2T3-21779-11601

5 vaccinations 11 coded responses 51 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 906 / CA
Registered: 2021-01-25

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-23
Dose 1 — Moderna
2021-01-25
Registered in v-safe
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My head feels a little itchy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Pain, Pre-existing disease — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: I have Fibromyalgia, so not sure if the symptoms are my usual headache, pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-13
Survey response — day 21, dose 1
MedDRA: Headache — Feeling: Fair

Free text: Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Dose 2 — Moderna
2021-02-20
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Myalgia, Pain, Pre-existing disease — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: I have Fibromyalgia so this might be my normal muscle and body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-30
Dose 3 — Moderna
2022-02-20
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-03-01
Survey response — 3 months, dose 3
MedDRA: Rash, Rash erythematous, Rash papular — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My face had been breaking out in a rash starting with my cheeks, then spreading up to my forehead. It starts out red then turns into a bumpy rash

MedDRA releases: 2024-11 · check-in free text available
2022-03-01
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-07
Call 1 — Left Voicemail
2022-05-10
Dose 4 — Moderna
2022-05-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-12
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-13
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-05-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-17
Health check-in — day 7, dose 4
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-24
Survey response — day 14, dose 4
MedDRA: Muscle spasms — Feeling: Fair

Free text: I've been having horrible leg and foot cramps.

MedDRA releases: 2024-11 · check-in free text available
2022-05-31
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-07
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-14
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-21
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-09
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-11-08
Survey response — 6 months, dose 4
MedDRA: Myocardial infarction — 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, Hospitalization

Free text: Had mild heart attack on Sept. 13th

MedDRA releases: 2024-11 · check-in free text available
2022-11-08
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-11-09
Call 2 — Could Not Reach Participant
2022-11-09
Call 1 — Could Not Reach Participant
2022-11-14
Call 3 — Left Voicemail
2022-11-14
Call 2 — Left Voicemail
2022-12-06
Dose 5 — Moderna
2022-12-07
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-12-08
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-12-10
Survey response — days 1–6 daily, dose 5
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I have Fibromyalgia also and it's flaring up since I got the shot

MedDRA releases: 2024-11 · check-in free text available
2022-12-11
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-12-12
Survey response — days 1–6 daily, dose 5
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I also have arthritis & fibromyalgia

MedDRA releases: 2024-11 · check-in free text available
2022-12-13
Health check-in — day 7, dose 5
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-12-20
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-12-27
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2023-01-03
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2023-01-10
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2023-01-18
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-03-07
Survey response — 3 months, dose 5
MedDRA: Nasopharyngitis — Feeling: Good

MedDRA releases: 2024-11
2023-06-06
Survey response — 6 months, dose 5
MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Moderna
2	2021-02-20	Moderna
3	2021-11-30	Moderna	No
4	2022-05-10	Moderna	No
5	2022-12-06	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): My head feels a little itchy

Release 3 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): I have Fibromyalgia, so not sure if the symptoms are my usual headache, pains

Release 4 — day 21, dose 1

2021-02-13

Symptoms: Headache

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): I have Fibromyalgia so this might be my normal muscle and body aches

Release 11 — 3 months, dose 3

2022-03-01

Symptoms: My face had been breaking out in a rash starting with my cheeks, then spreading up to my forehead. It starts out red then turns into a bumpy rash

Release 11 — day 14, dose 4

2022-05-24

Symptoms: I've been having horrible leg and foot cramps.

Release 12 — 6 months, dose 4

2022-11-08

Symptoms: Had mild heart attack on Sept. 13th

Release 12 — days 1–6 daily, dose 5

2022-12-10

Systemic reaction (other): I have Fibromyalgia also and it's flaring up since I got the shot

2022-12-12

Systemic reaction (other): I also have arthritis & fibromyalgia

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	Headache	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Myocardial infarction	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Rash	·	·	✓
SD	Rash erythematous	·	·	✓
SD	Rash papular	·	·	✓
SRO	Condition aggravated	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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