34A-24481-41479

3 vaccinations 12 coded responses 33 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 730 / OK
Registered: 2021-01-15

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Moderna
2021-01-15
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Pain — Feeling: Good · Site: Pain, Swelling · Headache

Free text: I had sharp shooting pains on the right side of my head for about an hour during the night. The pain was on the high side of moderate and Ive never experienced that before.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-22
Survey response — day 7, dose 1
MedDRA: Headache, Insomnia, Loss of personal independence in daily activities — Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: I cant seem to get over my headache. I do get frequent ones, so I didnt report them every day, but this headache is different . Its a different kind, location and I cant make it stop. Very hard to sleep or do normal activities.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — day 14, dose 1
MedDRA: Injection site rash, Rash erythematous — Feeling: Good

Free text: On day 10, I developed a rash on my arm where I got the shot. The rash goes down my arm about 4 inches and is red. No pain or itching so far.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Rash, Rash pruritic — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Itchy rash on both forearms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Survey response — day 21, dose 2
MedDRA: Bladder pain, Dysuria, Myalgia, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: 1. Increased muscle pain in neck and arms2. Bladder pain and difficulty urinating · Healthcare visit (other): Went to GP and gave sample for infection which was negative. Taking pain meds and muscle relaxers.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-11
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 42, dose 2
MedDRA: Bladder discomfort, Condition aggravated, Medical counselling, Myalgia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I continue to have muscle pain and bladder problems. I have some chronic conditions that were under control and have been in a flare since my shot. My Primary dr is sending me a referral. · Healthcare visit (other): Office call and phone conversation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-15
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-27
Dose 3 — Moderna
2021-12-28
Survey response — days 1–6 daily, dose 3
MedDRA: Musculoskeletal stiffness — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Very stiff neck

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Survey response — days 1–6 daily, dose 3
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Neck is still stiff

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Survey response — days 1–6 daily, dose 3
MedDRA: Asthenia, Fatigue — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Very tired, have no energy

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-01-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-03
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-10
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-17
Survey response — day 21, dose 3
MedDRA: Abdominal pain upper, Cough, Fatigue, Glossodynia, Nasopharyngitis, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: For the last week, I've had cold symptoms: runny nose, cough, tired. Also stomach pains. And my tongue hurts. Have not been tested

MedDRA releases: 2024-11 · check-in free text available
2022-01-23
Call 1 — Could Not Reach Participant
2022-01-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-27
Call 1 — Could Not Reach Participant
2022-01-27
Call 2 — Could Not Reach Participant
2022-01-31
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-28
Survey response — 3 months, dose 3
MedDRA: Antibody test positive, Fatigue, Glossodynia, Nasopharyngitis, Throat irritation, Tongue coated — Feeling: Good · Be unable to do your normal daily activities

Free text: January-Mild cold symptoms. Scratchy throat, sore tongue, whitish color, extreme tiredness. Couldn't get test due to ice and snow closed test sites. Had home test three wks later was negative. March-Antibody test showed high category antibodies.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-11	Moderna
3	2021-12-27	Moderna	No

Call center

2 call center cases

2 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-15

Systemic reaction (other): Dizziness

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): I had sharp shooting pains on the right side of my head for about an hour during the night. The pain was on the high side of moderate and Ive never experienced that before.

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): I cant seem to get over my headache. I do get frequent ones, so I didnt report them every day, but this headache is different . Its a different kind, location and I cant make it stop. Very hard to sleep or do normal activities.

Release 3 — day 14, dose 1

2021-01-29

Symptoms: On day 10, I developed a rash on my arm where I got the shot. The rash goes down my arm about 4 inches and is red. No pain or itching so far.

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Itchy rash on both forearms

Release 5 — day 21, dose 2

2021-03-04

Symptoms: 1. Increased muscle pain in neck and arms2. Bladder pain and difficulty urinating

Healthcare visit (other): Went to GP and gave sample for infection which was negative. Taking pain meds and muscle relaxers.

Release 6 — day 42, dose 2

2021-03-25

Symptoms: I continue to have muscle pain and bladder problems. I have some chronic conditions that were under control and have been in a flare since my shot. My Primary dr is sending me a referral.

Healthcare visit (other): Office call and phone conversation

Release 10 — days 1–6 daily, dose 3

2021-12-28

Systemic reaction (other): Very stiff neck

2021-12-29

Systemic reaction (other): Neck is still stiff

2021-12-30

Systemic reaction (other): Very tired, have no energy

Release 10 — day 21, dose 3

2022-01-17

Symptoms: For the last week, I've had cold symptoms: runny nose, cough, tired. Also stomach pains. And my tongue hurts. Have not been tested

Release 11 — 3 months, dose 3

2022-03-28

Symptoms: January-Mild cold symptoms. Scratchy throat, sore tongue, whitish color, extreme tiredness. Couldn't get test due to ice and snow closed test sites. Had home test three wks later was negative. March-Antibody test showed high category antibodies.

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	Office visit	✓	✓	✓
SD	Abdominal pain upper	·	·	✓
SD	Antibody test positive	·	·	✓
SD	Bladder discomfort	✓	✓	✓
SD	Bladder pain	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	·	·	✓
SD	Dysuria	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Glossodynia	·	·	✓
SD	Injection site rash	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Throat irritation	·	·	✓
SD	Tongue coated	·	·	✓
SRO	Asthenia	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Musculoskeletal stiffness	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rash pruritic	✓	✓	✓

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