39Z-14851-37068

4 vaccinations 8 coded responses 35 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 476 / IN
Registered: 2021-03-17

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

2021-03-16
Dose 1 — Moderna
2021-03-17
Registered in v-safe
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Free text: I have RA and fibromyalgia so it could just be a flare up of that

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Myalgia, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches

Free text: My RA and Fibromyalgia can cause the joint pain and sore muscles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Moderna
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Survey response — day 14, dose 2
MedDRA: Myalgia — Feeling: Fair

Free text: I have some muscles that are very sore. They are causing pain when I bend and walking.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-13
Survey response — 3 months, dose 2
MedDRA: Ear infection, Oropharyngeal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I had an ear infection a week ago and sore throat. I have a sore throat again this week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-22
Call 1 — Left Voicemail
2021-10-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Dose 3 — Moderna
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Chills, Pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: The 24 hours after my booster. I got chills and hurt all over.

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-11-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-15
Survey response — day 21, dose 3
MedDRA: Cough, Oropharyngeal pain — Feeling: Good

Free text: I had a sore throat and a cough

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-06
Survey response — day 42, dose 3
MedDRA: Cough, Headache, Oropharyngeal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Headache, cough, sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-07
Call 1 — Left Voicemail
2021-12-07
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-10-02
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-16
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-23
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-30
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-15
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-04-02
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-13	Moderna
3	2021-10-25	Moderna	No
4	2022-10-02	Pfizer-BioNTech	Flu

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): I have RA and fibromyalgia so it could just be a flare up of that

2021-03-19

Systemic reaction (other): My RA and Fibromyalgia can cause the joint pain and sore muscles

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): No

Release 8 — day 14, dose 2

2021-04-27

Symptoms: I have some muscles that are very sore. They are causing pain when I bend and walking.

Release 9 — 3 months, dose 2

2021-07-13

Symptoms: I had an ear infection a week ago and sore throat. I have a sore throat again this week.

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): The 24 hours after my booster. I got chills and hurt all over.

Release 10 — day 21, dose 3

2021-11-15

Symptoms: I had a sore throat and a cough

Release 10 — day 42, dose 3

2021-12-06

Symptoms: Headache, cough, sore throat

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	Cough	·	·	✓
SD	Ear infection	✓	✓	✓
SD	Headache	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chills	·	·	✓
SRO	Myalgia	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Pre-existing disease	✓	✓	✓

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