4GY-31504-08705

4 vaccinations 11 coded responses 41 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 730 / OK
Registered: 2021-02-24

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-22
Dose 1 — Moderna
2021-02-24
Registered in v-safe
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: Arthritis — Feeling: Fair · Joint pains, Muscle or body aches

Free text: Arthritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

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

Adult check-in
2021-03-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Survey response — day 14, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-22
Dose 2 — Moderna
2021-03-22
Health check-in — day 0, dose 2
Feeling: Fair · Headache

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: Arthritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Survey response — day 7, dose 2
MedDRA: Arthritis — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: arthritis right hip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-12
Survey response — day 21, dose 2
MedDRA: Headache, Somnolence — Feeling: Fair

Free text: Headache today. Little drowsy.Was able to get job done today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 28, dose 2
MedDRA: Escherichia infection, Pre-existing disease, Thrombosis — Feeling: Fair · Be unable to work

Free text: I developed a bld clot, have a history also E. coli . Doing better today. Have change in my bld pressure med.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 35, dose 2
MedDRA: Thrombosis, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: I have blood clot in my right arm and blood thinner has changed to injections 2 x a day. · Healthcare visit (other): Followup@ kidney center

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-03
Survey response — day 42, dose 2
MedDRA: Arthralgia, Dry eye, Fatigue — Feeling: Poor

Free text: Very tired today, joints hurts eyes dry.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-15
Dose 3 — Moderna
Co-administered: Flu:Other
2021-09-20
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-28
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-15
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2021-12-29
Call 2 — Left Voicemail
2022-03-16
Survey response — 6 months, dose 3
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good

Free text: Thingy, numbness in my extremities sometimes.

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Dose 4 — Moderna
2022-05-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-05-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2022-05-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains, Diarrhea

Adult check-in
2022-05-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2022-05-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2022-05-28
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-02
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-09
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-16
Survey response — day 28, dose 4
MedDRA: Arthralgia, Musculoskeletal stiffness — Feeling: Good

Free text: Right shoulder. High near neck is sore, stiff .

MedDRA releases: 2024-11 · check-in free text available
2022-06-25
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-30
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-18
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-17
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-19
Survey response — 12 months, dose 4
MedDRA: Arthralgia, Plantar fasciitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-05-19
Report sent to call center — 12 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2023-05-22
Call 1 — Left Voicemail
2023-05-22
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-22	Moderna
2	2021-03-22	Moderna
3	2021-09-15	Moderna	Flu:Other
4	2022-05-19	Moderna	No

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-25

Systemic reaction (other): Arthritis

Release 5 — day 14, dose 1

2021-03-08

Symptoms: Sore throat

Release 6 — days 1–6 daily, dose 2

2021-03-25

Systemic reaction (other): Arthritis

Release 6 — day 7, dose 2

2021-03-29

Systemic reaction (other): arthritis right hip

Release 7 — day 21, dose 2

2021-04-12

Symptoms: Headache today. Little drowsy.Was able to get job done today.

Release 7 — day 28, dose 2

2021-04-19

Symptoms: I developed a bld clot, have a history also E. coli . Doing better today. Have change in my bld pressure med.

Release 8 — day 35, dose 2

2021-04-26

Symptoms: I have blood clot in my right arm and blood thinner has changed to injections 2 x a day.

Healthcare visit (other): Followup@ kidney center

Release 8 — day 42, dose 2

2021-05-03

Symptoms: Very tired today, joints hurts eyes dry.

Release 11 — 6 months, dose 3

2022-03-16

Symptoms: Thingy, numbness in my extremities sometimes.

Release 12 — day 28, dose 4

2022-06-16

Symptoms: Right shoulder. High near neck is sore, stiff .

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	Arthralgia	✓	✓	✓
SD	Dry eye	✓	✓	✓
SD	Escherichia infection	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Paraesthesia	·	·	✓
SD	Plantar fasciitis	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Somnolence	✓	✓	✓
SD	Thrombosis	✓	✓	✓
SRO	Arthritis	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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