2MC-18104-82488

3 vaccinations 6 coded responses 33 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 201 / VA
Registered: 2021-02-10

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-02-10
Registered in v-safe
2021-02-10
Dose 1 — Moderna
2021-02-10
Survey response — day 0, dose 1
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Tingling on back of head for a few minutes after shot.

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

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-10
Dose 2 — Moderna
2021-03-10
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Head discomfort — Feeling: Good · Site: Pain

Free text: I feel my head heavy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Head discomfort — Feeling: Good · Site: Pain

Free text: A little bit of pressure on skull on off throughout the day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-31
Survey response — day 21, dose 2
MedDRA: Contusion, Emergency care, Fall, Head injury — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I fell off in my bedroom and bruised in several parts of my body. Im recovering and already went to hospital to get checked. No fractures and no major injury to head.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-07
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-21
Survey response — day 42, dose 2
MedDRA: Fall — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I fell in my bedroom about three and a half weeks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-08
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-09
Dose 3 — Moderna
2021-10-29
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-31
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-06
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-14
Survey response — day 35, dose 3
MedDRA: Headache, Injury, Pain, Poor quality sleep — Feeling: Poor · Be unable to do your normal daily activities

Free text: A lot of pain on site of March 2021 injury, and headaches due to not good sleep due to pain.

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-22
Call 1 — Left Voicemail
2022-01-09
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-09
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-10-11
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-10	Moderna
2	2021-03-10	Moderna
3	2021-10-09	Moderna	No

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-10

Systemic reaction (other): Tingling on back of head for a few minutes after shot.

Release 5 — days 1–6 daily, dose 2

2021-03-15

Systemic reaction (other): I feel my head heavy

2021-03-16

Systemic reaction (other): A little bit of pressure on skull on off throughout the day.

Release 6 — day 21, dose 2

2021-03-31

Symptoms: I fell off in my bedroom and bruised in several parts of my body. Im recovering and already went to hospital to get checked. No fractures and no major injury to head.

Release 7 — day 42, dose 2

2021-04-21

Symptoms: I fell in my bedroom about three and a half weeks.

Release 10 — day 35, dose 3

2021-11-14

Symptoms: A lot of pain on site of March 2021 injury, and headaches due to not good sleep due to pain.

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	Contusion	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Fall	✓	✓	✓
SD	Head injury	✓	✓	✓
SD	Headache	·	·	✓
SD	Injury	·	·	✓
SD	Pain	·	·	✓
SD	Poor quality sleep	·	·	✓
SRO	Head discomfort	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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