26Y-31281-47524

3 vaccinations 12 coded responses 26 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 782 / TX
Registered: 2021-02-02

Relationship: Self
Race: White
Ethnicity: 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

2021-02-02
Registered in v-safe
2021-02-02
Dose 1 — Moderna
2021-02-02
Survey response — day 0, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Sore Arm at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea, Pain, Pain in extremity — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Arm very sore hurts to move mild loose stools yesterday and today 1x

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia — Feeling: Good · Site: Pain

Free text: Arm muscles still sore but better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Site: Pain

Free text: Right arm muscle still sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia — Feeling: Good · Site: Pain

Free text: Arm muscles better still tender

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-02
Dose 2 — Moderna
2021-03-02
Survey response — day 0, dose 2
MedDRA: Myalgia — Feeling: Fair · Site: Pain · Headache

Free text: Left arm muscle sore to raise & move

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

Free text: Left Hip waist sore. & twinges of pain head and other places

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

Free text: Had chills and fever last night again after yesterdays check in

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Pain in extremity — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Left arm still sore to raise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Diarrhoea — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Light food Tues Wed diarrhea/Regular meal Thurs Fri Sat More Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspepsia, Myalgia — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Indigestion, left arm muscle sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — day 7, dose 2
MedDRA: Diarrhoea — Feeling: Fair · Headache, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Free text: Still diarrhea since 3/3 eating brat diet 3/6 &7 mild food 8 &9 still diarreah

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-31
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-11
Dose 3 — Moderna
2022-03-04
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-11-13
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-02	Moderna
2	2021-03-02	Moderna
3	2021-11-11	Moderna	No

Free text

Release 3 — day 0, dose 1

2021-02-02

Systemic reaction (other): Sore Arm at injection site

Release 3 — days 1–6 daily, dose 1

2021-02-03

Systemic reaction (other): Arm very sore hurts to move mild loose stools yesterday and today 1x

2021-02-05

Systemic reaction (other): Arm muscles still sore but better

2021-02-06

Systemic reaction (other): Right arm muscle still sore

2021-02-07

Systemic reaction (other): Arm muscles better still tender

Release 4 — day 0, dose 2

2021-03-02

Systemic reaction (other): Left arm muscle sore to raise & move

Release 4 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Left Hip waist sore. & twinges of pain head and other places

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Had chills and fever last night again after yesterdays check in

2021-03-05

Systemic reaction (other): Left arm still sore to raise

2021-03-06

Systemic reaction (other): Light food Tues Wed diarrhea/Regular meal Thurs Fri Sat More Diarrhea

2021-03-08

Systemic reaction (other): Indigestion, left arm muscle sore

Release 5 — day 7, dose 2

2021-03-09

Systemic reaction (other): Still diarrhea since 3/3 eating brat diet 3/6 &7 mild food 8 &9 still diarreah

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
SRO	Arthralgia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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