Z9M-92229-63759

5 vaccinations 10 coded responses 43 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 754 / TX
Registered: 2021-02-03

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

2021-02-03
Registered in v-safe
2021-02-03
Dose 1 — Moderna
2021-02-03
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Survey response — day 7, dose 1
MedDRA: Fatigue, Multiple sclerosis — Feeling: Fair · Fatigue or tiredness

Free text: I have MS, which might account for fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-03
Dose 2 — Moderna
2021-03-03
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Muscle spasms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Perhaps some bilateral underarm lymph node tenderness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Toe spasms, maybe MS related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Good · Headache, Fatigue or tiredness

Free text: Some muscle spasms in toes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling of body temperature change — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Hot, cold on and off.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-12
Dose 3 — Moderna
2022-03-03
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-10
Dose 4 — Moderna
2022-05-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-05-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-05-13
Survey response — days 1–6 daily, dose 4
MedDRA: Fatigue — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work or attend school

Free text: I feel good every morning, but by afternoon and into evening i am very fatigued.

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Survey response — days 1–6 daily, dose 4
MedDRA: Fatigue, Foot deformity, Multiple sclerosis, Muscle tightness, Pain in extremity, Pre-existing disease — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Less fatigue than yesterday. I've had more problems with my MS symptom of curling toes. Curling toes is a frequent MS symptom for me, but these past few days the curling has been very tight and slightly painful.

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-17
Survey response — day 7, dose 4
MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Fatigue or tiredness

Free text: Fatigue might be from my MS now. Previously it was definitely from my reaction to the vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-05-24
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-31
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-07
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-14
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-22
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-09
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-23
Dose 5 — Moderna
2022-10-27
Survey response — day 28, dose 5
MedDRA: Herpes zoster — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Shingles

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-06
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-25
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-26
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Moderna
2	2021-03-03	Moderna
3	2021-11-12	Moderna	No
4	2022-05-10	Moderna	No
5	2022-09-23	Moderna	No

Free text

Release 4 — day 7, dose 1

2021-02-10

Systemic reaction (other): I have MS, which might account for fatigue.

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Muscle spasms

2021-03-06

Systemic reaction (other): Perhaps some bilateral underarm lymph node tenderness.

2021-03-07

Systemic reaction (other): Toe spasms, maybe MS related.

2021-03-08

Systemic reaction (other): Some muscle spasms in toes.

2021-03-09

Systemic reaction (other): Hot, cold on and off.

Release 11 — days 1–6 daily, dose 4

2022-05-13

Systemic reaction (other): I feel good every morning, but by afternoon and into evening i am very fatigued.

2022-05-14

Systemic reaction (other): Less fatigue than yesterday. I've had more problems with my MS symptom of curling toes. Curling toes is a frequent MS symptom for me, but these past few days the curling has been very tight and slightly painful.

Release 11 — day 7, dose 4

2022-05-17

Systemic reaction (other): Fatigue might be from my MS now. Previously it was definitely from my reaction to the vaccine.

Release 12 — day 28, dose 5

2022-10-27

Symptoms: Shingles

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	Herpes zoster	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling of body temperature change	✓	✓	✓
SRO	Foot deformity	·	·	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Multiple sclerosis	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Muscle tightness	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Pre-existing disease	✓	✓	✓

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