2YX-19866-11278

4 vaccinations 6 coded responses 33 check-ins 4 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 945 / CA
Registered: 2021-04-24

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

2021-04-24
Registered in v-safe
2021-04-24
Dose 1 — Moderna
2021-04-24
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tiredness

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-01
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-05-10
Survey response — day 14, dose 1
MedDRA: Lymphadenopathy, Nausea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Last weekend I found a small lump on my collar bone (same side as shot) and contacted my doctor. Nauseous today but could be heat related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-22
Dose 2 — Moderna
2021-05-22
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-29
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-12
Survey response — day 21, dose 2
MedDRA: Back pain, Ligament sprain, Loss of personal independence in daily activities, Mobility decreased, Muscle spasms, Pain, Unevaluable event — Feeling: Poor · 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

Free text: Symptoms: Excruciating Lower back spasms since Tuesday morning, unable to get out of bed, sit up roll over or stand, unaided until Wednesday night, even heavily medicated then only short painful trips to bathroom 2/day. · Healthcare visit (other): Can't afford emergency room visit between insurances currently

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Report sent to call center — day 21, 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)
2021-06-17
Call 3 — Left Voicemail
2021-06-17
Call 3 — Left Voicemail
2021-06-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-28
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-03
Survey response — day 42, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Carpel tunnel been bothering me but probably more related to long commute long work hours and lack of sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-24
Survey response — 6 months, dose 2
MedDRA: Bedridden, Migraine, Muscle spasms — Feeling: Poor · Be unable to work or attend school

Free text: Lower back severe muscle spasms after picking up my cat too quickly, have been bed ridden since Sunday night when it happened. As well as a migraine, and possibly food poisoning from old leftovers.

MedDRA releases: 2024-11 · check-in free text available
2021-12-19
Dose 3 — Moderna
Co-administered: Flu
2022-06-22
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-22
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in
2022-12-30
Dose 4 — Moderna
Co-administered: Flu
2023-01-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2023-01-06
Health check-in — day 7, dose 4
Feeling: Poor · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school

Adult check-in
2023-01-15
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2023-01-21
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2023-01-29
Survey response — day 28, dose 4
MedDRA: Fall, Foot fracture, Gait disturbance, Impaired work ability, Pain, Stress fracture, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-29
Report sent to call center — day 28, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-30
Call 1 — Left Voicemail
2023-01-30
Call 1 — Left Voicemail
2023-01-30
Call 1 — Left Voicemail
2023-02-05
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2023-04-01
Survey response — 3 months, dose 4
MedDRA: Foot fracture, Limb injury, Muscle spasms, Office visit, Quarantine, SARS-CoV-2 test positive, Sick leave — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-01
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-03
Call 2 — Left Voicemail
2023-04-03
Call 2 — Left Voicemail
2023-04-03
Call 2 — Left Voicemail
2023-04-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-24	Moderna
2	2021-05-22	Moderna
3	2021-12-19	Moderna	Flu
4	2022-12-30	Moderna	Flu

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 8 — day 14, dose 1

2021-05-10

Symptoms: Last weekend I found a small lump on my collar bone (same side as shot) and contacted my doctor. Nauseous today but could be heat related.

Release 9 — day 21, dose 2

2021-06-12

Symptoms: Excruciating Lower back spasms since Tuesday morning, unable to get out of bed, sit up roll over or stand, unaided until Wednesday night, even heavily medicated then only short painful trips to bathroom 2/day.

Healthcare visit (other): Can't afford emergency room visit between insurances currently

Release 9 — day 42, dose 2

2021-07-03

Symptoms: Carpel tunnel been bothering me but probably more related to long commute long work hours and lack of sleep.

Release 10 — 6 months, dose 2

2021-11-24

Symptoms: Lower back severe muscle spasms after picking up my cat too quickly, have been bed ridden since Sunday night when it happened. As well as a migraine, and possibly food poisoning from old leftovers.

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	Unevaluable event	✓	✓	✓
SD	Back pain	·	·	✓
SD	Bedridden	·	·	✓
SD	Fall	·	·	✓
SD	Foot fracture	·	·	✓
SD	Gait disturbance	·	·	✓
SD	Impaired work ability	·	·	✓
SD	Ligament sprain	✓	✓	○
SD	Limb injury	·	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Migraine	·	·	✓
SD	Mobility decreased	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Nausea	✓	✓	✓
SD	Office visit	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Quarantine	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sick leave	·	·	✓
SD	Stress fracture	·	·	✓

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