233-56227-67729

4 vaccinations 11 coded responses 49 check-ins 11 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 105 / NY
Registered: 2021-02-20

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

2021-02-20
Registered in v-safe
2021-02-20
Dose 1 — Moderna
2021-02-20
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-20
Survey response — day 28, dose 1
MedDRA: Arthralgia, Fatigue, Myalgia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Joint muscle pain. Tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Dose 2 — Moderna
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Survey response — day 14, dose 2
MedDRA: Arthralgia, Headache, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Headache. Joint pain. · Healthcare visit (other): Doctor visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-04
Survey response — day 42, dose 2
MedDRA: Abdominal pain upper, Arthralgia, Influenza like illness, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Ran a low fever for 24 hours. Felt fluish. Joint pain worse. Stomach ache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Survey response — 3 months, dose 2
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: More tired than usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-21
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Diarrhoea, Fatigue, Gastrooesophageal reflux disease, Headache, Pre-existing disease, Unevaluable event — 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: Diarrhea, chronic headaches, very tired, increased all symptoms (reflux worse, heart flutters) · Healthcare visit (other): Unable to obtain an appt, none available, tried

MedDRA releases: 2024-11 · check-in free text available
2021-09-21
Report sent to call center — 6 months, dose 2
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)
2021-09-22
Call 1 — Left Voicemail
2021-11-08
Dose 3 — Moderna
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-15
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-24
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-01
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-06
Survey response — day 28, dose 3
MedDRA: Arthralgia, Brain fog, Fatigue, Myalgia — Feeling: Fair · 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: Pain in joints and muscles. Tired. Mental fog.

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Report sent to call center — day 28, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-07
Call 1 — Left Voicemail
2021-12-13
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-22
Survey response — day 42, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very tired

MedDRA releases: 2024-11 · check-in free text available
2022-02-07
Survey response — 3 months, dose 3
MedDRA: Ageusia, Anosmia, Arthralgia, Fatigue, Myalgia, Pyrexia, SARS-CoV-2 test positive, Sinus congestion — 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 · Telehealth, virtual health, or email health consultation

Free text: Tested positive for Covid. Had fever, joint and muscle pain, sinus and congestion issues, no taste or smell, extreme tired.

MedDRA releases: 2024-11 · check-in free text available
2022-02-07
Report sent to call center — 3 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-24
Call successful
Not applicable - Accidental Reporting
2022-04-24
Dose 4 — Moderna
2022-04-24
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2022-04-30
Survey response — days 1–6 daily, dose 4
MedDRA: Cough — Feeling: Fair

Free text: Coughing

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Health check-in — day 7, dose 4
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2022-05-08
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-15
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-22
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-31
Survey response — day 35, dose 4
MedDRA: Arthralgia, Muscular weakness — Feeling: Fair · 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: Increased joint pain all over. Muscle weakness.

MedDRA releases: 2024-11 · check-in free text available
2022-05-31
Report sent to call center — day 35, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-01
Call 1 — Left Voicemail
2022-06-05
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-24
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-23
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-04-24
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-20	Moderna
2	2021-03-23	Moderna
3	2021-11-08	Moderna	No
4	2022-04-24	Moderna	No

Call center

5 call center cases

4 successful · 1 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-20

Systemic reaction (other): Dizzy

Release 6 — day 28, dose 1

2021-03-20

Symptoms: Joint muscle pain. Tired.

Release 7 — day 14, dose 2

2021-04-06

Symptoms: Headache. Joint pain.

Healthcare visit (other): Doctor visit

Release 8 — day 42, dose 2

2021-05-04

Symptoms: Ran a low fever for 24 hours. Felt fluish. Joint pain worse. Stomach ache.

Release 9 — 3 months, dose 2

2021-06-22

Symptoms: More tired than usual

Release 9 — 6 months, dose 2

2021-09-21

Symptoms: Diarrhea, chronic headaches, very tired, increased all symptoms (reflux worse, heart flutters)

Healthcare visit (other): Unable to obtain an appt, none available, tried

Release 10 — day 28, dose 3

2021-12-06

Symptoms: Pain in joints and muscles. Tired. Mental fog.

Release 10 — day 42, dose 3

2021-12-22

Symptoms: Very tired

Release 11 — 3 months, dose 3

2022-02-07

Symptoms: Tested positive for Covid. Had fever, joint and muscle pain, sinus and congestion issues, no taste or smell, extreme tired.

Release 11 — days 1–6 daily, dose 4

2022-04-30

Systemic reaction (other): Coughing

Release 11 — day 35, dose 4

2022-05-31

Symptoms: Increased joint pain all over. Muscle weakness.

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	Office visit	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastrooesophageal reflux disease	·	·	✓
SD	Headache	✓	✓	✓
SD	Influenza like illness	✓	✓	✓
SD	Muscular weakness	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinus congestion	·	·	✓
SRO	Cough	·	·	✓
SRO	Dizziness	✓	✓	✓

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