3CX-19893-74115

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 276 / NC
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 · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains, 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: Fair

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-14
Survey response — day 0, dose 2
MedDRA: Facial pain, Neck pain — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Neck and face pain on side given shot.

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: Heart rate increased, Neck pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Neck pain, rapid heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Nasal congestion, Neck pain, Sneezing — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Neck pain, slightly high than usual heart rate, head congestion, sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Lymph node pain — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Still higher than normal heart rate, gland pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Lymph node pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Gland pain in chest and arm, heart rate higher than normal but coming down

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Lymph node pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Gland or lymph node pain upper chest, heart rate still a little higher than normal

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 · 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: Arthralgia, Back pain, Myalgia — Feeling: Fair

Free text: Joint and muscle pain around hips and across lower back. Knee, feet and ankle pain that comes and goes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-16
Survey response — 12 months, dose 2
MedDRA: Cough, Headache, Influenza, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative — 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

Free text: I had the flu. I was sick for 6 days with headache, fever, cough, sore throat. I tested negative 3 times for Covid.

MedDRA releases: 2024-11 · check-in free text available
2022-04-16
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-21
Call successful
Not applicable - Accidental Reporting

Vaccinations

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

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — day 0, dose 2

2021-04-14

Systemic reaction (other): Neck and face pain on side given shot.

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Neck pain, rapid heart rate

2021-04-16

Systemic reaction (other): Neck pain, slightly high than usual heart rate, head congestion, sneezing

2021-04-17

Systemic reaction (other): Still higher than normal heart rate, gland pain

2021-04-18

Systemic reaction (other): Gland pain in chest and arm, heart rate higher than normal but coming down

2021-04-19

Systemic reaction (other): Gland or lymph node pain upper chest, heart rate still a little higher than normal

Release 8 — day 35, dose 2

2021-05-19

Symptoms: Joint and muscle pain around hips and across lower back. Knee, feet and ankle pain that comes and goes.

Release 11 — 12 months, dose 2

2022-04-16

Symptoms: I had the flu. I was sick for 6 days with headache, fever, cough, sore throat. I tested negative 3 times for Covid.

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	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Cough	·	·	✓
SD	Headache	·	·	✓
SD	Influenza	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Facial pain	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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