2TV-12230-66710

4 vaccinations 9 coded responses 33 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 201 / VA
Registered: 2021-01-13

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Moderna
2021-01-13
Survey response — day 0, dose 1
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain

Free text: Resting heart rate increased from 59 bpm to 65,66,67.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-01-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-10
Survey response — day 28, dose 1
MedDRA: Cystitis — Feeling: Good

Free text: I was not given an appointment for Second Vaccination!!!!! They said they would notify me!!!!!!!Also,I have a bladder infection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Dose 2 — Moderna
2021-02-19
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: No appetite.

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: Headache — Feeling: Good · Site: Pain · Muscle or body aches

Free text: slight headache

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 · Site: Pain · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
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
2021-03-04
Dose 3 — Moderna
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: Myalgia — Feeling: Good

Free text: The muscle in left arm where I had both vaccinations is sore when I use it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-02
Survey response — day 42, dose 2
MedDRA: Muscle contracture — Feeling: Fair

Free text: Muscles in left arm where vaccines were given are contracting of their own volition in brief spasms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-19
Survey response — 12 months, dose 2
MedDRA: Heart rate irregular, Palpitations — Feeling: Fair

Free text: Heart irregularities and palpations

MedDRA releases: 2024-11 · check-in free text available
2023-01-13
Dose 4 — Moderna
2023-01-22
Survey response — day 7, dose 4
MedDRA: Chills — Feeling: Good · Site: Pain, Redness, Swelling · Chills · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-01-27
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2023-02-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2023-02-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2023-02-17
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2023-02-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-04-14
Survey response — 3 months, dose 4
MedDRA: Cough, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-19	Moderna
3	2021-03-04	Moderna	No
4	2023-01-13	Moderna	No

Free text

Release 1 — day 0, dose 1

2021-01-13

Systemic reaction (other): Resting heart rate increased from 59 bpm to 65,66,67.

Release 4 — day 28, dose 1

2021-02-10

Symptoms: I was not given an appointment for Second Vaccination!!!!! They said they would notify me!!!!!!!Also,I have a bladder infection.

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): No appetite.

2021-02-21

Systemic reaction (other): slight headache

Release 5 — day 28, dose 2

2021-03-19

Symptoms: The muscle in left arm where I had both vaccinations is sore when I use it.

Release 6 — day 42, dose 2

2021-04-02

Symptoms: Muscles in left arm where vaccines were given are contracting of their own volition in brief spasms.

Release 11 — 12 months, dose 2

2022-02-19

Symptoms: Heart irregularities and palpations

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	Cystitis	✓	✓	✓
SD	Heart rate irregular	·	·	✓
SD	Muscle contracture	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Palpitations	·	·	✓
SRO	Chills	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓

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