2LG-14637-95322

4 vaccinations 17 coded responses 44 check-ins 17 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 779 / TX
Registered: 2021-01-22

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

2021-01-21
Dose 1 — Moderna
2021-01-22
Registered in v-safe
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Loss of personal independence in daily activities, Oropharyngeal pain, Somnolence — Feeling: Fair · Site: Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Slightly sore throat; very sleepy -limited ooutung

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Pain — Feeling: Fair · Site: Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore/serlling less. Fatigue more

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Limb discomfort — Feeling: Fair

Free text: Arm discomfort almost gone/day 4; waiting to see if fatigue occurs afternoon, but so far okay

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea — Feeling: Good · Diarrhea

Free text: Last 2 days, diarrhea, but not severe

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 7, dose 1
MedDRA: Diarrhoea, Pre-existing disease — Feeling: Good · Abdominal pain

Free text: Usual abdominal issues, sometimes loose stool, may be associated w/pancrease

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-23
Dose 2 — Moderna
2021-02-23
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain, Somnolence — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Free text: Very sore muscle at injection site; very sleepy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Somnolence — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Extreme sleepiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — day 7, dose 2
MedDRA: Tenderness — Feeling: Fair · Joint pains

Free text: Tenderness in tonsil area, NOT really like a sore throat, NOT itch or scratchy, just tender. Going on several days, hesitated to mention.

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

Adult check-in
2021-03-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-30
Survey response — day 35, dose 2
MedDRA: Balance disorder, Fatigue — Feeling: Fair

Free text: A little tired & unsteady, but that could be due to my age & yard work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Dose 3 — Moderna
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness

Free text: Mild dizziness. Past lunch time. May need to eat

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-24
Survey response — 3 months, dose 3
MedDRA: Cough, Dizziness — Feeling: Fair

Free text: Not sure about cause of dry cough. occasional slight dizziness, (too much decaf coffee?). Husband sick for 1.5 wk, 2 home & 1 dr admin. Covid tests all negative. Both of us 3x pfizer or moderna vax/boost +flu vx & wear kn95 masks

MedDRA releases: 2024-11 · check-in free text available
2022-04-11
Dose 4 — Moderna
2022-04-15
Survey response — days 1–6 daily, dose 4
MedDRA: Arthralgia — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pain in left hip flexor

MedDRA releases: 2024-11 · check-in free text available
2022-04-16
Survey response — days 1–6 daily, dose 4
MedDRA: Diarrhoea, Frequent bowel movements — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Not diarrhea, but 4 consecutive bum, last one loose

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-21
Survey response — day 7, dose 4
MedDRA: Arthralgia, Physiotherapy — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pain/ach in left knee & hip. PT for right hip flexor

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-02
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-09
Survey response — day 28, dose 4
MedDRA: Arthritis, Office visit, Physiotherapy, Piriformis syndrome, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Hip flexor right side has improved, but have developed piriformis syndrome in left glute/hip to knee & arthritis flare in that ship area · Healthcare visit (other): In office dr visit who diagnosed condition. Ordered X-rays of bilateral hips & knees. Physical therapist working on both conditions. Right side improvement; left has not

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Report sent to call center — day 28, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-10
Call 1 — Left Voicemail
2022-05-16
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-17
Survey response — 3 months, dose 4
MedDRA: Office visit, Oropharyngeal pain, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: 2 weeks ago I had an unusual sore throat. I still have tonsils, but this condition started at base of my throat. Used at home Covid test- Negative. No fever, Then PA tested me for Covid & strep throat. Both negative . Said likely allergy -move to NC · Healthcare visit (other): PA at CVS clinic

MedDRA releases: 2024-11 · check-in free text available
2022-07-17
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-10
Survey response — 6 months, dose 4
MedDRA: Physiotherapy — Feeling: Good

Free text: Physical therapy for right hip flexor & left hip perifimis (spelling? since April 2022

MedDRA releases: 2024-11 · check-in free text available
2023-04-11
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-23	Moderna
3	2021-10-22	Moderna	No
4	2022-04-11	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Slightly sore throat; very sleepy -limited ooutung

2021-01-24

Systemic reaction (other): Sore/serlling less. Fatigue more

2021-01-25

Systemic reaction (other): Arm discomfort almost gone/day 4; waiting to see if fatigue occurs afternoon, but so far okay

2021-01-27

Systemic reaction (other): Last 2 days, diarrhea, but not severe

Release 3 — day 7, dose 1

2021-01-28

Systemic reaction (other): Usual abdominal issues, sometimes loose stool, may be associated w/pancrease

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): Very sore muscle at injection site; very sleepy

2021-03-01

Systemic reaction (other): Extreme sleepiness

Release 4 — day 7, dose 2

2021-03-02

Systemic reaction (other): Tenderness in tonsil area, NOT really like a sore throat, NOT itch or scratchy, just tender. Going on several days, hesitated to mention.

Release 6 — day 35, dose 2

2021-03-30

Symptoms: A little tired & unsteady, but that could be due to my age & yard work

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): Mild dizziness. Past lunch time. May need to eat

Release 11 — 3 months, dose 3

2022-01-24

Symptoms: Not sure about cause of dry cough. occasional slight dizziness, (too much decaf coffee?). Husband sick for 1.5 wk, 2 home & 1 dr admin. Covid tests all negative. Both of us 3x pfizer or moderna vax/boost +flu vx & wear kn95 masks

Release 11 — days 1–6 daily, dose 4

2022-04-15

Systemic reaction (other): Pain in left hip flexor

2022-04-16

Systemic reaction (other): Not diarrhea, but 4 consecutive bum, last one loose

Release 11 — day 7, dose 4

2022-04-21

Systemic reaction (other): Pain/ach in left knee & hip. PT for right hip flexor

Release 11 — day 28, dose 4

2022-05-09

Symptoms: Hip flexor right side has improved, but have developed piriformis syndrome in left glute/hip to knee & arthritis flare in that ship area

Healthcare visit (other): In office dr visit who diagnosed condition. Ordered X-rays of bilateral hips & knees. Physical therapist working on both conditions. Right side improvement; left has not

Release 12 — 3 months, dose 4

2022-07-17

Symptoms: 2 weeks ago I had an unusual sore throat. I still have tonsils, but this condition started at base of my throat. Used at home Covid test- Negative. No fever, Then PA tested me for Covid & strep throat. Both negative . Said likely allergy -move to NC cut off by CDC

Healthcare visit (other): PA at CVS clinic

Release 12 — 6 months, dose 4

2022-10-10

Symptoms: Physical therapy for right hip flexor & left hip perifimis (spelling? since April 2022

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	Physiotherapy	·	·	✓
SD	Arthritis	·	·	✓
SD	Balance disorder	✓	·	✓
SD	Cough	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Physiotherapy	·	·	✓
SD	Piriformis syndrome	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Frequent bowel movements	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Physiotherapy	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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