3QS-86301-49145

4 vaccinations 10 coded responses 21 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 391 / MS
Registered: 2021-02-11

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

2021-02-11
Registered in v-safe
2021-02-11
Dose 1 — Moderna
2021-02-11
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good · Headache

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal discomfort — Feeling: Fair · Site: Pain · Headache

Free text: A funny feeling in my throat, needed water, and a throat lozenges

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 1
MedDRA: Dry throat — Feeling: Good · Headache, Rash, not including the immediate area around the injection site

Free text: Throat very dry. Needle pinch dry

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Tenderness — Feeling: Good · Muscle or body aches, Rash, not including the immediate area around the injection site

Free text: Throat mildly tender/ soreness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-20
Health check-in — day 7, dose 1
Feeling: Fair · Headache

Adult check-in
2021-03-11
Dose 2 — Moderna
2021-03-11
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

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
2021-03-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-16
Survey response — day 35, dose 2
MedDRA: Dyspnoea, Headache, Self-medication — Feeling: Fair · Be unable to do your normal daily activities

Free text: A mild gasped for breath. It come and go. Strong Headaches, Headaches goes away with Tylenol.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Survey response — 3 months, dose 2
MedDRA: Fatigue, Formication — Feeling: Fair

Free text: I'm often fatigue. I have this creepy crawling feeling on my arms and face. I really can't pinpoint where its coming from.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-10
Survey response — 6 months, dose 2
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Persistent coughs, and a mild sore throat, comes and go throughout the day, but returns daily.

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-15
Call 2 — Left Voicemail
2021-11-17
Dose 3 — Moderna
2022-03-12
Survey response — 12 months, dose 2
MedDRA: Diarrhoea, Fatigue, Oropharyngeal pain — Feeling: Poor · 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: Throat stayed sore, diarrhea, little fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-03-12
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-17
Call 1 — Left Voicemail
2022-05-18
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-06-09
Dose 4 — Moderna
Co-administered: Shingles
2022-06-26
Survey response — day 14, dose 4
MedDRA: Arthralgia, Back pain, Office visit, Pelvic pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Reoccurring pain in lower right towards back hip area and pelvic area · Healthcare visit (other): Doctor visits

MedDRA releases: 2024-11 · check-in free text available
2022-06-26
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-06-28
Call 1 — Left Voicemail
2022-06-28
Call 2 — Left Voicemail
2022-06-28
Call 1 — Left Voicemail
2022-07-14
Survey response — day 35, dose 4
MedDRA: Asthenia, Fatigue, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigued, lack of energy, spasms in joints

MedDRA releases: 2024-11 · check-in free text available
2022-09-10
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-12-13
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Moderna
2	2021-03-11	Moderna
3	2021-11-17	Moderna	No
4	2022-06-09	Moderna	Shingles

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-11

Systemic reaction (other): No

Release 4 — days 1–6 daily, dose 1

2021-02-12

Systemic reaction (other): A funny feeling in my throat, needed water, and a throat lozenges

2021-02-13

Systemic reaction (other): Throat very dry. Needle pinch dry

2021-02-14

Systemic reaction (other): Throat mildly tender/ soreness

Release 7 — day 35, dose 2

2021-04-16

Symptoms: A mild gasped for breath. It come and go. Strong Headaches, Headaches goes away with Tylenol.

Release 9 — 3 months, dose 2

2021-06-10

Symptoms: I'm often fatigue. I have this creepy crawling feeling on my arms and face. I really can't pinpoint where its coming from.

Release 9 — 6 months, dose 2

2021-09-10

Symptoms: Persistent coughs, and a mild sore throat, comes and go throughout the day, but returns daily.

Release 11 — 12 months, dose 2

2022-03-12

Symptoms: Throat stayed sore, diarrhea, little fatigue

Release 12 — day 14, dose 4

2022-06-26

Symptoms: Reoccurring pain in lower right towards back hip area and pelvic area

Healthcare visit (other): Doctor visits

Release 12 — day 35, dose 4

2022-07-14

Symptoms: Fatigued, lack of energy, spasms in joints

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	Asthenia	·	·	✓
SD	Back pain	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Formication	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pelvic pain	·	·	✓
SD	Self-medication	✓	✓	✓
SRO	Dry throat	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Oropharyngeal discomfort	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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