3UJ-27035-29786

5 vaccinations 6 coded responses 34 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 810 / CO
Registered: 2021-01-09

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-09
Registered in v-safe
2021-01-09
Dose 1 — Moderna
2021-01-09
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: None

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: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-31
Survey response — day 21, dose 1
MedDRA: Dizziness, Flushing, Headache, Pyrexia — Feeling: Fair

Free text: Had a cortisone shot on left wrist. I am allergic to prednisone, but now Im experiencing headache constantly and some dizziness. Dont t ink related to the vaccine. I had cortisone shot once before with no reaction. Face is flushed slightt temp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Dose 2 — Moderna
2021-02-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-06
Survey response — day 28, dose 2
MedDRA: Cough, Rhinorrhoea — Feeling: Fair

Free text: Nose running and coughing. I think allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-21
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-04-15
Pregnancy registry survey
Not pregnant at or since vaccination ·
2021-05-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Dose 3 — Moderna
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-01
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-28
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-24
Survey response — 3 months, dose 3
MedDRA: Cough, Headache, Paranasal sinus discomfort, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Sinus pressure headache, runny nose and cough in AM

MedDRA releases: 2024-11 · check-in free text available
2022-03-16
Dose 4 — Pfizer-BioNTech
2022-04-25
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Knee operation, Tenolysis, Trigger finger — Feeling: Good · 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: Right knee pain and left hand 'trigger finger'. Needing surgery in both areas

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-27
Call 1 — Left Voicemail
2022-09-06
Dose 5 — Moderna
Co-administered: Flu
2022-09-17
Health check-in — day 7, dose 5
Feeling: Fair · Site: Pain · Fever · Chills, Headache

Adult check-in
2022-09-20
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-09-27
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-04
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-10-11
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-08
Survey response — 3 months, dose 5
MedDRA: Complication associated with device, Cough, Joint stiffness, Medical device pain, Pain, Pre-existing disease, Respiratory tract congestion, Sinonasal obstruction, Sneezing — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Coughing sneezing stuffiness with blocked nasal passages body aches, my newly replaced knee stiff and hurting

MedDRA releases: 2024-11 · check-in free text available
2022-12-08
Report sent to call center — 3 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-09
Call 2 — Left Voicemail
2022-12-09
Call 1 — Left Voicemail
2023-03-07
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-09	Moderna
2	2021-02-06	Moderna
3	2021-10-22	Moderna	No
4	2022-03-16	Pfizer-BioNTech	No
5	2022-09-06	Moderna	Flu

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-09

Systemic reaction (other): None

Release 3 — day 21, dose 1

2021-01-31

Symptoms: Had a cortisone shot on left wrist. I am allergic to prednisone, but now Im experiencing headache constantly and some dizziness. Dont t ink related to the vaccine. I had cortisone shot once before with no reaction. Face is flushed slightt temp

Release 5 — day 28, dose 2

2021-03-06

Symptoms: Nose running and coughing. I think allergies

Release 11 — 3 months, dose 3

2022-01-24

Symptoms: Sinus pressure headache, runny nose and cough in AM

Release 11 — 6 months, dose 3

2022-04-25

Symptoms: Right knee pain and left hand 'trigger finger'. Needing surgery in both areas

Release 12 — 3 months, dose 5

2022-12-08

Symptoms: Coughing sneezing stuffiness with blocked nasal passages body aches, my newly replaced knee stiff and hurting

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	Complication associated with device	·	·	✓
SD	Cough	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Flushing	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Joint stiffness	·	·	✓
SD	Knee operation	·	·	✓
SD	Medical device pain	·	·	✓
SD	Pain	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sinonasal obstruction	·	·	✓
SD	Sneezing	·	·	✓
SD	Tenolysis	·	·	✓
SD	Trigger finger	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Unevaluable event	○	○	○

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