ZVY-28347-62159

3 vaccinations 4 coded responses 27 check-ins 4 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 404 / KY
Registered: 2021-01-15

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

2021-01-12
Dose 1 — Moderna
2021-01-15
Registered in v-safe
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-20
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-26
Health check-in — day 14, dose 1
Feeling: Fair

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

Adult check-in
2021-02-09
Dose 2 — Moderna
2021-02-16
Survey response — day 7, dose 2
MedDRA: Inflammation, Oral herpes, Pain — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Fever blisters on mouth very inflamed and painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — day 14, dose 2
MedDRA: Arthralgia, Asthenia, Back pain, Chapped lips, Condition aggravated, Fatigue, Mobility decreased, Pain in extremity, Pre-existing disease — Feeling: Fair · Be unable to work

Free text: Pain in right back hip leg making it difficult to move around. Rough flareup of ongoing issues. Chapped lips tired weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-10
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-22
Dose 3 — Moderna
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · 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
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · 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
2021-10-31
Health check-in — day 7, dose 3
Feeling: Good · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-11-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-21
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-22
Survey response — 6 months, dose 3
MedDRA: Asthenia, Brain fog, COVID-19, Dehydration, Dizziness, Fatigue, Hip arthroplasty, Office visit, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Got covid, breathing, fatigue, brain fog, feeling faint, weakness, dehydration, developed five days after hip replacement, · Healthcare visit (other): Primary plus surgeon

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-25
Call successful
Not applicable - Accidental Reporting
2022-10-24
Survey response — 12 months, dose 3
MedDRA: COVID-19, Condition aggravated, Dysphagia, Dyspnoea, Fatigue, Feeling hot, Hip arthroplasty, Hyperhidrosis, Medical counselling, Muscle spasms, Office visit, Physiotherapy, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Difficulty breathing, easily fatigued, get hot very easily and break out in sweat, muscle spasms, increased fibromyalgia symptoms, swallowing difficulties. I got covid the day of hip replacement surgery which slowed recovery. · Healthcare visit (other): Orthopedic surgeon, home care, Family doctor, physical therapy

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Report sent to call center — 12 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

1 call case(s)
2022-10-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Moderna
2	2021-02-09	Moderna
3	2021-10-22	Moderna	No

Call center

3 call center cases

1 successful · 1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 4 — day 7, dose 2

2021-02-16

Systemic reaction (other): Fever blisters on mouth very inflamed and painful

Release 4 — day 14, dose 2

2021-02-23

Symptoms: Pain in right back hip leg making it difficult to move around. Rough flareup of ongoing issues. Chapped lips tired weakness

Release 11 — 6 months, dose 3

2022-04-22

Symptoms: Got covid, breathing, fatigue, brain fog, feeling faint, weakness, dehydration, developed five days after hip replacement,

Healthcare visit (other): Primary plus surgeon

Release 12 — 12 months, dose 3

2022-10-24

Symptoms: Difficulty breathing, easily fatigued, get hot very easily and break out in sweat, muscle spasms, increased fibromyalgia symptoms, swallowing difficulties. I got covid the day of hip replacement surgery which slowed recovery.

Healthcare visit (other): Orthopedic surgeon, home care, Family doctor, physical therapy

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
HCVO	Medical counselling	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Physiotherapy	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Chapped lips	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dehydration	·	·	✓
SD	Dizziness	·	·	✓
SD	Dysphagia	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling hot	·	·	✓
SD	Hip arthroplasty	·	·	✓
SD	Hyperhidrosis	·	·	✓
SD	Mobility decreased	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Unevaluable event	·	·	✓
SRO	Inflammation	✓	✓	✓
SRO	Oral herpes	✓	✓	✓
SRO	Pain	✓	✓	✓

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