronic pain before covid shots

Release 10 — day 14, dose 3

2021-11-18

Symptoms: Upset stomach and belching

Release 10 — day 21, dose 3

2021-11-25

Symptoms: Upset stomach, diarrhea

Release 10 — day 28, dose 3

2021-12-02

Symptoms: pain from lower back knee is severe today and Aleve isn't doing it's job.

Release 11 — 3 months, dose 3

2022-02-03

Symptoms: Colonoscopy removed polyps. Stomach and digestive issues.

Release 11 — 6 months, dose 3

2022-05-08

Symptoms: Stomach pain; constipation, diarrhea

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 discomfort	✓	✓	✓
SD	Abdominal pain upper	·	·	✓
SD	Adverse drug reaction	✓	✓	✓
SD	Anal incontinence	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Arthritis	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Bowel movement irregularity	·	·	✓
SD	Colonoscopy abnormal	·	·	✓
SD	Constipation	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Eructation	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Haematochezia	·	·	✓
SD	Large intestinal polypectomy	·	·	✓
SD	Large intestine polyp	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Self-medication	·	·	✓
SD	Somnolence	✓	✓	✓
SRO	Malaise	·	·	✓
SRO	Pre-existing disease	·	·	✓

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