3G6-11929-20395

2 vaccinations 11 coded responses 20 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 802 / CO
Registered: 2021-01-10

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

2021-01-09
Dose 1 — Moderna
2021-01-10
Registered in v-safe
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Tiredness after daily activities!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-23
Survey response — day 14, dose 1
MedDRA: Musculoskeletal stiffness — Feeling: Fair

Free text: Stiff neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Dose 2 — Moderna
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Nightingale Maude of my mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cough &

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Survey response — day 7, dose 2
MedDRA: Headache — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Free text: Severe headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — day 14, dose 2
MedDRA: Unevaluable event — Feeling: Fair

Free text: I have started biting inside my mouth.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — day 21, dose 2
MedDRA: Compulsive cheek biting, Fall, Pain in extremity, Tongue biting — Feeling: Fair

Free text: Started biting the inside of my mouth. Bite my tongue & thats painful. Wore my night guard out. Have pain in arms, legs & it goes away. I have fallen 2 times inside & 1 outside. Im almost 75,walk, play tennis with grandson& golf.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — day 28, dose 2
MedDRA: Arthralgia, Cough, Medical counselling, Oral pain, SARS-CoV-2 test negative, Secretion discharge — Feeling: Good · 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: Symptoms: Joint pain at night, ankles, knees & hops. Started nightingale inside of my mouth. Also have bitten my young & that is painful. Has a terrible cough. Dr. Ran a Covid test which was negative. A lot of mucus. No temp. No motivation so weird. · Healthcare visit (other): Covid rapid test was drive to Dr office & they came out & swabbed nasal cavity. Test negative. They rain another test & it was negative. Dont remember what it was called.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-15
Survey response — day 35, dose 2
MedDRA: Arthralgia — Feeling: Good

Free text: Joint pain, knees & shoulder - left side & im right handed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — day 42, dose 2
MedDRA: Restlessness, Urinary incontinence — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Urinary unconteniance & very restless nights. I believe it is due to be home 24/7. No social life.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-29
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-09	Moderna
2	2021-02-06	Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-10

Systemic reaction (other): Tiredness after daily activities!!

Release 2 — day 14, dose 1

2021-01-23

Symptoms: Stiff neck

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): Sore throat

2021-02-08

Systemic reaction (other): Nightingale Maude of my mouth

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Cough &

Release 4 — day 7, dose 2

2021-02-13

Systemic reaction (other): Severe headache

Release 4 — day 14, dose 2

2021-02-20

Symptoms: I have started biting inside my mouth.

Release 4 — day 21, dose 2

2021-02-27

Symptoms: Started biting the inside of my mouth. Bite my tongue & thats painful. Wore my night guard out. Have pain in arms, legs & it goes away. I have fallen 2 times inside & 1 outside. Im almost 75,walk, play tennis with grandson& golf.

Release 5 — day 28, dose 2

2021-03-06

Symptoms: Joint pain at night, ankles, knees & hops. Started nightingale inside of my mouth. Also have bitten my young & that is painful. Has a terrible cough. Dr. Ran a Covid test which was negative. A lot of mucus. No temp. No motivation so weird.

Healthcare visit (other): Covid rapid test was drive to Dr office & they came out & swabbed nasal cavity. Test negative. They rain another test & it was negative. Dont remember what it was called.

Release 5 — day 35, dose 2

2021-03-15

Symptoms: Joint pain, knees & shoulder - left side & im right handed

Release 6 — day 42, dose 2

2021-03-20

Symptoms: Urinary unconteniance & very restless nights. I believe it is due to be home 24/7. No social life.

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	Medical counselling	✓	✓	✓
HCVO	SARS-CoV-2 test negative	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Compulsive cheek biting	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Fall	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Oral pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Restlessness	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Secretion discharge	✓	✓	✓
SD	Tongue biting	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SD	Urinary incontinence	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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