3AH-10230-10853

4 vaccinations 10 coded responses 25 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 380 / TN
Registered: 2021-03-29

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

2021-02-27
Dose 1 — Moderna
2021-03-29
Registered in v-safe
2021-03-29
Dose 2 — Moderna
2021-03-29
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Medical counselling, Pre-existing disease, Systemic lupus erythematosus, Systemic lupus erythematosus rash — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Dr said rash was probably my lupus reaacting, & some of joint pain · Healthcare visit (other): Doctors called..said if it worsens to call back & will decide what next step is..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · 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

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-19
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-03
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-12
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-28
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-27
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-03
Dose 3 — Moderna
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Chills, Pyrexia — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: fever around 103 - when up chills are worse

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Pyrexia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: temp 102 now

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Survey response — days 1–6 daily, dose 3
MedDRA: Pyrexia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: fever at high is 102..up & down

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Survey response — day 21, dose 3
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Every joint in my body is screaming with pain.

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Survey response — day 28, dose 3
MedDRA: Arthralgia, Medical counselling, Myalgia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: more joint & muscle pain · Healthcare visit (other): talked to doctor on phone

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Report sent to call center — day 28, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-03
Call 2 — Left Voicemail
2021-12-10
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-15
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-04-11
Dose 4 — Moderna
2022-04-18
Survey response — day 7, dose 4
MedDRA: Mobility decreased — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: hard lifting arms

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Survey response — day 21, dose 4
MedDRA: Fatigue, Nausea, Vomiting — 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: Very nauseated with vomiting..total fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Report sent to call center — day 21, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-04
Call 1 — Left Voicemail
2022-05-09
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-18
Survey response — day 35, dose 4
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: joint pain

MedDRA releases: 2024-11 · check-in free text available
2022-05-23
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-10-10
Survey response — 6 months, dose 4
MedDRA: Arthralgia, COVID-19, Fatigue, Headache, Memory impairment, Office visit, Pyrexia, Sinus congestion — 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: I got the new Covid Virus..Fever. sinuses very messed up, severe headaches and join pain, forgetfulness very fatigued · Healthcare visit (other): My specialist had me come to his office before hrs.

MedDRA releases: 2024-11 · check-in free text available
2022-10-10
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-11
Call 1 — Left Voicemail
2022-10-11
Call 1 — Left Voicemail
2022-10-11
Call 2 — Left Voicemail
2022-10-11
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Moderna
2	2021-03-29	Moderna
3	2021-11-03	Moderna	No
4	2022-04-11	Moderna	No

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): Dr said rash was probably my lupus reaacting, & some of joint pain

Healthcare visit (other): Doctors called..said if it worsens to call back & will decide what next step is..

Release 10 — days 1–6 daily, dose 3

2021-11-05

Systemic reaction (other): fever around 103 - when up chills are worse

2021-11-06

Systemic reaction (other): temp 102 now

2021-11-08

Systemic reaction (other): fever at high is 102..up & down

Release 10 — day 21, dose 3

2021-11-24

Symptoms: Every joint in my body is screaming with pain.

Release 10 — day 28, dose 3

2021-12-02

Symptoms: more joint & muscle pain

Healthcare visit (other): talked to doctor on phone

Release 11 — day 7, dose 4

2022-04-18

Systemic reaction (other): hard lifting arms

Release 11 — day 21, dose 4

2022-05-03

Symptoms: Very nauseated with vomiting..total fatigue

Release 11 — day 35, dose 4

2022-05-18

Symptoms: joint pain

Release 12 — 6 months, dose 4

2022-10-10

Symptoms: I got the new Covid Virus..Fever. sinuses very messed up, severe headaches and join pain, forgetfulness very fatigued

Healthcare visit (other): My specialist had me come to his office before hrs.

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	Arthralgia	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Memory impairment	·	·	✓
SD	Myalgia	·	·	✓
SD	Nausea	·	·	✓
SD	Pyrexia	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Vomiting	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chills	·	·	✓
SRO	Mobility decreased	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	·	·	✓
SRO	Systemic lupus erythematosus	✓	✓	✓
SRO	Systemic lupus erythematosus rash	✓	·	✓

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