2MQ-98603-01763

4 vaccinations 11 coded responses 27 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 804 / CO
Registered: 2021-01-09

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

2021-01-09
Registered in v-safe
2021-01-09
Dose 1 — Moderna
2021-01-09
Survey response — day 0, dose 1
MedDRA: Pain in extremity, Self-medication — Feeling: Good

Free text: My whole arm hurt a little. I took Tylenol

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema, Pain, Swelling — Feeling: Good · Site: Pain, Redness, Swelling

Free text: The pain, redness and Swelling lasted four or five days. It started the day after the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Survey response — day 14, dose 1
MedDRA: Erythema, Skin warm, Tenderness — Feeling: Good

Free text: 10 days after the vaccination, my arm developed a little redness, heat and tenderness. It is still there on day 11.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-06
Dose 2 — Moderna
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Pain in extremity — Feeling: Good · Site: Pain, Redness, Itching

Free text: Sharp pains in my hands, pain in my lymph nodes (?) under my arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Good

Free text: Still get an occasional stabbing pain in my hands or feet, maybe one today. Vaccine? maybe not...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-06
Survey response — day 28, dose 2
MedDRA: Nerve compression — Feeling: Fair

Free text: I think I have a pinched nerve in my back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-09
Survey response — 6 months, dose 2
MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Came down with a cold on July 7th

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
Dose 3 — Moderna
2021-12-02
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-01
Survey response — 6 months, dose 3
MedDRA: Dry eye, Fatigue, Pain — Feeling: Good · Be unable to work or attend school

Free text: Dry eyes, aches, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Dose 4 — Moderna
2022-05-14
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-20
Survey response — day 35, dose 4
MedDRA: Cough, Fatigue, Heart rate increased, Nasopharyngitis, Oropharyngeal pain, Oxygen saturation decreased, Respiratory tract congestion, SARS-CoV-2 test negative, Viral infection — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I came down with a bug two days ago. I took a home test for Covid and it is negative. I think it's a cold. Chest congestion, coughing, higher heart rate, lower oxygen. Sore throat. Fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Survey response — day 42, dose 4
MedDRA: Eye discharge, Ocular hyperaemia, Sinus pain, Viral infection — Feeling: Poor · Be unable to work or attend school, 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: Still have a virus, red eyes with discharge, sinus pain

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Report sent to call center — day 42, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-31
Call 1 — Left Voicemail
2022-06-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-15
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-17
Survey response — 12 months, dose 4
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-17
Report sent to call center — 12 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-18
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-09	Moderna
2	2021-02-06	Moderna
3	2021-08-31	Moderna	No
4	2022-04-15	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-09

Systemic reaction (other): My whole arm hurt a little. I took Tylenol

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): The pain, redness and Swelling lasted four or five days. It started the day after the shot.

Release 2 — day 14, dose 1

2021-01-23

Symptoms: 10 days after the vaccination, my arm developed a little redness, heat and tenderness. It is still there on day 11.

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): Sharp pains in my hands, pain in my lymph nodes (?) under my arms

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Still get an occasional stabbing pain in my hands or feet, maybe one today. Vaccine? maybe not...

Release 5 — day 28, dose 2

2021-03-06

Symptoms: I think I have a pinched nerve in my back.

Release 9 — 6 months, dose 2

2021-08-09

Symptoms: Came down with a cold on July 7th

Release 11 — 6 months, dose 3

2022-03-01

Symptoms: Dry eyes, aches, fatigue

Release 11 — day 35, dose 4

2022-05-20

Symptoms: I came down with a bug two days ago. I took a home test for Covid and it is negative. I think it's a cold. Chest congestion, coughing, higher heart rate, lower oxygen. Sore throat. Fatigue.

Release 11 — day 42, dose 4

2022-05-27

Symptoms: Still have a virus, red eyes with discharge, sinus 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	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dry eye	·	·	✓
SD	Erythema	✓	✓	✓
SD	Eye discharge	·	·	✓
SD	Fatigue	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Nasopharyngitis	✓	·	✓
SD	Nerve compression	✓	✓	✓
SD	Ocular hyperaemia	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Oxygen saturation decreased	·	·	✓
SD	Pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinus pain	·	·	✓
SD	Skin warm	✓	✓	✓
SD	Tenderness	✓	✓	✓
SD	Viral infection	·	·	✓
SRO	Erythema	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Swelling	✓	✓	✓

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