3KG-27496-48377

2 vaccinations 7 coded responses 21 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 190 / PA
Registered: 2020-12-28

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

2020-12-28
Registered in v-safe
2020-12-28
Dose 1 — Moderna
2020-12-28
Survey response — day 0, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: Sore arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Peripheral coldness — Feeling: Good · Chills, Headache

Free text: My hands got really cold These symptoms were for two hours last evening

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-04
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-01-13
Survey response — day 14, dose 1
MedDRA: Arthralgia, Musculoskeletal pain, Musculoskeletal stiffness — Feeling: Good

Free text: Stiff neck and scapula/shoulder pain for a week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — day 21, dose 1
MedDRA: Mobility decreased, Musculoskeletal stiffness, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Ive had a stiff neck with limited range of motion for two weeks now not sure if its related but its the same side as my vaccine I see my physician today · Healthcare visit (other): Regularly scheduled well visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-25
Dose 2 — Moderna
2021-01-25
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Myalgia intercostal, Respiratory disorder — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Intercostal muscle pain b/l with breathing- no coughing to elicit this stmptom

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Lip pain, Oral herpes — Feeling: Good · Fatigue or tiredness

Free text: Cold sore in lip pretty painfuk

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-03-22
Call 1 — Left Voicemail
2022-01-25
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Hip pains and foot pains

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-26
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-25	Moderna

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-28

Systemic reaction (other): Sore arm

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): My hands got really cold These symptoms were for two hours last evening

Release 1 — day 14, dose 1

2021-01-13

Symptoms: Stiff neck and scapula/shoulder pain for a week

Release 2 — day 21, dose 1

2021-01-18

Symptoms: Ive had a stiff neck with limited range of motion for two weeks now not sure if its related but its the same side as my vaccine I see my physician today

Healthcare visit (other): Regularly scheduled well visit

Release 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): Intercostal muscle pain b/l with breathing- no coughing to elicit this stmptom

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Cold sore in lip pretty painfuk

Release 11 — 12 months, dose 2

2022-01-25

Symptoms: Hip pains and foot pains

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	Arthralgia	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Musculoskeletal pain	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Pain in extremity	·	·	✓
SRO	Lip pain	✓	✓	✓
SRO	Myalgia intercostal	✓	✓	✓
SRO	Oral herpes	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral coldness	✓	✓	✓
SRO	Respiratory disorder	✓	✓	✓

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