2TU-18052-00562

4 vaccinations 11 coded responses 25 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 207 / MD
Registered: 2021-02-26

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

2021-02-26
Registered in v-safe
2021-02-26
Dose 1 — Moderna
2021-02-26
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good

Free text: Just my regular aches and pains.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: Painful neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Free text: Stiff painful neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain — Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Neck pain, dr sent rx of muscle relaxer

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 7, dose 1
MedDRA: Musculoskeletal stiffness, Neck pain — Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Stiff painful neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 14, dose 1
MedDRA: Neck pain, Office visit, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Pain in thigh along with neck. · Healthcare visit (other): Dr office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Moderna
2021-03-26
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Vomiting — Feeling: Good · Site: Pain, Swelling · Vomiting

Free text: Vomiting may have been from tangerine I ate because this happened once before

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Muscle or body aches

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Survey response — day 14, dose 2
MedDRA: Hip arthroplasty — Feeling: Good

Free text: Had hip replacement surgery on Apr 5th.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-24
Survey response — day 28, dose 2
MedDRA: Hip arthroplasty, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Had hip replacement surgery on April 5, 2021. · Healthcare visit (other): Not related to vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-25
Survey response — 3 months, dose 2
MedDRA: Hip arthroplasty, Surgery — 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 · Telehealth, virtual health, or email health consultation, Hospitalization

Free text: Symptoms: Had hip replacement surgery in April. · Healthcare visit (other): Surgery

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-06-28
Call 1 — Left Voicemail
2021-09-26
Survey response — 6 months, dose 2
MedDRA: Abdominal pain lower, Arthralgia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Pain in left hip area and lower left gut area.

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Dose 3 — Moderna
2022-03-26
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-13
Dose 4 — Moderna
2022-04-30
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-26	Moderna
3	2021-10-25	Moderna	No
4	2022-04-13	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-01

Systemic reaction (other): Just my regular aches and pains.

2021-03-02

Systemic reaction (other): Painful neck

2021-03-03

Systemic reaction (other): Stiff painful neck

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Neck pain, dr sent rx of muscle relaxer

Release 5 — day 7, dose 1

2021-03-05

Systemic reaction (other): Stiff painful neck

Release 5 — day 14, dose 1

2021-03-12

Symptoms: Pain in thigh along with neck.

Healthcare visit (other): Dr office visit

Release 6 — days 1–6 daily, dose 2

2021-03-29

Systemic reaction (other): Vomiting may have been from tangerine I ate because this happened once before

Release 7 — day 14, dose 2

2021-04-09

Symptoms: Had hip replacement surgery on Apr 5th.

Release 7 — day 28, dose 2

2021-04-24

Symptoms: Had hip replacement surgery on April 5, 2021.

Healthcare visit (other): Not related to vaccine.

Release 9 — 3 months, dose 2

2021-06-25

Symptoms: Had hip replacement surgery in April.

Healthcare visit (other): Surgery

Release 9 — 6 months, dose 2

2021-09-26

Symptoms: Pain in left hip area and lower left gut area.

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	Surgery	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal pain lower	·	·	✓
SD	Arthralgia	·	·	✓
SD	Hip arthroplasty	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Vomiting	✓	✓	✓

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