2TY-31889-85252

2 vaccinations 7 coded responses 11 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 941 / CA
Registered: 2021-02-04

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

2021-02-01
Dose 1 — Moderna
2021-02-04
Registered in v-safe
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Dysuria — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Trouble urinating and pain in one knee I am unable to put support on that leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Urinary retention — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Be unable to work, Be unable to do your normal daily activities

Free text: On day 3 after injection I wasnt able to urinate and took lasix, then again day 5, but one day 7 and urination is normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Survey response — day 14, dose 1
MedDRA: Arthralgia, Immediate post-injection reaction, Injection site rash — Feeling: Poor · Be unable to do your normal daily activities

Free text: Rash on arm of infection site, knee very painful there hasnt been any trauma to it, the pain started after first dose of Moderna

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — day 21, dose 1
MedDRA: Immunisation reaction — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: COVID Arm for 11 days, it was very large

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-01
Dose 2 — Moderna
2021-03-01
Survey response — day 0, dose 2
MedDRA: Blood pressure increased, Dizziness, Dyspnoea, Hyperhidrosis, Immediate post-injection reaction — Feeling: Poor · Site: Pain, Redness · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Dizzy, faint feeling, trouble breathing, sweating, BP spike 161/90 five minutes after injection given, monitored for 30 minutes then released.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Blood pressure increased, Dizziness, Dyspnoea, Immediate post-injection reaction, Palpitations — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: I reacted when given the injection dizzy, trouble breathing,felt faint, racing heart, BP spiked to 161/90, monitored for 30 minutes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I have fibromyalgia and wonder if that causes me to react more serverly than others and for longet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-08-26
Call 1 — Could Not Reach Participant
2021-09-07
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Moderna
2	2021-03-01	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-04

Systemic reaction (other): Trouble urinating and pain in one knee I am unable to put support on that leg

2021-02-07

Systemic reaction (other): On day 3 after injection I wasnt able to urinate and took lasix, then again day 5, but one day 7 and urination is normal

Release 4 — day 14, dose 1

2021-02-16

Symptoms: Rash on arm of infection site, knee very painful there hasnt been any trauma to it, the pain started after first dose of Moderna

Release 4 — day 21, dose 1

2021-02-22

Symptoms: COVID Arm for 11 days, it was very large

Release 4 — day 0, dose 2

2021-03-01

Systemic reaction (other): Dizzy, faint feeling, trouble breathing, sweating, BP spike 161/90 five minutes after injection given, monitored for 30 minutes then released.

Release 4 — days 1–6 daily, dose 2

2021-03-02

Systemic reaction (other): I reacted when given the injection dizzy, trouble breathing,felt faint, racing heart, BP spiked to 161/90, monitored for 30 minutes

2021-03-03

Systemic reaction (other): I have fibromyalgia and wonder if that causes me to react more serverly than others and for longet

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	Arthralgia	✓	✓	✓
SD	Immediate post-injection reaction	✓	✓	✓
SD	Immunisation reaction	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Dysuria	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Urinary retention	✓	✓	✓

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