45J-22032-11790

2 vaccinations 7 coded responses 17 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 434 / OH
Registered: 2021-01-14

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Survey response — day 0, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I don't think these symptoms are related to the vaccine. I feel like this everyday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Injection site warmth — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Headache still there but not as bad. Injection site still slightly warm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site warmth — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Injection site has been warm to the touch, but not quite as bad today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Skin warm — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: No warmth today at injection site, I may have neglected to mention this on the past questionnaires. Was warm to the touch every day prior to today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — day 7, dose 1
MedDRA: Arthralgia, Fatigue, Injection site pain, Pain, Pain in extremity — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: The pain in my arm has pretty much subsided, unless it's bumped at the injection site. Joint pain, body aches have decreased, still there, am still fatigued

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-18
Survey response — day 7, dose 2
MedDRA: Chills, Headache, Pain, Pyrexia — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Be unable to work, Be unable to do your normal daily activities

Free text: Nothing today, one week after the shot. But the day of and two days after, I had a fever of 101. Horrible body aches,. Chills. Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-11
Survey response — 12 months, dose 2
MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultation

Free text: Covid

MedDRA releases: 2024-11 · check-in free text available
2022-02-11
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-14
Call 1 — Could Not Reach Participant
2022-02-17
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna

Call center

3 call center cases

1 successful · 2 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-14

Systemic reaction (other): I don't think these symptoms are related to the vaccine. I feel like this everyday

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): Headache still there but not as bad. Injection site still slightly warm

2021-01-18

Systemic reaction (other): Injection site has been warm to the touch, but not quite as bad today

2021-01-19

Systemic reaction (other): No warmth today at injection site, I may have neglected to mention this on the past questionnaires. Was warm to the touch every day prior to today

Release 2 — day 7, dose 1

2021-01-21

Systemic reaction (other): The pain in my arm has pretty much subsided, unless it's bumped at the injection site. Joint pain, body aches have decreased, still there, am still fatigued

Release 4 — day 7, dose 2

2021-02-18

Systemic reaction (other): Nothing today, one week after the shot. But the day of and two days after, I had a fever of 101. Horrible body aches,. Chills. Headache

Release 11 — 12 months, dose 2

2022-02-11

Symptoms: Covid

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	COVID-19	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Skin warm	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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