3CZ-58625-53950

3 vaccinations 10 coded responses 27 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 686 / NE
Registered: 2021-03-17

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
Registered in v-safe
2021-03-17
Dose 1 — Moderna
2021-03-17
Health check-in — day 0, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Poor · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-24
Health check-in — day 7, dose 1
Feeling: Poor · Site: Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-31
Survey response — day 14, dose 1
MedDRA: Rash — Feeling: Fair

Free text: I developed a rash on my left thigh. It lasted about a week and went awake on it's own.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 21, dose 1
MedDRA: Arthralgia, Myalgia — Feeling: Poor · Be unable to do your normal daily activities

Free text: I am having a lot muscle and joint pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Dose 2 — Moderna
2021-04-14
Health check-in — day 0, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-28
Survey response — day 14, dose 2
MedDRA: Arthralgia, Limb prosthesis user, Myalgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: My joint and muscle pain has increased. The pain in right thigh and knee has become almost unbearable. I am not able to rub anything on it due to having to wear a prosthesis on that leg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 21, dose 2
MedDRA: Balance disorder, Muscular weakness — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: I have been having a lot more muscle weakness in my lower back and my thighs. My balance has gotten worse to the point I have several times a day where I catch.myself before I fall.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 28, dose 2
MedDRA: Arthralgia, Fatigue, Induration, Memory impairment, Mental status changes, Myalgia, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activities

Free text: I continue with severe muscle and joint pain. I am always so very tired and I am having a weird mental status. It is hard to describe thr feeling. I am alert but I do forget from time to time. I did have a positive Covid test in Oct but this weird

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 35, dose 2
MedDRA: Anxiety, Depression, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: My depression and anxiety have increased.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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: Asthenia, Balance disorder, Mobility decreased — Feeling: Fair · Be unable to do your normal daily activities

Free text: My legs have gotten very weak. For the most part I am able to stand for 5 minutes at a time and then I have to sit down. My balance has gotten really bad. I have fallen several times.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-13
Survey response — 6 months, dose 2
MedDRA: Fall, Muscular weakness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle weakness in my legs causing falls

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Dose 3 — Moderna
Co-administered: Flu
2022-04-14
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-28
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-30
Survey response — 12 months, dose 3
MedDRA: Diabetes mellitus, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: I have experienced a chronic UTI and have had problems with my diabetes.

MedDRA releases: 2024-11 · check-in free text available
2022-12-30
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2023-01-03
Call successful
Not applicable - Accidental Reporting

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna
3	2021-12-28	Moderna	Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): No

Release 6 — day 14, dose 1

2021-03-31

Symptoms: I developed a rash on my left thigh. It lasted about a week and went awake on it's own.

Release 7 — day 21, dose 1

2021-04-07

Symptoms: I am having a lot muscle and joint pain.

Release 8 — day 14, dose 2

2021-04-28

Symptoms: My joint and muscle pain has increased. The pain in right thigh and knee has become almost unbearable. I am not able to rub anything on it due to having to wear a prosthesis on that leg.

Release 8 — day 21, dose 2

2021-05-05

Symptoms: I have been having a lot more muscle weakness in my lower back and my thighs. My balance has gotten worse to the point I have several times a day where I catch.myself before I fall.

Release 8 — day 28, dose 2

2021-05-12

Symptoms: I continue with severe muscle and joint pain. I am always so very tired and I am having a weird mental status. It is hard to describe thr feeling. I am alert but I do forget from time to time. I did have a positive Covid test in Oct but this weird cut off by CDC

Release 8 — day 35, dose 2

2021-05-19

Symptoms: My depression and anxiety have increased.

Release 9 — 3 months, dose 2

2021-07-14

Symptoms: My legs have gotten very weak. For the most part I am able to stand for 5 minutes at a time and then I have to sit down. My balance has gotten really bad. I have fallen several times.

Release 10 — 6 months, dose 2

2021-10-13

Symptoms: Muscle weakness in my legs causing falls

Release 12 — 12 months, dose 3

2022-12-30

Symptoms: I have experienced a chronic UTI and have had problems with my diabetes.

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	Anxiety	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Depression	✓	✓	✓
SD	Diabetes mellitus	·	·	✓
SD	Fall	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Induration	✓	✓	○
SD	Limb prosthesis user	✓	✓	✓
SD	Memory impairment	·	·	✓
SD	Mental status changes	·	·	✓
SD	Mobility decreased	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	SARS-CoV-2 test positive	✓	✓	✓
SRO	No adverse event	✓	✓	✓

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