3FV-31646-12750

4 vaccinations 10 coded responses 35 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 744 / OK
Registered: 2021-02-13

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

2021-02-12
Dose 1 — Moderna
2021-02-13
Registered in v-safe
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Pain

Free text: Aggravation of old injuries in my left foot and left hand. Old inflammation returned.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Rash erythematous, Rash papular — Feeling: Fair · Site: Pain, Redness, Itching · Rash, not including the immediate area around the injection site

Free text: I think I have COVID arm: A slightly raised red rash 6 x 4 at it greatest dimension

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site

Free text: I was advised to postpone my allergy shots that were due today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-13
Dose 2 — Moderna
2021-03-13
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Redness · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-17
Survey response — day 35, dose 2
MedDRA: Myalgia, Pain in extremity, Self-medication — Feeling: Good

Free text: I did not report this when it happened, about 2 or 3 weeks ago. I had about a week of increased soreness in the right arm triceps muscle. I treated it with heat and Tylenol and stretching. It is better now. I got my shot in the right arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-23
Dose 3 — Moderna
2021-10-23
Survey response — day 0, dose 3
MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains

Adult check-in
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Headache, Self-medication — Feeling: Good

Free text: I have been getting a headache every day since I got my booster at around 11:00 pm. I took Tylenol for it the first 2 days and have not taken it after that. I have not reported the headaches until now because they occur after I complete my check in

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-30
Health check-in — day 7, dose 3
Feeling: Good · Headache

Adult check-in
2022-01-22
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-30
Dose 4 — Moderna
2022-06-29
Survey response — 3 months, dose 4
MedDRA: Cough — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Frequent cough

MedDRA releases: 2024-11 · check-in free text available
2022-06-29
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-30
Call 1 — Left Voicemail
2022-09-28
Survey response — 6 months, dose 4
MedDRA: Computerised tomogram abnormal, Cough, Office visit — 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

Free text: At the end of April, I began having a cough. It persisted, so my internist ordered a CT scan of my lungs at the end of June. The scan showed an atypical infection in the upper lobe of my left lung. I continue to cough and will have another scan Fri

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
Report sent to call center — 6 months, dose 4
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 · 1 call case(s)
2022-09-29
Call 2 — Left Voicemail
2022-09-29
Call 1 — Left Voicemail
2023-03-30
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-13	Moderna
3	2021-10-23	Moderna	No
4	2022-03-30	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-14

Systemic reaction (other): Aggravation of old injuries in my left foot and left hand. Old inflammation returned.

2021-02-18

Systemic reaction (other): I think I have COVID arm: A slightly raised red rash 6 x 4 at it greatest dimension

Release 4 — day 7, dose 1

2021-02-19

Systemic reaction (other): I was advised to postpone my allergy shots that were due today.

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): Sore throat

2021-03-19

Systemic reaction (other): Sore throat

Release 7 — day 35, dose 2

2021-04-17

Symptoms: I did not report this when it happened, about 2 or 3 weeks ago. I had about a week of increased soreness in the right arm triceps muscle. I treated it with heat and Tylenol and stretching. It is better now. I got my shot in the right arm.

Release 10 — day 0, dose 3

2021-10-23

Systemic reaction (other): No

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): I have been getting a headache every day since I got my booster at around 11:00 pm. I took Tylenol for it the first 2 days and have not taken it after that. I have not reported the headaches until now because they occur after I complete my check in cut off by CDC

Release 12 — 3 months, dose 4

2022-06-29

Symptoms: Frequent cough

Release 12 — 6 months, dose 4

2022-09-28

Symptoms: At the end of April, I began having a cough. It persisted, so my internist ordered a CT scan of my lungs at the end of June. The scan showed an atypical infection in the upper lobe of my left lung. I continue to cough and will have another scan Fri cut off by CDC

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	Computerised tomogram abnormal	·	·	✓
SD	Cough	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Office visit	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Headache	·	·	✓
SRO	No adverse event	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rash erythematous	✓	✓	✓
SRO	Rash papular	✓	✓	✓
SRO	Self-medication	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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