3GD-25944-87030

4 vaccinations 7 coded responses 30 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 443 / OH
Registered: 2021-02-04

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

2021-02-04
Registered in v-safe
2021-02-04
Dose 1 — Moderna
2021-02-04
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to work

Free text: I had a knee replacement Feb 18. Sx from this likely caused stiffness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Knee arthroplasty, Unevaluable event — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work

Free text: 3 weeks post knee replacement.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Little tired. ( like from my knee surgery)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Joint pains, Fatigue or tiredness

Free text: PT today. Since vaccine cant find info on percocet and Covid vaccine. I have resisted using tylenol Am and pm Curious Post knee replacement surgery.

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

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Pre-existing disease — Feeling: Good · Joint pains

Free text: Only knee replacement recovery pains I think

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-11
Dose 2 — Moderna
2021-03-11
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: Slight symptom of light headed. Vaccine given today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-15
Survey response — day 35, dose 2
MedDRA: Arteriosclerosis, Musculoskeletal stiffness — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Very stiff neck. Had xray. Arteriosclerosis. Off an on for last month.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-15
Dose 3 — Moderna
2021-09-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-10
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-11
Dose 4 — Moderna
2022-03-11
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-10
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-09
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-03-11
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-11	Moderna
3	2021-08-15	Moderna	No
4	2022-03-11	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): I had a knee replacement Feb 18. Sx from this likely caused stiffness

2021-02-06

Systemic reaction (other): 3 weeks post knee replacement.

2021-02-07

Systemic reaction (other): Little tired. ( like from my knee surgery)

2021-02-08

Systemic reaction (other): PT today. Since vaccine cant find info on percocet and Covid vaccine. I have resisted using tylenol Am and pm Curious Post knee replacement surgery.

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Only knee replacement recovery pains I think

Release 5 — day 0, dose 2

2021-03-11

Systemic reaction (other): Slight symptom of light headed. Vaccine given today

Release 7 — day 35, dose 2

2021-04-15

Symptoms: Very stiff neck. Had xray. Arteriosclerosis. Off an on for last month.

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	Arteriosclerosis	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Knee arthroplasty	✓	·	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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