3KA-21276-01485

4 vaccinations 9 coded responses 31 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 191 / PA
Registered: 2021-01-08

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

2021-01-08
Registered in v-safe
2021-01-08
Dose 1 — Moderna
2021-01-08
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Fatigue, Myalgia, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Muscle and joint pain and fatigue are at my baseline level from my autoimmune issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-01-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-05
Dose 2 — Moderna
2021-02-05
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Abnormal dreams, Insomnia — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Trouble sleeping, vivid dreams

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-12
Survey response — day 35, dose 2
MedDRA: Asthenia, Myalgia, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle aches and weakness in both shouldersRespiratory congestion that I believe is only Spring allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Epistaxis, Sinus congestion, Upper-airway cough syndrome — 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, Outpatient clinic or urgent care clinic visit

Free text: Sinus congestion, postnasal drip, 3 major nosebleeds, seasonal allergiesIntermittent shoulder pain ( not on the side of my shot)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-06
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Rotator cuff syndrome — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pain in right shoulder due to ritator cuff tear (NOT the side where I was vaccinated)

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-06
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-12
Call 1 — Left Voicemail
2021-12-14
Dose 3 — Moderna
2022-02-05
Survey response — 12 months, dose 2
MedDRA: COVID-19, Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activities

Free text: I had Covid..mild case, about 1 month after my booster..like a bad head cold for 4-5 days.

MedDRA releases: 2024-11 · check-in free text available
2022-11-17
Dose 4 — Moderna
2022-12-13
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-12-15
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-12-22
Survey response — day 35, dose 4
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-12-31
Survey response — day 42, dose 4
MedDRA: Cough, Dyspnoea exertional, Exposure to SARS-CoV-2, Fatigue, Headache, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headache, cough, congestion, low- grade fever,fatigue, sorethroat, shortness of breath with exertion. I tested + for Covid today after an exposure 5 days ago. Had symptoms 2 days ago but was still negative then!

MedDRA releases: 2024-11 · check-in free text available
2023-02-16
Survey response — 3 months, dose 4
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna
2	2021-02-05	Moderna
3	2021-12-14	Moderna	No
4	2022-11-17	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-09

Systemic reaction (other): Muscle and joint pain and fatigue are at my baseline level from my autoimmune issues

Release 3 — days 1–6 daily, dose 2

2021-02-06

Systemic reaction (other): Trouble sleeping, vivid dreams

Release 5 — day 35, dose 2

2021-03-12

Symptoms: Muscle aches and weakness in both shouldersRespiratory congestion that I believe is only Spring allergies

Release 8 — 3 months, dose 2

2021-05-07

Symptoms: Sinus congestion, postnasal drip, 3 major nosebleeds, seasonal allergiesIntermittent shoulder pain ( not on the side of my shot)

Release 9 — 6 months, dose 2

2021-08-06

Symptoms: Pain in right shoulder due to ritator cuff tear (NOT the side where I was vaccinated)

Release 11 — 12 months, dose 2

2022-02-05

Symptoms: I had Covid..mild case, about 1 month after my booster..like a bad head cold for 4-5 days.

Release 12 — day 35, dose 4

2022-12-22

Symptoms: Fatigue

Release 12 — day 42, dose 4

2022-12-31

Symptoms: Headache, cough, congestion, low- grade fever,fatigue, sorethroat, shortness of breath with exertion. I tested + for Covid today after an exposure 5 days ago. Had symptoms 2 days ago but was still negative then!

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	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea exertional	·	·	✓
SD	Epistaxis	✓	✓	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rotator cuff syndrome	✓	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinus congestion	✓	✓	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SRO	Abnormal dreams	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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