47P-27884-32941

2 vaccinations 8 coded responses 17 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 463 / IN
Registered: 2021-01-06

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2021-01-06
Registered in v-safe
2021-01-06
Dose 1 — Moderna
2021-01-06
Survey response — day 0, dose 1
MedDRA: Tinnitus — Feeling: Good

Free text: Ears are ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Joint pains

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-08
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-01-15
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-20
Survey response — day 14, dose 1
MedDRA: Herpes zoster, Office visit, Rash, Rash erythematous, Rash pruritic, Rash vesicular — Feeling: Poor · Be unable to work, 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: Shingles have developed starting on 1/14 and diagnosed on 1/18. Rash is red, only on rt. Side lower abdomen, very painful &itchy @ times contains fluid filled blisters. · Healthcare visit (other): visit to my NP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-27
Survey response — day 21, dose 1
MedDRA: Herpes zoster, Rash pruritic — Feeling: Good · Be unable to work

Free text: Still have blistered shingles, but they are much less painful & more pruritis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Dose 2 — Moderna
2021-02-10
Survey response — day 7, dose 2
MedDRA: Lymphadenitis — Feeling: Fair · Headache · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Lymph nodes & small area of breast tissue, 11mm lung node all show inflammation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-03-10
Survey response — day 35, dose 2
MedDRA: Arthralgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Knees/joint pain · Healthcare visit (other): Dr. Appointment-order for MRI & consult with ortho dr.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-17
Survey response — day 42, dose 2
MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Joints-especially knees ache more

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — 3 months, dose 2
MedDRA: Dyspnoea, Muscle spasms — 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: Dyspnia, leg cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
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)
2021-05-06
Call 1 — Left Voicemail
2021-08-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-03
Survey response — 12 months, dose 2
MedDRA: Conjunctivitis, Cough, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activities

Free text: Sinus & chest congestion, cough, pinkeye

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-03	Moderna

Call center

5 call center cases

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

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-06

Systemic reaction (other): Ears are ringing

Release 2 — day 14, dose 1

2021-01-20

Symptoms: Shingles have developed starting on 1/14 and diagnosed on 1/18. Rash is red, only on rt. Side lower abdomen, very painful &itchy @ times contains fluid filled blisters.

Healthcare visit (other): visit to my NP

Release 2 — day 21, dose 1

2021-01-27

Symptoms: Still have blistered shingles, but they are much less painful & more pruritis.

Release 4 — day 7, dose 2

2021-02-10

Systemic reaction (other): Lymph nodes & small area of breast tissue, 11mm lung node all show inflammation

Release 5 — day 35, dose 2

2021-03-10

Symptoms: Knees/joint pain

Healthcare visit (other): Dr. Appointment-order for MRI & consult with ortho dr.

Release 5 — day 42, dose 2

2021-03-17

Symptoms: Joints-especially knees ache more

Release 8 — 3 months, dose 2

2021-05-05

Symptoms: Dyspnia, leg cramps

Release 11 — 12 months, dose 2

2022-02-03

Symptoms: Sinus & chest congestion, cough, pinkeye

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	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Conjunctivitis	·	·	✓
SD	Cough	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Herpes zoster	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Rash vesicular	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Lymphadenitis	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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