3CU-18156-71853

2 vaccinations 8 coded responses 22 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 077 / NJ
Registered: 2021-03-18

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

2021-03-17
Dose 1 — Moderna
2021-03-18
Registered in v-safe
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site induration — Feeling: Good · Site: Itching

Free text: One day after shot i had a walnut sized hard knot under the skin.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Irritability — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Ive been very irritable simce yesterday. Maybe just family issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-14
Survey response — day 0, dose 2
MedDRA: Pain in extremity — Feeling: Good · Muscle or body aches

Free text: My arm feels slightly painful. Not bad just noticable

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Neck pain, Self-medication — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: My neck & shoulders hurt. I did take the tylenol as advised so I think it helped keep symptoms less.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Anger — Feeling: Poor · Site: Pain · Headache

Free text: Not that i think is related to the vaccine but i am so angry i feel like my head will explode.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-28
Health check-in — day 14, dose 2
Feeling: Fair

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

Adult check-in
2021-05-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-19
Survey response — day 35, dose 2
MedDRA: Office visit, Vitreous disorder — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Ive gotten a torn vicera of my left eye. · Healthcare visit (other): Specialist's office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-26
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-14
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Asthenia, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: I seem to have less energy more tired and elbow pain. That may be due to weeding.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-10
Call 1 — Left Voicemail
2022-04-14
Survey response — 12 months, dose 2
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Poor

Free text: I think i have a cold sore throat runny nose but i've had a pcr and at home test both eere negative.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): One day after shot i had a walnut sized hard knot under the skin.

2021-03-23

Systemic reaction (other): Ive been very irritable simce yesterday. Maybe just family issues.

Release 7 — day 0, dose 2

2021-04-14

Systemic reaction (other): My arm feels slightly painful. Not bad just noticable

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): My neck & shoulders hurt. I did take the tylenol as advised so I think it helped keep symptoms less.

2021-04-19

Systemic reaction (other): Not that i think is related to the vaccine but i am so angry i feel like my head will explode.

Release 8 — day 35, dose 2

2021-05-19

Symptoms: Ive gotten a torn vicera of my left eye.

Healthcare visit (other): Specialist's office

Release 9 — 3 months, dose 2

2021-07-14

Symptoms: I seem to have less energy more tired and elbow pain. That may be due to weeding.

Release 11 — 12 months, dose 2

2022-04-14

Symptoms: I think i have a cold sore throat runny nose but i've had a pcr and at home test both eere negative.

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	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Vitreous disorder	✓	✓	✓
SRO	Anger	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Injection site induration	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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