2ZX-14786-83284

4 vaccinations 9 coded responses 38 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 750 / TX
Registered: 2021-03-30

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

2021-03-30
Registered in v-safe
2021-03-30
Dose 1 — Moderna
2021-03-30
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-14
Survey response — day 14, dose 1
MedDRA: Immunisation reaction, Injection site pain — Feeling: Good

Free text: Just an hour after my last check-in, I noticed that my arm at injection site had a sensation of soreness. It wasn't sore, but the phantom sensation. The next morning I had a bright red large rash at injection site. Google led me to Moderna arm.

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

Adult check-in
2021-04-27
Dose 2 — Moderna
2021-04-27
Survey response — day 0, dose 2
MedDRA: Tinnitus — Feeling: Good · Site: Pain, Swelling

Free text: Tinnitus (ringing in my ears, comes and goes, nothing terrible)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness, Pyrexia, Self-medication — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: Stiff neck and all over back pain began overnight to the point of needing ibuprofen. Fever began 25 hrs after shot time. to sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-05-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-27
Survey response — 3 months, dose 2
MedDRA: Ear infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ear infections due to swimming in a river (not vaccine related, but wanted to have this in the system.)

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-26
Survey response — 6 months, dose 2
MedDRA: Cough, Increased viscosity of upper respiratory secretion, Office visit, Oropharyngeal pain, Rhinorrhoea, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Just in the last week, I've had a sore throat, thick mucous, runny nose, and cough. Dx as sinusitis. · Healthcare visit (other): Doctor in person

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-28
Call 1 — Could Not Reach Participant
2021-11-02
Call 2 — Left Voicemail
2021-12-21
Dose 3 — Moderna
Co-administered: Flu
2022-04-29
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-12-05
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-12-05
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-12-06
Survey response — days 1–6 daily, dose 4
MedDRA: Back pain, Musculoskeletal pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Aches are between my shoulder blades and lower back

MedDRA releases: 2024-11 · check-in free text available
2022-12-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-12-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-12-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-12-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-12-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-12-12
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-12-19
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-12-28
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2023-01-03
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2023-01-11
Survey response — day 35, dose 4
MedDRA: Cough, Nasopharyngitis, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-01-16
Survey response — day 42, dose 4
MedDRA: Cough — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-03-06
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-06-07
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Moderna
2	2021-04-27	Moderna
3	2021-12-21	Moderna	Flu
4	2022-12-05	Pfizer-BioNTech	Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-14

Symptoms: Just an hour after my last check-in, I noticed that my arm at injection site had a sensation of soreness. It wasn't sore, but the phantom sensation. The next morning I had a bright red large rash at injection site. Google led me to Moderna arm.

Release 8 — day 0, dose 2

2021-04-27

Systemic reaction (other): Tinnitus (ringing in my ears, comes and goes, nothing terrible)

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Stiff neck and all over back pain began overnight to the point of needing ibuprofen. Fever began 25 hrs after shot time. to sleep

2021-04-30

Systemic reaction (other): Lower back pain

Release 9 — 3 months, dose 2

2021-07-27

Symptoms: Ear infections due to swimming in a river (not vaccine related, but wanted to have this in the system.)

Release 10 — 6 months, dose 2

2021-10-26

Symptoms: Just in the last week, I've had a sore throat, thick mucous, runny nose, and cough. Dx as sinusitis.

Healthcare visit (other): Doctor in person

Release 12 — days 1–6 daily, dose 4

2022-12-06

Systemic reaction (other): Aches are between my shoulder blades and lower back

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	Office visit	·	·	✓
SD	Cough	·	·	✓
SD	Ear infection	✓	·	✓
SD	Immunisation reaction	✓	✓	✓
SD	Increased viscosity of upper respiratory secretion	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinusitis	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Musculoskeletal pain	·	·	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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