ZS8-14645-17969

2 vaccinations 12 coded responses 25 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 448 / OH
Registered: 2021-03-10

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
2021-03-10
Registered in v-safe
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Diabetes mellitus — Feeling: Good

Free text: Diabetic numbers are higher than normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Sensitive skin — Feeling: Fair · Headache, Joint pains

Free text: Don't want any part of body (skin) touched

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — day 7, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-23
Survey response — day 14, dose 1
MedDRA: Fatigue — Feeling: Fair

Free text: More exhausted but keep doing normal activities till I can't go anymore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 21, dose 1
MedDRA: Fatigue, Headache, Lymph node pain, Muscle fatigue — Feeling: Fair

Free text: Fatigue in large muscle of both legs if walk far.Lymph node on left side of neck under jaw very tender. Still minor headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Dose 2 — Moderna
2021-04-06
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Just received 30 minutes ago. Can't answer yet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · 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 · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Good · Headache, Fatigue or tiredness

Free text: Upper leg fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-20
Survey response — day 14, dose 2
MedDRA: Fatigue, Headache — Feeling: Good

Free text: Still a slight headache. Upper thigh muscle fatigue when walking any distance. Just worked thru it just at a slower pace.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Still same with large muscle in thigh fatigue.Are these looked at and monitoring of this.Doesn't seem like anyone cares just need information for the future of comparisons.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 28, dose 2
MedDRA: Headache — Feeling: Good

Free text: Still have the nagging headache

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

Adult check-in
2021-05-18
Survey response — day 42, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: I'm a diabetic and can't get my numbers down and under control

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Survey response — 3 months, dose 2
MedDRA: Headache, Injection site pain, Pain — Feeling: Good

Free text: The arm muscle the vaccine was given in aches and sore when using arm in lifting or just loosing.Still the nagging nawing headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-05
Survey response — 6 months, dose 2
MedDRA: Injection site pain, Muscular weakness — Feeling: Fair

Free text: Still have the muscle weakness in my right arm and very sore when using at injection sight. Sucks because I'm right handed.

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-06	Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Diabetic numbers are higher than normal

2021-03-13

Systemic reaction (other): Don't want any part of body (skin) touched

Release 6 — day 14, dose 1

2021-03-23

Symptoms: More exhausted but keep doing normal activities till I can't go anymore.

Release 6 — day 21, dose 1

2021-03-30

Symptoms: Fatigue in large muscle of both legs if walk far.Lymph node on left side of neck under jaw very tender. Still minor headaches

Release 7 — day 0, dose 2

2021-04-06

Systemic reaction (other): Just received 30 minutes ago. Can't answer yet

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): Upper leg fatigue

Release 7 — day 14, dose 2

2021-04-20

Symptoms: Still a slight headache. Upper thigh muscle fatigue when walking any distance. Just worked thru it just at a slower pace.

Release 8 — day 21, dose 2

2021-04-27

Symptoms: Still same with large muscle in thigh fatigue.Are these looked at and monitoring of this.Doesn't seem like anyone cares just need information for the future of comparisons.

Release 8 — day 28, dose 2

2021-05-04

Symptoms: Still have the nagging headache

Release 8 — day 42, dose 2

2021-05-18

Symptoms: I'm a diabetic and can't get my numbers down and under control

Release 9 — 3 months, dose 2

2021-07-07

Symptoms: The arm muscle the vaccine was given in aches and sore when using arm in lifting or just loosing.Still the nagging nawing headache.

Release 10 — 6 months, dose 2

2021-10-05

Symptoms: Still have the muscle weakness in my right arm and very sore when using at injection sight. Sucks because I'm right handed.

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	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Lymph node pain	○	✓	○
SD	Muscle fatigue	✓	·	✓
SD	Muscular weakness	·	·	✓
SD	Pain	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Diabetes mellitus	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Sensitive skin	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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