25Y-20008-70851

2 vaccinations 8 coded responses 22 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 080 / NJ
Registered: 2021-01-14

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Health check-in — day 0, dose 1
Feeling: Fair · None

Adult check-in
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Body temperature increased, Pyrexia — Feeling: Fair · Site: Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Next morn 1-15-21 felt weak at work, came home took shower and temp was 100.8

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-11
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Fair · Muscle or body aches

Free text: Not at this time, I got my injection today 2-11-21.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: After getting the shot in my left arm my right arm began to hurt all night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Pain — Feeling: Fair · Site: Pain · Joint pains

Free text: My right shoulder hurts when I raise my hand above my head to do chores, it might be due to the weather.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Limb immobilisation — Feeling: Fair · Joint pains

Free text: Not able to lift my right arm above my head, my shoulder hurt. Ive been taking Aleeve, Its been like this since I got injection in left arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Joint pains

Free text: Not at this time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 7, dose 2
Feeling: Fair · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-14
Survey response — 3 months, dose 2
MedDRA: Asthenia, Cough, Hospitalisation, Impaired work ability, Malaise, Pneumonia, Pyrexia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: On April 2nd I became sick with a 100.8 fever, coughing, weakness. I was admitted to hospital for a few days with pneumonia. Im still home on sick leave, will be getting chest X-Ray & MRI soon.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-14
Call 1 — Left Voicemail
2021-08-14
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-11
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna

Call center

2 call center cases

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

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): Next morn 1-15-21 felt weak at work, came home took shower and temp was 100.8

2021-01-18

Systemic reaction (other): No

Release 4 — day 0, dose 2

2021-02-11

Systemic reaction (other): Not at this time, I got my injection today 2-11-21.

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): After getting the shot in my left arm my right arm began to hurt all night.

2021-02-13

Systemic reaction (other): My right shoulder hurts when I raise my hand above my head to do chores, it might be due to the weather.

2021-02-14

Systemic reaction (other): Not able to lift my right arm above my head, my shoulder hurt. Ive been taking Aleeve, Its been like this since I got injection in left arm.

2021-02-16

Systemic reaction (other): Not at this time

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: On April 2nd I became sick with a 100.8 fever, coughing, weakness. I was admitted to hospital for a few days with pneumonia. Im still home on sick leave, will be getting chest X-Ray & MRI soon.

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	Asthenia	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Pneumonia	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Body temperature increased	○	✓	○
SRO	Limb immobilisation	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	·	✓

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