3K5-63436-63410

2 vaccinations 7 coded responses 26 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 300 / GA
Registered: 2021-01-26

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Moderna
2021-01-26
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Upper-airway cough syndrome — Feeling: Good

Free text: Horrible Post nasal drip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-11
Survey response — day 14, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: Lower arm muscle ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — day 21, dose 1
MedDRA: Myalgia, Pain in extremity — Feeling: Good

Free text: Arms, lower arms, muscles are sore, as if Ive been working out and I have not. I have been carting and extra bag to work, that could be eBay it is.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Dose 2 — Moderna
2021-02-23
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-03-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 28, dose 2
MedDRA: Cough, Sinusitis, Upper-airway cough syndrome — Feeling: Good

Free text: Sinus infection, with post nasal drip and coughing. Worst at nights.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-06
Survey response — day 42, dose 2
MedDRA: Defaecation urgency, Gastrointestinal sounds abnormal — Feeling: Good

Free text: Gurgling growling stomach; sensation in the rectum as if I have to have a bowl movement but I dont. Ive never had problems with constipation or diarrhea, still dont. Just that many times a day that feeling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-25
Survey response — 6 months, dose 2
MedDRA: Back pain, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Lower back pain. · Healthcare visit (other): In person PC

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-06
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-23
Survey response — 12 months, dose 2
MedDRA: Back pain, Office visit, Pain in extremity — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional

Free text: Symptoms: Lower back pain accompanied by pain down my right leg. · Healthcare visit (other): PCP Appt.

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-23	Moderna

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): Horrible Post nasal drip

Release 4 — day 14, dose 1

2021-02-11

Symptoms: Lower arm muscle ache

Release 4 — day 21, dose 1

2021-02-16

Symptoms: Arms, lower arms, muscles are sore, as if Ive been working out and I have not. I have been carting and extra bag to work, that could be eBay it is.

Release 6 — day 28, dose 2

2021-03-25

Symptoms: Sinus infection, with post nasal drip and coughing. Worst at nights.

Release 7 — day 42, dose 2

2021-04-06

Symptoms: Gurgling growling stomach; sensation in the rectum as if I have to have a bowl movement but I dont. Ive never had problems with constipation or diarrhea, still dont. Just that many times a day that feeling.

Release 9 — 6 months, dose 2

2021-08-25

Symptoms: Lower back pain.

Healthcare visit (other): In person PC

Release 11 — 12 months, dose 2

2022-02-23

Symptoms: Lower back pain accompanied by pain down my right leg.

Healthcare visit (other): PCP Appt.

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	Office visit	✓	·	✓
SD	Back pain	✓	·	✓
SD	Cough	✓	✓	✓
SD	Defaecation urgency	✓	✓	✓
SD	Gastrointestinal sounds abnormal	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SRO	Upper-airway cough syndrome	✓	✓	✓

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