3AW-40098-37696

1 vaccination 9 coded responses 9 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 655 / MO
Registered: 2021-08-26

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

2021-08-26
Registered in v-safe
2021-08-26
Dose 1 — Moderna
2021-08-26
Survey response — day 0, dose 1
MedDRA: Arthralgia, Headache, Hypoaesthesia, Joint swelling, Pain, Pain in extremity, Pain in jaw, Pharyngeal swelling — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Right side of throat swelled pretty bad (left side not too bad) , left jaw pain, entire right side of body went numb, right knee swelled horribly with severe pain radiating up to mid thigh and milder pain up to hip, right frontal headache (left ok)

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Feeling hot, Joint swelling, Pain in extremity — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen R knee with pain up to mid thigh, R hip pain, hot feet

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-28
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Joint swelling, Musculoskeletal stiffness, Neck pain, Oropharyngeal pain, Pain in extremity — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Right swollen knee with pain up to mid thigh, sore throat, neck pain/stiffness

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-29
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Heart rate irregular, Joint swelling, Oxygen saturation abnormal, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Irregular heart beat with fluctuating oxygen saturation and heart rate. Not sure if going in/out of AFIB. Can't afford to go to ER. Coughing helps put it back in rythym after a few times. R knee swollen/pain up to mid thigh.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Heart rate irregular, Joint swelling, Office visit — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Irregular heart beat, right swollen knee, chest pain · Healthcare visit (other): Doctor office

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-01
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain, Heart rate irregular, Joint swelling — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Knee swelled bad again abd painful, irregular heart beat

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-04
Survey response — day 7, dose 1
MedDRA: Arthralgia, Heart rate irregular, Joint swelling — Feeling: Good · Joint pains · Be unable to do your normal daily activities

Free text: Knee pain/swelling, irregular heart beat

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-07
Call 1 — Left Voicemail
2021-09-11
Survey response — day 14, dose 1
MedDRA: Medical counselling, Oxygen saturation decreased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Noticed my oxygen levels are dropping a lot more. Heart doctor said to keep a diary till my appt.

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Survey response — day 21, dose 1
MedDRA: Fatigue, Oxygen saturation decreased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Oxygen level drops more. More fatigued.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-26	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — day 0, dose 1

2021-08-26

Systemic reaction (other): Right side of throat swelled pretty bad (left side not too bad) , left jaw pain, entire right side of body went numb, right knee swelled horribly with severe pain radiating up to mid thigh and milder pain up to hip, right frontal headache (left ok) cut off by CDC

Release 9 — days 1–6 daily, dose 1

2021-08-27

Systemic reaction (other): Swollen R knee with pain up to mid thigh, R hip pain, hot feet

2021-08-28

Systemic reaction (other): Right swollen knee with pain up to mid thigh, sore throat, neck pain/stiffness

2021-08-29

Systemic reaction (other): Irregular heart beat with fluctuating oxygen saturation and heart rate. Not sure if going in/out of AFIB. Can't afford to go to ER. Coughing helps put it back in rythym after a few times. R knee swollen/pain up to mid thigh.

2021-08-31

Systemic reaction (other): Irregular heart beat, right swollen knee, chest pain

Healthcare visit (other): Doctor office

2021-09-01

Systemic reaction (other): Knee swelled bad again abd painful, irregular heart beat

Release 9 — day 7, dose 1

2021-09-04

Systemic reaction (other): Knee pain/swelling, irregular heart beat

Release 9 — day 14, dose 1

2021-09-11

Symptoms: Noticed my oxygen levels are dropping a lot more. Heart doctor said to keep a diary till my appt.

Release 9 — day 21, dose 1

2021-09-17

Symptoms: Oxygen level drops more. More fatigued.

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	Fatigue	·	·	✓
SD	Medical counselling	·	·	✓
SD	Oxygen saturation decreased	·	·	✓
SRO	Abdominal pain	✓	·	✓
SRO	Arthralgia	✓	·	✓
SRO	Chest pain	✓	·	✓
SRO	Cough	✓	·	✓
SRO	Feeling hot	✓	·	✓
SRO	Headache	✓	·	✓
SRO	Heart rate irregular	✓	·	✓
SRO	Hypoaesthesia	✓	·	✓
SRO	Joint swelling	✓	·	✓
SRO	Musculoskeletal stiffness	✓	·	✓
SRO	Neck pain	✓	·	✓
SRO	Oropharyngeal pain	✓	·	✓
SRO	Oxygen saturation abnormal	✓	·	✓
SRO	Pain	✓	·	✓
SRO	Pain in extremity	✓	·	✓
SRO	Pain in jaw	✓	·	✓
SRO	Pharyngeal swelling	✓	·	✓

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