3AG-31526-21068

2 vaccinations 10 coded responses 26 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 787 / TX
Registered: 2021-03-02

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-01
Dose 1 — Moderna
2021-03-02
Registered in v-safe
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Immediate post-injection reaction, Musculoskeletal stiffness, Neck pain, Pruritus — Feeling: Fair · Site: Pain · Headache, Joint pains · Be unable to do your normal daily activities

Free text: Itchy skin on the injected arm but no rash. Neck pain and stiffness five minutes after injection that lasted until late. Only neck stiffness today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain · Joint pains

Free text: Forgot to mention the runny nose that started shortly after the vaccination and continued for about 24 hours.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain, Fatigue — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Ive been a little more tired than the day before, since I got the vaccination. I had a little bit if abdominal pain yesterday but didnt pay any attention to it until I had it again today and a little linger and more painful than yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-29
Survey response — day 28, dose 1
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: I keep feeling like I'm catching a cold, but I don't. I never catch colds.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-04-09
Dose 2 — Moderna
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Lethargy — Feeling: Good · Site: Pain · Headache · Be unable to do your normal daily activities

Free text: lethargy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Fair · Joint pains · Be unable to do your normal daily activities

Free text: Slight increase in joint pain on the second day after this shot, then moderate increases since.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Lethargy — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I didn't take Tylenol last night and the lethargy and joint pain increased greatly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-30
Survey response — day 21, dose 2
MedDRA: Fatigue, Musculoskeletal chest pain, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nausea every day for the last week. Pain behind my lower rib cage for the last week. Extreme fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 28, dose 2
MedDRA: Musculoskeletal stiffness, Pain in extremity — Feeling: Fair

Free text: The bones in the front part of my feet became stiff and sore for most of the week. They're starting to feel better today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 35, dose 2
MedDRA: Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: Even when I get enough sleep at night I end up needing to sleep during the day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-11
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-10
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-04-09
Health check-in — 12 months, dose 2
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Moderna
2	2021-04-09	Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-02

Systemic reaction (other): Itchy skin on the injected arm but no rash. Neck pain and stiffness five minutes after injection that lasted until late. Only neck stiffness today.

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Forgot to mention the runny nose that started shortly after the vaccination and continued for about 24 hours.

2021-03-04

Systemic reaction (other): Ive been a little more tired than the day before, since I got the vaccination. I had a little bit if abdominal pain yesterday but didnt pay any attention to it until I had it again today and a little linger and more painful than yesterday.

Release 6 — day 28, dose 1

2021-03-29

Symptoms: I keep feeling like I'm catching a cold, but I don't. I never catch colds.

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): lethargy

2021-04-11

Systemic reaction (other): Slight increase in joint pain on the second day after this shot, then moderate increases since.

2021-04-13

Systemic reaction (other): I didn't take Tylenol last night and the lethargy and joint pain increased greatly.

Release 8 — day 21, dose 2

2021-04-30

Symptoms: Nausea every day for the last week. Pain behind my lower rib cage for the last week. Extreme fatigue.

Release 8 — day 28, dose 2

2021-05-07

Symptoms: The bones in the front part of my feet became stiff and sore for most of the week. They're starting to feel better today.

Release 8 — day 35, dose 2

2021-05-14

Symptoms: Even when I get enough sleep at night I end up needing to sleep during the day.

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	Fatigue	✓	✓	✓
SD	Musculoskeletal chest pain	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Somnolence	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Lethargy	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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