3AR-29022-88539

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 731 / OK
Registered: 2020-12-30

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Health check-in — day 0, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Injection site bruising — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches · Be unable to do your normal daily activities

Free text: Bruising at injection site, back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper, Body temperature increased, Self-medication — Feeling: Fair · Site: Pain · 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: The 102.9 temperature was last night i could not report it because I had reported earlier that day before then. The highest temp today has been 99.7 so far hopefully it will stay that way tonight. Not sure if my stomach pain is because alternating the Tylenol and ibuprofen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Neuralgia, Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Nerve pain in my leg. Inner left thigh area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-01-06
Survey response — day 7, dose 1
MedDRA: Muscle spasms — Feeling: Good · Site: Itching · Headache, Fatigue or tiredness

Free text: Muscle cramp in calf

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-27
Dose 2 — Moderna
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

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

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches

Free text: Muscle spasms in my neck, shoulders and left arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Joint pains, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-03
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Headache, Joint pains

Adult check-in
2021-02-10
Survey response — day 14, dose 2
MedDRA: Pruritus, Red ear syndrome, Self-medication, Urticaria — Feeling: Fair

Free text: My ears are turning red, getting hot and itching with hives on my face. It happened for about three days. Took Benadryl allergy med to help with it. Never had this happen before.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — day 21, dose 2
MedDRA: Rash — Feeling: Fair

Free text: Rash on my leg i cant explain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 28, dose 2
Feeling: Good

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

Adult check-in
2021-03-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-07-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-27	Moderna

Call center

3 call center cases

3 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Bruising at injection site, back pain

2021-01-01

Systemic reaction (other): The 102.9 temperature was last night i could not report it because I had reported earlier that day before then. The highest temp today has been 99.7 so far hopefully it will stay that way tonight. Not sure if my stomach pain is because alternating the Tylenol and ibuprofen.

2021-01-03

Systemic reaction (other): Nerve pain in my leg. Inner left thigh area.

Release 1 — day 7, dose 1

2021-01-06

Systemic reaction (other): Muscle cramp in calf

Release 3 — days 1–6 daily, dose 2

2021-02-01

Systemic reaction (other): Muscle spasms in my neck, shoulders and left arm

Release 4 — day 14, dose 2

2021-02-10

Symptoms: My ears are turning red, getting hot and itching with hives on my face. It happened for about three days. Took Benadryl allergy med to help with it. Never had this happen before.

Release 4 — day 21, dose 2

2021-02-17

Symptoms: Rash on my leg i cant explain

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	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Red ear syndrome	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Unevaluable event	○	○	○

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