25T-74006-90501

3 vaccinations 12 coded responses 33 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 472 / IN
Registered: 2021-01-29

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

2021-01-28
Dose 1 — Moderna
2021-01-29
Registered in v-safe
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Fatigue or tiredness

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Headache, Joint pains

Adult check-in
2021-02-04
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-11
Survey response — day 14, dose 1
MedDRA: Injection site rash, Self-medication — Feeling: Fair

Free text: Rash around shot area, seems to be clearing up now. I used alcohol or benidril lotion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 21, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Osteiophenia in rt wrist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-25
Dose 2 — Moderna
2021-02-25
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain — Feeling: Poor · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ears hurt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tiredness

Free text: Amazed at how much better I feel today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Poor · Site: Pain · Abdominal pain

Free text: Back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Vomiting — Feeling: Poor · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Vomiting last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Abdominal pain

Adult check-in
2021-03-04
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-18
Survey response — day 21, dose 2
MedDRA: Arthralgia, Back pain, Pain in extremity — Feeling: Fair

Free text: Lower back pain and legs and ankles.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-01
Survey response — day 35, dose 2
MedDRA: Back pain, Pain in extremity — Feeling: Fair · Be unable to work

Free text: Lower back,legs and feet ache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 42, dose 2
MedDRA: Back pain — Feeling: Good

Free text: Pain in lower back,legs and feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-09
Call 1 — Left Voicemail
2021-08-26
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Back pain, Neck pain, Pain in extremity — Feeling: Fair

Free text: Pain in joints of feet, knees, hips, lower back and neck.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-09
Dose 3 — Moderna
2022-02-25
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-02-25
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-03-02
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-03-09
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-03-16
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-23
Survey response — day 42, dose 3
MedDRA: Ear pruritus, Migraine, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sinus and or migraine headache, runny nose,stuffy, itching ears

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-08-10
Survey response — 6 months, dose 3
MedDRA: Pre-existing disease, Sinus disorder — Feeling: Fair

Free text: Allergies, sinus condition

MedDRA releases: 2024-11 · check-in free text available
2023-02-09
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Moderna
2	2021-02-25	Moderna
3	2022-02-09	Moderna	No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-11

Symptoms: Rash around shot area, seems to be clearing up now. I used alcohol or benidril lotion.

Release 4 — day 21, dose 1

2021-02-18

Symptoms: Osteiophenia in rt wrist

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Ears hurt

2021-02-27

Systemic reaction (other): Amazed at how much better I feel today.

2021-03-01

Systemic reaction (other): Back pain

2021-03-02

Systemic reaction (other): Vomiting last night

Release 5 — day 21, dose 2

2021-03-18

Symptoms: Lower back pain and legs and ankles.

Release 6 — day 35, dose 2

2021-04-01

Symptoms: Lower back,legs and feet ache.

Release 7 — day 42, dose 2

2021-04-08

Symptoms: Pain in lower back,legs and feet

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: Pain in joints of feet, knees, hips, lower back and neck.

Release 11 — day 42, dose 3

2022-03-23

Symptoms: Sinus and or migraine headache, runny nose,stuffy, itching ears

Release 12 — 6 months, dose 3

2022-08-10

Symptoms: Allergies, sinus condition

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	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Ear pruritus	·	·	✓
SD	Injection site rash	✓	✓	✓
SD	Migraine	·	·	✓
SD	Neck pain	✓	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Sinus disorder	·	·	✓
SD	Unevaluable event	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Vomiting	✓	✓	✓

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