2YU-20127-33704

5 vaccinations 8 coded responses 47 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 785 / TX
Registered: 2021-03-05

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-04
Dose 1 — Moderna
2021-03-05
Registered in v-safe
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Survey response — day 7, dose 1
MedDRA: Hypoaesthesia — Feeling: Good

Free text: Weird feeling on right arm, hand, and face last night. Sort of numbness but ok today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Moderna
2021-04-01
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fever · Headache, Nausea · Be unable to do your normal daily activities

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-04-15
Survey response — day 14, dose 2
MedDRA: Arthralgia, Axillary pain, Breast pain, Fatigue, Joint noise, Neck pain, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Soreness around armpits close to breast and leg, feet, knee, and hand pain. Right wrist snaps sometimes depending on movement. Random tiredness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — day 35, dose 2
MedDRA: Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tired, aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-17
Dose 3 — Moderna
2022-04-03
Survey response — 12 months, dose 2
MedDRA: Chills, Dizziness, Oropharyngeal pain, Palpitations, Pyrexia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Heart palpitations and dizziness10-23-2021 Bad sore throat, high fever and chills 1-14-2022 no Covid test available and didn't see doctor

MedDRA releases: 2024-11 · check-in free text available
2022-04-03
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-04-06
Call 1 — Left Voicemail
2022-04-07
Call 2 — Left Voicemail
2022-05-25
Dose 4 — Moderna
2022-05-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fever · Headache

Adult check-in
2022-05-31
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-01
Health check-in — day 7, dose 4
Feeling: Good · Headache

Adult check-in
2022-06-08
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-17
Survey response — day 21, dose 4
MedDRA: Pain, Pyrexia — Feeling: Fair

Free text: Body aches and mild fever

MedDRA releases: 2024-11 · check-in free text available
2022-06-29
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-06
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-22
Dose 5 — Moderna
2022-10-24
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Nausea

Adult check-in
2022-10-25
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fever · Joint pains, Fatigue or tiredness

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fever · Joint pains

Adult check-in
2022-10-27
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-28
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Joint pains

Adult check-in
2022-10-29
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-11-05
Survey response — day 14, dose 5
MedDRA: Dizziness, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tiredness and lightheaded

MedDRA releases: 2024-11 · check-in free text available
2022-11-12
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-19
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-26
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-03
Survey response — day 42, dose 5
MedDRA: Pain — Feeling: Fair

Free text: Body aches

MedDRA releases: 2024-11 · check-in free text available
2023-01-24
Survey response — 3 months, dose 5
MedDRA: Pain — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-04-23
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-01	Moderna
3	2021-11-17	Moderna	No
4	2022-05-25	Moderna	No
5	2022-10-22	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — day 7, dose 1

2021-03-11

Systemic reaction (other): Weird feeling on right arm, hand, and face last night. Sort of numbness but ok today.

Release 7 — day 14, dose 2

2021-04-15

Symptoms: Soreness around armpits close to breast and leg, feet, knee, and hand pain. Right wrist snaps sometimes depending on movement. Random tiredness.

Release 8 — day 35, dose 2

2021-05-06

Symptoms: Tired, aches

Release 11 — 12 months, dose 2

2022-04-03

Symptoms: Heart palpitations and dizziness10-23-2021 Bad sore throat, high fever and chills 1-14-2022 no Covid test available and didn't see doctor

Release 12 — day 21, dose 4

2022-06-17

Symptoms: Body aches and mild fever

Release 12 — day 14, dose 5

2022-11-05

Symptoms: Tiredness and lightheaded

Release 12 — day 42, dose 5

2022-12-03

Symptoms: Body aches

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	Axillary pain	·	·	✓
SD	Breast pain	·	·	✓
SD	Chills	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Joint noise	·	·	✓
SD	Neck pain	✓	✓	○
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Pyrexia	·	·	✓
SRO	Hypoaesthesia	✓	✓	✓

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