3BG-30798-16574

5 vaccinations 13 coded responses 57 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 025 / MA
Registered: 2021-04-03

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

2021-03-24
Dose 1 — Moderna
2021-04-03
Registered in v-safe
2021-04-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-21
Dose 2 — Moderna
2021-04-21
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-20
Survey response — 6 months, dose 2
MedDRA: Influenza, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I had flu symptoms a week ago tested negative for Covid

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-22
Call 1 — Left Voicemail
2021-12-03
Dose 3 — Moderna
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Chills, Muscle or body aches

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Chills

Adult check-in
2021-12-10
Health check-in — day 7, dose 3
Feeling: Good · Chills, Muscle or body aches

Adult check-in
2021-12-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-06
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-25
Dose 4 — Moderna
2022-04-25
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-04-28
Survey response — days 1–6 daily, dose 4
MedDRA: Unevaluable event — Feeling: Fair · Diarrhea

Free text: Not sporadic just urgency

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-05-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Diarrhea

Adult check-in
2022-05-02
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-10
Survey response — day 14, dose 4
MedDRA: Chills, Cough, Ear discomfort, Headache, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school

Free text: Tested positive Covid Chillsx24 hours aches headache cough and ears blocked

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-23
Survey response — day 28, dose 4
MedDRA: Cough, Joint swelling — Feeling: Good · Be unable to do your normal daily activities

Free text: Cough and swelling in my knees

MedDRA releases: 2024-11 · check-in free text available
2022-05-30
Survey response — day 35, dose 4
MedDRA: Joint swelling, Nephrolithiasis, Sensory disturbance, Tenderness, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fighting off a questionable uti, or passing a stone from kidneys And left knee is still sensitive slightly swollen

MedDRA releases: 2024-11 · check-in free text available
2022-06-07
Survey response — day 42, dose 4
MedDRA: Calculus urinary, Joint swelling, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities

Free text: Formed a stone in both ureters Knee stopped swelling when started antibiotics keflex which I had to stop Now in Bactria ds Same knee just turned ankle

MedDRA releases: 2024-11 · check-in free text available
2022-07-25
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-24
Survey response — 6 months, dose 4
MedDRA: Arthralgia, Pain in extremity, Sleep disorder, Tendon disorder, Tendon pain, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have pain in both feet ache like I've walked miles, and specific to left leg behind knee front of calf pain very sensitive tendon on lateral left leg. If I walk I work it out But if I sit after walking it hurts And the pain wakes me I am bp

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
Dose 5 — Moderna
2022-11-11
Health check-in — day 0, dose 5
Feeling: Good · None

Adult check-in
2022-11-12
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-11-13
Survey response — days 1–6 daily, dose 5
MedDRA: Abdominal distension, Dyspepsia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Unable to digest good-full feeling

MedDRA releases: 2024-11 · check-in free text available
2022-11-15
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Muscle or body aches

Adult check-in
2022-11-16
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-11-17
Survey response — days 1–6 daily, dose 5
MedDRA: Nasal congestion, Thirst — Feeling: Good · Fever · Joint pains, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Free text: Nasal stuffiness extreme thirst

MedDRA releases: 2024-11 · check-in free text available
2022-11-18
Survey response — day 7, dose 5
MedDRA: Erythema, Feeling hot — Feeling: Fair · Fever · Chills, Rash, not including the immediate area around the injection site

Free text: My face feels reddened and warm

MedDRA releases: 2024-11 · check-in free text available
2022-11-26
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-12-02
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-12-09
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-16
Survey response — day 35, dose 5
MedDRA: Arthralgia, COVID-19, Pain in extremity, Physiotherapy — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: My. Feet! They've been feeling like I've walked miles in them ALL THE TIME and I'm having pt on left lateral knee Which has also been in pain since covid may · Healthcare visit (other): Physical therapy

MedDRA releases: 2024-11 · check-in free text available
2022-12-16
Report sent to call center — day 35, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-19
Call 2 — Left Voicemail
2022-12-19
Call 1 — Left Voicemail
2022-12-23
Survey response — day 42, dose 5
MedDRA: Arthralgia, Pain in extremity, Physiotherapy, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: I am still having left leg pain The physical therapy is helping alleviate some But I'm waking up at night with extreme pain mostly behind my left knee and both soles of my feet! It feels like I've been walking on them for days

MedDRA releases: 2024-11 · check-in free text available
2023-02-12
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-05-12
Survey response — 6 months, dose 5
MedDRA: Office visit, Unevaluable event, Weight decreased — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-21	Moderna
3	2021-12-03	Moderna	No
4	2022-04-25	Moderna	No
5	2022-11-11	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 10 — 6 months, dose 2

2021-10-20

Symptoms: I had flu symptoms a week ago tested negative for Covid

Release 11 — days 1–6 daily, dose 4

2022-04-28

Systemic reaction (other): Not sporadic just urgency

Release 11 — day 14, dose 4

2022-05-10

Symptoms: Tested positive Covid Chillsx24 hours aches headache cough and ears blocked

Release 11 — day 28, dose 4

2022-05-23

Symptoms: Cough and swelling in my knees

Release 11 — day 35, dose 4

2022-05-30

Symptoms: Fighting off a questionable uti, or passing a stone from kidneys And left knee is still sensitive slightly swollen

Release 11 — day 42, dose 4

2022-06-07

Symptoms: Formed a stone in both ureters Knee stopped swelling when started antibiotics keflex which I had to stop Now in Bactria ds Same knee just turned ankle

Release 12 — 6 months, dose 4

2022-10-24

Symptoms: I have pain in both feet ache like I've walked miles, and specific to left leg behind knee front of calf pain very sensitive tendon on lateral left leg. If I walk I work it out But if I sit after walking it hurts And the pain wakes me I am bp

Release 12 — days 1–6 daily, dose 5

2022-11-13

Systemic reaction (other): Unable to digest good-full feeling

2022-11-17

Systemic reaction (other): Nasal stuffiness extreme thirst

Release 12 — day 7, dose 5

2022-11-18

Systemic reaction (other): My face feels reddened and warm

Release 12 — day 35, dose 5

2022-12-16

Symptoms: My. Feet! They've been feeling like I've walked miles in them ALL THE TIME and I'm having pt on left lateral knee Which has also been in pain since covid may

Healthcare visit (other): Physical therapy

Release 12 — day 42, dose 5

2022-12-23

Symptoms: I am still having left leg pain The physical therapy is helping alleviate some But I'm waking up at night with extreme pain mostly behind my left knee and both soles of my feet! It feels like I've been walking on them for days

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	Physiotherapy	·	·	✓
SD	Arthralgia	·	·	✓
SD	Calculus urinary	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Ear discomfort	·	·	✓
SD	Headache	·	·	✓
SD	Influenza	·	·	✓
SD	Joint swelling	·	·	✓
SD	Nephrolithiasis	·	·	✓
SD	Office visit	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Physiotherapy	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sensory disturbance	·	·	✓
SD	Sleep disorder	·	·	✓
SD	Tenderness	·	·	✓
SD	Tendon disorder	·	·	✓
SD	Tendon pain	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Urinary tract infection	·	·	✓
SD	Weight decreased	·	·	✓
SRO	Abdominal distension	·	·	✓
SRO	Dyspepsia	·	·	✓
SRO	Erythema	·	·	✓
SRO	Feeling hot	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	Thirst	·	·	✓
SRO	Unevaluable event	·	·	✓

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