2XB-30690-43573

2 vaccinations 14 coded responses 26 check-ins 14 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 620 / IL
Registered: 2021-03-22

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

2021-03-22
Registered in v-safe
2021-03-22
Dose 1 — Moderna
2021-03-22
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: Not yet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Pyrexia — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: Around 1:30 AM I had a fever. 6 AM it was normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Visual impairment — Feeling: Good · Site: Itching · Headache

Free text: Vision disturbance - very mild Difficulty seeing up close more than usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-05
Survey response — day 14, dose 1
MedDRA: Arthralgia, Myalgia, Pain — Feeling: Fair

Free text: Sore joints and muscles. Hurts, but semi- tolerable. Unpleasant pain. Thinking about contacting my doctor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-19
Dose 2 — Moderna
2021-04-19
Survey response — day 0, dose 2
MedDRA: Pain in extremity — Feeling: Good

Free text: Still very painful arm from first shot left arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Flushing, Medical counselling — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Red flush face · Healthcare visit (other): Phone call. Said there was nothing they can do

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Flushing — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Flush red face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Intense pain in my left calf

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sore upper and lower left leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches

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

Adult check-in
2021-05-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-17
Survey response — day 28, dose 2
MedDRA: Pain in extremity — Feeling: Good

Free text: Since my first Covid shot, my left arm has been excruciatingly painful. Ive been bearing the pain, but it hurts every day. I cannot go to my doctor because they do not allow children to go with me. So Ive been just living with the pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — day 35, dose 2
MedDRA: Arthralgia, Inflammation, Medical counselling, Myalgia, Pain in extremity, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I think I have a lot of inflammation because I am very sore in my joints and muscles and especially my knees. I am still very sore in my left arm where I got my first shot. It can be excruciatingly painful. I finally made a call to an orthopedic doc · Healthcare visit (other): Scheduled appoint 6/16

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-31
Survey response — day 42, dose 2
MedDRA: Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-19
Survey response — 3 months, dose 2
MedDRA: Seizure — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Seizure

MedDRA releases: 2024-11 · check-in free text available
2021-07-19
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-26
Call 1 — Left Voicemail
2021-10-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-21
Survey response — 12 months, dose 2
MedDRA: Dyspnoea, Headache, Respiratory disorder — Feeling: Fair · Be unable to work or attend school

Free text: Difficulty breathing. Resoiratory problems. Headaches

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Moderna
2	2021-04-19	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-22

Systemic reaction (other): Not yet

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): Around 1:30 AM I had a fever. 6 AM it was normal.

2021-03-26

Systemic reaction (other): Vision disturbance - very mild Difficulty seeing up close more than usual

Release 6 — day 14, dose 1

2021-04-05

Symptoms: Sore joints and muscles. Hurts, but semi- tolerable. Unpleasant pain. Thinking about contacting my doctor.

Release 7 — day 0, dose 2

2021-04-19

Systemic reaction (other): Still very painful arm from first shot left arm.

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): Red flush face

Healthcare visit (other): Phone call. Said there was nothing they can do

2021-04-21

Systemic reaction (other): Flush red face

2021-04-24

Systemic reaction (other): Intense pain in my left calf

2021-04-25

Systemic reaction (other): Sore upper and lower left leg

Release 8 — day 28, dose 2

2021-05-17

Symptoms: Since my first Covid shot, my left arm has been excruciatingly painful. Ive been bearing the pain, but it hurts every day. I cannot go to my doctor because they do not allow children to go with me. So Ive been just living with the pain.

Release 8 — day 35, dose 2

2021-05-24

Symptoms: I think I have a lot of inflammation because I am very sore in my joints and muscles and especially my knees. I am still very sore in my left arm where I got my first shot. It can be excruciatingly painful. I finally made a call to an orthopedic doc cut off by CDC

Healthcare visit (other): Scheduled appoint 6/16

Release 8 — day 42, dose 2

2021-05-31

Symptoms: Pain

Release 9 — 3 months, dose 2

2021-07-19

Symptoms: Seizure

Release 11 — 12 months, dose 2

2022-04-21

Symptoms: Difficulty breathing. Resoiratory problems. Headaches

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	Medical counselling	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Headache	·	·	✓
SD	Inflammation	✓	·	✓
SD	Medical counselling	✓	·	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Respiratory disorder	·	·	✓
SD	Seizure	·	·	✓
SRO	Erythema	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Visual impairment	✓	✓	✓

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