3TX-24096-35262

2 vaccinations 10 coded responses 22 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 105 / NY
Registered: 2021-04-30

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

2021-04-30
Registered in v-safe
2021-04-30
Dose 1 — Moderna
2021-04-30
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-05-02
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Fair · Site: Pain, Swelling · Be unable to do your normal daily activities

Free text: Its very painful when I lift my arm up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2021-05-04
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma, Hypersensitivity, Pre-existing disease — Feeling: Good · Site: Pain · Be unable to do your normal daily activities

Free text: I had a very bad flare up of my allergy asthma, .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-05-14
Survey response — day 14, dose 1
MedDRA: Cough, Dyspnoea, Rhinorrhoea — Feeling: Fair

Free text: Coughing, runny nose,breathing problem

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — day 21, dose 1
MedDRA: Hypersensitivity, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Flare up of Allergy · Healthcare visit (other): Allergy Asthma & Immunology Doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-28
Dose 2 — Moderna
2021-05-28
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-05-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-06-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Abdominal pain

Adult check-in
2021-06-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-06-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-06-04
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Headache, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-06-11
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-18
Survey response — day 21, dose 2
MedDRA: Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: OnTuesday and Wednesday I had a bad muscle Spasms from my upper legs going down in my feet, in both.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Survey response — day 28, dose 2
MedDRA: Myalgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: I had been getting muscle contract pain in in both feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Survey response — day 35, dose 2
MedDRA: Muscle spasms, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Pain and cramps in my two legs and feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Survey response — day 42, dose 2
MedDRA: Peripheral swelling — Feeling: Good · Be unable to do your normal daily activities

Free text: I notice my feet got a little swollen which comes and go, and I am still getting muscle pain in my feet as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-27
Survey response — 3 months, dose 2
MedDRA: Muscle contractions involuntary, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: I had be getting muscle contract very often in my legs and feet , sometimes it bothers me that if Iam doing something I have to stop what I am doing until I get ease from the payment , because it is painful

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-05-11
Call 1 — Left Voicemail
2022-05-28
Survey response — 12 months, dose 2
MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I am now positive with Covid-19

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-30	Moderna
2	2021-05-28	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-02

Systemic reaction (other): Its very painful when I lift my arm up

2021-05-04

Systemic reaction (other): I had a very bad flare up of my allergy asthma, .

Release 8 — day 14, dose 1

2021-05-14

Symptoms: Coughing, runny nose,breathing problem

Release 8 — day 21, dose 1

2021-05-21

Symptoms: Flare up of Allergy

Healthcare visit (other): Allergy Asthma & Immunology Doctor

Release 9 — day 21, dose 2

2021-06-18

Symptoms: OnTuesday and Wednesday I had a bad muscle Spasms from my upper legs going down in my feet, in both.

Release 9 — day 28, dose 2

2021-06-27

Symptoms: I had been getting muscle contract pain in in both feet

Release 9 — day 35, dose 2

2021-07-06

Symptoms: Pain and cramps in my two legs and feet

Release 9 — day 42, dose 2

2021-07-09

Symptoms: I notice my feet got a little swollen which comes and go, and I am still getting muscle pain in my feet as well.

Release 9 — 3 months, dose 2

2021-08-27

Symptoms: I had be getting muscle contract very often in my legs and feet , sometimes it bothers me that if Iam doing something I have to stop what I am doing until I get ease from the payment , because it is painful

Release 11 — 12 months, dose 2

2022-05-28

Symptoms: I am now positive with Covid-19

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	Hypersensitivity	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Muscle contractions involuntary	✓	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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