426-16277-87976

3 vaccinations 9 coded responses 34 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 211 / MD
Registered: 2021-01-19

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

2021-01-19
Registered in v-safe
2021-01-19
Dose 1 — Moderna
2021-01-19
Survey response — day 0, dose 1
MedDRA: Myalgia, Pain in extremity, Pre-existing disease — Feeling: Good · Muscle or body aches

Free text: Bicep muscles in my left arm are a bit sore. But I have a frozen right shoulder for which I am receiving PT, and the (injected) left arm is much less painful. I will leave my frozen right shoulder out when answering future questions..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Good · None

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

Adult check-in
2021-02-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-16
Dose 2 — Moderna
2021-02-16
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Loss of appetite, skipped usual breakfast as it didn't taste great

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Dehydration — Feeling: Good

Free text: Probably not related, but went to appointment to donate blood, they couldn't get good blood flow today. Maybe a bit dehydrated, despite drinking plenty of water..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Free text: Severe muscle spasms center back, but likely unrelated to vaccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-23
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-16
Survey response — day 28, dose 2
MedDRA: Condition aggravated, Muscle spasticity, Pre-existing disease, Rash — Feeling: Good

Free text: Preexisting condition -muscle spasms in mid-back. Has been worse than usual. Not related to vaccination.Light rash (very minor irritation) base of neck started after vaccination, still there.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-17
Survey response — 6 months, dose 2
MedDRA: Cough, Lower respiratory tract infection, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative, Secretion discharge — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Had a 1-week bout of runny nose, sore throat, mucousy lungs condition that evolved into 2-1/2 weeks of probable lower respiratory infection with persistent dry cough. No fever present, but went for negative OVID TEST during 1st week, just to be sure

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-02
Dose 3 — Moderna
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Body temperature decreased, Fatigue — Feeling: Fair · Joint pains · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Yesterday, I felt exhausted. My temp fell to 95 and 96.1 yesterday my, I'm back to 96.8 today

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Report sent to call center — days 1–6 daily, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Body temperature decreased — Feeling: Good · Joint pains

Free text: Sublingual basal temp 96.5, normal is 97.5

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-10
Call 1 — Left Voicemail
2021-11-11
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-01
Survey response — 3 months, dose 3
MedDRA: Influenza virus test positive, SARS-CoV-2 test, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, 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: Tested positive for flu B this morning. Negative COVID rapid test, however. PCR test is still pending.

MedDRA releases: 2024-11 · check-in free text available
2022-02-01
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-03
Call 1 — Left Voicemail
2022-05-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Moderna
2	2021-02-16	Moderna
3	2021-11-02	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-19

Systemic reaction (other): Bicep muscles in my left arm are a bit sore. But I have a frozen right shoulder for which I am receiving PT, and the (injected) left arm is much less painful. I will leave my frozen right shoulder out when answering future questions..

Release 4 — days 1–6 daily, dose 2

2021-02-17

Systemic reaction (other): Loss of appetite, skipped usual breakfast as it didn't taste great

2021-02-19

Systemic reaction (other): Probably not related, but went to appointment to donate blood, they couldn't get good blood flow today. Maybe a bit dehydrated, despite drinking plenty of water..

2021-02-21

Systemic reaction (other): Severe muscle spasms center back, but likely unrelated to vaccination

Release 5 — day 28, dose 2

2021-03-16

Symptoms: Preexisting condition -muscle spasms in mid-back. Has been worse than usual. Not related to vaccination.Light rash (very minor irritation) base of neck started after vaccination, still there.

Release 9 — 6 months, dose 2

2021-08-17

Symptoms: Had a 1-week bout of runny nose, sore throat, mucousy lungs condition that evolved into 2-1/2 weeks of probable lower respiratory infection with persistent dry cough. No fever present, but went for negative OVID TEST during 1st week, just to be sure cut off by CDC

Release 10 — days 1–6 daily, dose 3

2021-11-05

Systemic reaction (other): Yesterday, I felt exhausted. My temp fell to 95 and 96.1 yesterday my, I'm back to 96.8 today

2021-11-06

Systemic reaction (other): Sublingual basal temp 96.5, normal is 97.5

Release 11 — 3 months, dose 3

2022-02-01

Symptoms: Tested positive for flu B this morning. Negative COVID rapid test, however. PCR test is still pending.

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	Condition aggravated	✓	·	✓
SD	Cough	✓	·	✓
SD	Influenza virus test positive	·	·	✓
SD	Lower respiratory tract infection	✓	·	✓
SD	Muscle spasticity	○	✓	○
SD	Oropharyngeal pain	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rhinorrhoea	✓	·	✓
SD	SARS-CoV-2 test	·	·	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SD	Secretion discharge	✓	·	✓
SRO	Body temperature decreased	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dehydration	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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