35G-15965-29469

3 vaccinations 9 coded responses 24 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 774 / TX
Registered: 2020-12-28

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2020-12-28
Registered in v-safe
2020-12-28
Dose 1 — Moderna
2020-12-28
Survey response — day 0, dose 1
MedDRA: Injection site pain, Neck pain, Pain — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Shooting pain from my the right side of my neck down my right arm about 5-10 minutes after the injection that subsided within a minute or so.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

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

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Survey response — day 21, dose 1
MedDRA: Back pain, Neck pain — Feeling: Good

Free text: Neck and back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Dose 2 — Moderna
2021-01-25
Survey response — days 1–6 daily, dose 2
MedDRA: Neuralgia, Pain, Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Nerve pain that radiated from my neck down my right arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-30
Survey response — day 7, dose 2
MedDRA: Arthralgia, Back pain, Neck pain, Pain — Feeling: Good · Muscle or body aches

Free text: Lower back pain that I neglected to mention that Ive had since the first injection on 12/28 as well as right neck pain that radiates down my right shoulder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — day 14, dose 2
MedDRA: Arthralgia, Insomnia, Neck pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Recurring neck pain that radiates down to both shoulders. It is apparent during the day when I am trying to work and I find it hard to sleep at night because it is so painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-20
Survey response — day 28, dose 2
MedDRA: Back pain, Cough, Neck pain, Rhinorrhoea — Feeling: Good

Free text: Dry cough, runny nose, lower back pain and neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — day 35, dose 2
MedDRA: Cough, Fatigue, Pyrexia, Respiratory tract congestion, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Dry cough, congestion, runny nose, fever, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — day 42, dose 2
MedDRA: Disturbance in attention, Headache — Feeling: Good · Be unable to work

Free text: I have lost 5 pounds, have intermittent headaches and some issues with concentration

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — 3 months, dose 2
MedDRA: Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Hashimotos Disease diagnosed April 2021, have lost an additional 10 pounds since January 2021 · Healthcare visit (other): Regular office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-21
Dose 3 — Moderna
2021-11-20
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-19
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-03
Call 1 — Could Not Reach Participant
2022-04-07
Call 2 — Could Not Reach Participant
2022-08-21
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-23	Moderna
3	2021-08-21	Moderna	No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-28

Systemic reaction (other): Shooting pain from my the right side of my neck down my right arm about 5-10 minutes after the injection that subsided within a minute or so.

Release 2 — day 21, dose 1

2021-01-18

Symptoms: Neck and back pain

Release 2 — days 1–6 daily, dose 2

2021-01-25

Systemic reaction (other): Nerve pain that radiated from my neck down my right arm

Release 3 — day 7, dose 2

2021-01-30

Systemic reaction (other): Lower back pain that I neglected to mention that Ive had since the first injection on 12/28 as well as right neck pain that radiates down my right shoulder

Release 3 — day 14, dose 2

2021-02-06

Symptoms: Recurring neck pain that radiates down to both shoulders. It is apparent during the day when I am trying to work and I find it hard to sleep at night because it is so painful

Release 4 — day 28, dose 2

2021-02-20

Symptoms: Dry cough, runny nose, lower back pain and neck pain

Release 4 — day 35, dose 2

2021-02-27

Symptoms: Dry cough, congestion, runny nose, fever, fatigue

Release 5 — day 42, dose 2

2021-03-06

Symptoms: I have lost 5 pounds, have intermittent headaches and some issues with concentration

Release 7 — 3 months, dose 2

2021-04-24

Symptoms: Hashimotos Disease diagnosed April 2021, have lost an additional 10 pounds since January 2021

Healthcare visit (other): Regular office visit

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	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Disturbance in attention	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	·	·	✓

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