2MZ-25846-97185

3 vaccinations 10 coded responses 40 check-ins 10 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 070 / NJ
Registered: 2021-02-28

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-28
Registered in v-safe
2021-02-28
Dose 1 — Moderna
2021-02-28
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary mass, Axillary pain — Feeling: Good · Site: Pain

Free text: Pain and small lump in left armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Survey response — day 14, dose 1
MedDRA: Nasal congestion, Sneezing — Feeling: Fair

Free text: Nasal congestion and sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-28
Dose 2 — Moderna
2021-03-28
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
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

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Good

Free text: Back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Health check-in — day 7, dose 2
Feeling: Poor · Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-18
Survey response — day 21, dose 2
MedDRA: Rhinorrhoea, Seasonal allergy, Sneezing — Feeling: Fair

Free text: Sneezing and runny nose probably related to seasonal allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-27
Survey response — 3 months, dose 2
MedDRA: Office visit, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Foot pain · Healthcare visit (other): Office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-01
Call 1 — Left Voicemail
2021-09-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-02
Dose 3 — Moderna
2021-11-02
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-09
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-23
Survey response — day 21, dose 3
MedDRA: Office visit, Physiotherapy, Plantar fasciitis — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Plantar fasciitis · Healthcare visit (other): Podiatrist and Physical therapist

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-29
Call 1 — Could Not Reach Participant
2021-11-30
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-02
Call 2 — Could Not Reach Participant
2021-12-07
Survey response — day 35, dose 3
MedDRA: Office visit, Pain in extremity, Physiotherapy — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Foot pain · Healthcare visit (other): Podiatrist and Physical therapy

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-08
Call 1 — Could Not Reach Participant
2021-12-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-14
Survey response — day 42, dose 3
MedDRA: Office visit, Physiotherapy, Plantar fascial fibromatosis — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Plantar fasciitis fibromatosis · Healthcare visit (other): Office visits and physical therapy

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-17
Call 2 — Could Not Reach Participant
2021-12-22
Call 3 — Could Not Reach Participant
2022-02-03
Survey response — 3 months, dose 3
MedDRA: Arthralgia, Back pain, Neck pain, Pain, Pain in extremity — Feeling: Fair

Free text: Pain in left neck,shoulder and back. Pain in left hip that radiates to leg.

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-02
Survey response — 12 months, dose 3
MedDRA: Cough, Headache, Myalgia — 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

Free text: Cough, muscle aches, headaches

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Report sent to call center — 12 months, dose 3
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)
2022-11-03
Call 1 — Left Voicemail
2022-11-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-28	Moderna
2	2021-03-28	Moderna
3	2021-11-02	Moderna	No

Call center

5 call center cases

3 successful · 2 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Pain and small lump in left armpit

Release 5 — day 14, dose 1

2021-03-14

Symptoms: Nasal congestion and sneezing

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): Back pain

Release 7 — day 21, dose 2

2021-04-18

Symptoms: Sneezing and runny nose probably related to seasonal allergies

Release 9 — 3 months, dose 2

2021-06-27

Symptoms: Foot pain

Healthcare visit (other): Office visit

Release 10 — day 21, dose 3

2021-11-23

Symptoms: Plantar fasciitis

Healthcare visit (other): Podiatrist and Physical therapist

Release 10 — day 35, dose 3

2021-12-07

Symptoms: Foot pain

Healthcare visit (other): Podiatrist and Physical therapy

Release 10 — day 42, dose 3

2021-12-14

Symptoms: Plantar fasciitis fibromatosis

Healthcare visit (other): Office visits and physical therapy

Release 11 — 3 months, dose 3

2022-02-03

Symptoms: Pain in left neck,shoulder and back. Pain in left hip that radiates to leg.

Release 12 — 12 months, dose 3

2022-11-02

Symptoms: Cough, muscle aches, headaches

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	Arthralgia	·	·	✓
SD	Back pain	·	·	✓
SD	Cough	·	·	✓
SD	Headache	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Plantar fascial fibromatosis	·	·	✓
SD	Plantar fasciitis	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Seasonal allergy	✓	✓	✓
SD	Sneezing	✓	✓	✓
SRO	Axillary mass	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Back pain	✓	✓	✓

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