3YT-32910-53827

3 vaccinations 7 coded responses 31 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 640 / MO
Registered: 2021-02-08

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

2021-02-05
Dose 1 — Moderna
2021-02-08
Registered in v-safe
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Hypertension — Feeling: Good · Site: Pain

Free text: High blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-08
Dose 2 — Moderna
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-22
Survey response — day 14, dose 2
MedDRA: Pain, Pain in extremity, Pain in jaw, Toothache — Feeling: Good

Free text: Unusual body ache in feet and teeth/jaw

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-24
Dose 3 — Moderna
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Obstructive airways disorder — Feeling: Good · Headache

Free text: Restricted sirway

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea — Feeling: Good

Free text: Shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-03
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-07
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
2021-11-21
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-28
Survey response — day 35, dose 3
MedDRA: Hypoaesthesia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: U am very active for my age, but since the booster shot my feet ache after I take my walking shoes off. My hands are numb during the day and worse at night. Both of these situations developed after the booster and seem to be getting worse

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Survey response — day 42, dose 3
MedDRA: Pain in extremity, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Pain in feet and gands · Healthcare visit (other): Appointment on 12/6

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-08
Call 1 — Left Voicemail
2022-01-23
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-24
Survey response — 6 months, dose 3
MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have pain in my feet that started after the booster and has come and gone ever since. Very painful the last couple of days.

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Moderna
2	2021-03-08	Moderna
3	2021-10-24	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): High blood pressure

Release 6 — day 14, dose 2

2021-03-22

Symptoms: Unusual body ache in feet and teeth/jaw

Release 10 — days 1–6 daily, dose 3

2021-10-27

Systemic reaction (other): Restricted sirway

2021-10-29

Systemic reaction (other): Shortness of breath

Release 10 — day 35, dose 3

2021-11-28

Symptoms: U am very active for my age, but since the booster shot my feet ache after I take my walking shoes off. My hands are numb during the day and worse at night. Both of these situations developed after the booster and seem to be getting worse

Release 10 — day 42, dose 3

2021-12-05

Symptoms: Pain in feet and gands

Healthcare visit (other): Appointment on 12/6

Release 11 — 6 months, dose 3

2022-04-24

Symptoms: I have pain in my feet that started after the booster and has come and gone ever since. Very painful the last couple of days.

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	Unevaluable event	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Toothache	✓	✓	✓
SRO	Dyspnoea	·	·	✓
SRO	Hypertension	✓	✓	✓
SRO	Obstructive airways disorder	·	·	✓

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