27G-29821-74813

4 vaccinations 11 coded responses 22 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 487 / MI
Registered: 2021-04-07

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

2021-03-01
Dose 1 — Moderna
2021-04-01
Dose 2 — Moderna
2021-04-07
Registered in v-safe
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Fatigue, Headache, Myalgia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: 99 temp.. fatigue..joint and muscle aches headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 7, dose 2
MedDRA: Body temperature increased — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Very low grade temp yesterday temp was a bit higher.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-22
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-01
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-06
Survey response — day 35, dose 2
MedDRA: Pyrexia — Feeling: Fair

Free text: Low grade temperature.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-02
Survey response — 3 months, dose 2
MedDRA: Blood pressure fluctuation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Blood pressure..can't regulate it even with 4 medications. Had a bad fall lots of pain. Recently found out I have multiple compression fractures in my spine causes pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-12
Call 1 — Left Voicemail
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-04-01
Survey response — 12 months, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Spinal epidurals and Wednesday an ablation in my spine

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Dose 3 — Moderna
2022-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Back disorder, Pain — Feeling: Good · Muscle or body aches

Free text: My back is very bad so I can't judge the shot for pain. I've had no symptoms or side effects from the shot

MedDRA releases: 2024-11 · check-in free text available
2022-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-11-04
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-11-11
Survey response — day 14, dose 3
MedDRA: Chest pain, Compression fracture — Feeling: Poor · Be unable to do your normal daily activities

Free text: Bad pain in thorax... compression fractures.. almost unbearable

MedDRA releases: 2024-11 · check-in free text available
2022-11-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-11-28
Dose 4 — Moderna
2022-12-02
Survey response — day 35, dose 3
MedDRA: Malaise, Viral infection — Feeling: Poor · Be unable to do your normal daily activities

Free text: Have a very bad virus..very sick.

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Survey response — day 42, dose 3
MedDRA: Ear pain, Headache, Office visit, Oropharyngeal pain, Pain, Respiratory tract congestion — Feeling: Poor · 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: Symptoms: Body aches, congestion,head,ear, throat pain · Healthcare visit (other): NP office

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Report sent to call center — day 42, 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)
2022-12-12
Call 2 — Could Not Reach Participant
2022-12-12
Call 1 — Could Not Reach Participant
2022-12-15
Call 3 — Could Not Reach Participant
2022-12-15
Call 2 — Could Not Reach Participant
2023-01-29
Survey response — 3 months, dose 3
MedDRA: Back pain, Bladder disorder — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Moderna
2	2021-04-01	Moderna
3	2022-10-28	Moderna	No
4	2022-11-28	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): 99 temp.. fatigue..joint and muscle aches headache

Release 7 — day 7, dose 2

2021-04-08

Systemic reaction (other): Very low grade temp yesterday temp was a bit higher.

Release 8 — day 35, dose 2

2021-05-06

Symptoms: Low grade temperature.

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Blood pressure..can't regulate it even with 4 medications. Had a bad fall lots of pain. Recently found out I have multiple compression fractures in my spine causes pain.

Release 11 — 12 months, dose 2

2022-04-01

Symptoms: Spinal epidurals and Wednesday an ablation in my spine

Release 12 — days 1–6 daily, dose 3

2022-10-29

Systemic reaction (other): My back is very bad so I can't judge the shot for pain. I've had no symptoms or side effects from the shot

2022-10-30

Systemic reaction (other): No

Release 12 — day 14, dose 3

2022-11-11

Symptoms: Bad pain in thorax... compression fractures.. almost unbearable

Release 12 — day 35, dose 3

2022-12-02

Symptoms: Have a very bad virus..very sick.

Release 12 — day 42, dose 3

2022-12-09

Symptoms: Body aches, congestion,head,ear, throat pain

Healthcare visit (other): NP office

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	·	·	✓
SD	Back pain	·	·	✓
SD	Bladder disorder	·	·	✓
SD	Blood pressure fluctuation	✓	✓	✓
SD	Chest pain	·	·	✓
SD	Compression fracture	·	·	✓
SD	Ear pain	·	·	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Viral infection	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back disorder	·	·	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Pain	·	·	✓

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