44D-72841-59928

3 vaccinations 9 coded responses 29 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 288 / NC
Registered: 2021-01-22

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

2021-01-20
Dose 1 — Moderna
2021-01-22
Registered in v-safe
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · 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
2021-01-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Survey response — day 14, dose 1
MedDRA: Erythema — Feeling: Good

Free text: Covid arm - red, raised, itchy, size of playing card, began on day 8, lasted 3-4 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-22
Dose 2 — Moderna
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache

Free text: Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — day 7, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-03-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-29
Survey response — day 35, dose 2
MedDRA: Pain, Pain in extremity — Feeling: Fair

Free text: Sore legs with walking

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — day 42, dose 2
MedDRA: Arthritis, Gait disturbance, Plantar fasciitis, Pre-existing disease — Feeling: Good

Free text: Arthritis in hand and knee intensified. Doubt if its related.Plantar fasciitis - for no apparent reason. Intense when first begin walking.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — 3 months, dose 2
MedDRA: Face injury, Jaw disorder, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Jaw damage · Healthcare visit (other): In office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-24
Survey response — 6 months, dose 2
MedDRA: Cough, Laryngitis, Nasopharyngitis, Office visit, Respiratory tract congestion — Feeling: Fair · 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: Symptoms: Am in the midst of a 2-week cold. Congestion head and chest, laryngitis, cough · Healthcare visit (other): Doctor office

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-24
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-25
Call 1 — Left Voicemail
2021-10-22
Dose 3 — Moderna
2021-11-01
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-21
Survey response — 3 months, dose 3
MedDRA: Back pain — Feeling: Fair

Free text: Lower back ache

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Survey response — 6 months, dose 3
MedDRA: Abdominal pain, Back pain — Feeling: Poor

Free text: Abdominal pain, low back pain.

MedDRA releases: 2024-11 · check-in free text available
2022-10-22
Survey response — 12 months, dose 3
MedDRA: Arthralgia, Back pain, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Hip and lower back pain. · Healthcare visit (other): Hinge Health - offered through my Aetna Medicare

MedDRA releases: 2024-11 · check-in free text available
2022-10-22
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-22	Moderna
3	2021-10-22	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-03

Symptoms: Covid arm - red, raised, itchy, size of playing card, began on day 8, lasted 3-4 days

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): Headache

Release 6 — day 35, dose 2

2021-03-29

Symptoms: Sore legs with walking

Release 6 — day 42, dose 2

2021-04-05

Symptoms: Arthritis in hand and knee intensified. Doubt if its related.Plantar fasciitis - for no apparent reason. Intense when first begin walking.

Release 8 — 3 months, dose 2

2021-05-24

Symptoms: Jaw damage

Healthcare visit (other): In office

Release 9 — 6 months, dose 2

2021-08-24

Symptoms: Am in the midst of a 2-week cold. Congestion head and chest, laryngitis, cough

Healthcare visit (other): Doctor office

Release 11 — 3 months, dose 3

2022-01-21

Symptoms: Lower back ache

Release 11 — 6 months, dose 3

2022-04-22

Symptoms: Abdominal pain, low back pain.

Release 12 — 12 months, dose 3

2022-10-22

Symptoms: Hip and lower back pain.

Healthcare visit (other): Hinge Health - offered through my Aetna Medicare

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	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Abdominal pain	·	·	✓
SD	Arthralgia	·	·	✓
SD	Arthritis	✓	✓	✓
SD	Back pain	·	·	✓
SD	Cough	✓	·	✓
SD	Erythema	✓	✓	✓
SD	Face injury	✓	✓	○
SD	Gait disturbance	✓	✓	✓
SD	Jaw disorder	·	·	✓
SD	Laryngitis	✓	·	✓
SD	Nasopharyngitis	✓	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Plantar fasciitis	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	✓	·	✓
SRO	Headache	✓	✓	✓

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