2QT-97193-94344

2 vaccinations 13 coded responses 24 check-ins 13 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 740 / OK
Registered: 2021-01-23

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

2021-01-22
Dose 1 — Moderna
2021-01-23
Registered in v-safe
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Neck pain, Pain in extremity — Feeling: Good · Site: Pain

Free text: The night of the vaccine, my arm and neck hurt! And I had a slight headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Poor quality sleep — Feeling: Good · Site: Pain

Free text: No idea if this is related...I was restless last night & wasnt sleeping well

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Restlessness — Feeling: Good · Site: Pain

Free text: Restlessness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Survey response — day 21, dose 1
MedDRA: Ear pain — Feeling: Good

Free text: Ear ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Dose 2 — Moderna
2021-02-19
Survey response — day 0, dose 2
MedDRA: Neck pain — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Sore neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Good · Site: Pain

Free text: Stiff neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Good

Free text: Stiff neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Good

Free text: Couldnt sleep

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: Good · None

Adult check-in
2021-02-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-19
Survey response — day 28, dose 2
MedDRA: Ear pain, Hordeolum, Sinusitis — Feeling: Fair

Free text: Sinus infection, ear ache, eye sty

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 35, dose 2
MedDRA: Ear infection, Hordeolum, Sinusitis — Feeling: Fair

Free text: Developed a bad stye in my left eye to where Im on 2 different antibiotics. Plus my dr said I had the start of a sinus infection and ear infection! She prescribed antibiotic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-21
Survey response — 3 months, dose 2
MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Rash on the shoulder & arm that was vaccinated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-20
Survey response — 6 months, dose 2
MedDRA: Fall, Joint injury — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Had a fall with knees & wrist injuries

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-23
Call 1 — Left Voicemail
2022-02-19
Survey response — 12 months, dose 2
MedDRA: Dizziness, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Developed dizziness as of January 2, 2022.Had to have brain CT scan & neck ultrasound. · Healthcare visit (other): Doctors office

MedDRA releases: 2024-11 · check-in free text available
2022-02-19
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-22
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-19	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): The night of the vaccine, my arm and neck hurt! And I had a slight headache

2021-01-27

Systemic reaction (other): No idea if this is related...I was restless last night & wasnt sleeping well

Release 3 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): Restlessness

Release 4 — day 21, dose 1

2021-02-12

Symptoms: Ear ache

Release 4 — day 0, dose 2

2021-02-19

Systemic reaction (other): Sore neck

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): Stiff neck

2021-02-21

Systemic reaction (other): Stiff neck

2021-02-24

Systemic reaction (other): Couldnt sleep

Release 5 — day 28, dose 2

2021-03-19

Symptoms: Sinus infection, ear ache, eye sty

Release 6 — day 35, dose 2

2021-03-26

Symptoms: Developed a bad stye in my left eye to where Im on 2 different antibiotics. Plus my dr said I had the start of a sinus infection and ear infection! She prescribed antibiotic

Release 8 — 3 months, dose 2

2021-05-21

Symptoms: Rash on the shoulder & arm that was vaccinated

Release 9 — 6 months, dose 2

2021-08-20

Symptoms: Had a fall with knees & wrist injuries

Release 11 — 12 months, dose 2

2022-02-19

Symptoms: Developed dizziness as of January 2, 2022.Had to have brain CT scan & neck ultrasound.

Healthcare visit (other): Doctors 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	Dizziness	·	·	✓
SD	Ear infection	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Fall	✓	·	✓
SD	Hordeolum	✓	✓	✓
SD	Joint injury	✓	·	✓
SD	Rash	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Restlessness	✓	✓	✓

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