4LA-93334-66372

3 vaccinations 6 coded responses 32 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 950 / CA
Registered: 2021-01-31

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

2021-01-31
Registered in v-safe
2021-01-31
Dose 1 — Moderna
2021-01-31
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-28
Dose 2 — Moderna
2021-02-28
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-03
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
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-14
Survey response — day 14, dose 2
MedDRA: Arthralgia, Myalgia, Tendon pain — Feeling: Fair · 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: joint, muscle and tendon/ligament pain is worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-21
Survey response — day 21, dose 2
MedDRA: Arthralgia, Fatigue, Myalgia — Feeling: Poor · 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: Extreme fatigue, continued joint pain and burning in muscles when I try light exercise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-29
Survey response — day 28, dose 2
MedDRA: Dizziness, Dyspnoea, Fatigue, Medical counselling, SARS-CoV-2 test — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fatigue us worse and breathing is labored and light headness. Doctor sent me for a covid test. Awaiting results

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — day 35, dose 2
MedDRA: Asthenia, Chest pain, Dizziness, Dyspnoea exertional — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Had chest pain, weakness and light headed. By end if week able to do 30 minute leisure walk but weak and winded if try longer. Prior to 2nd shot was doing daily brisk 3 mile walks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-11
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-02
Dose 3 — Janssen/Johnson & Johnson
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-07
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal discomfort, Chest discomfort, Dysgeusia, Neck pain — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Bad taste in mouth and upset stomach, neck pain and chest discomfort

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-25
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-10
Call 1 — Could Not Reach Participant
2022-01-13
Call 2 — Could Not Reach Participant
2022-01-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-04
Survey response — 3 months, dose 3
MedDRA: Headache, Hypertension — Feeling: Good

Free text: High blood pressure and headaches probably unrelated to vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-12-02
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-31	Moderna
2	2021-02-28	Moderna
3	2021-12-02	Janssen/Johnson & Johnson	No

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 14, dose 2

2021-03-14

Symptoms: joint, muscle and tendon/ligament pain is worse

Release 6 — day 21, dose 2

2021-03-21

Symptoms: Extreme fatigue, continued joint pain and burning in muscles when I try light exercise

Release 6 — day 28, dose 2

2021-03-29

Symptoms: Fatigue us worse and breathing is labored and light headness. Doctor sent me for a covid test. Awaiting results

Release 6 — day 35, dose 2

2021-04-05

Symptoms: Had chest pain, weakness and light headed. By end if week able to do 30 minute leisure walk but weak and winded if try longer. Prior to 2nd shot was doing daily brisk 3 mile walks.

Release 10 — days 1–6 daily, dose 3

2021-12-07

Systemic reaction (other): Bad taste in mouth and upset stomach, neck pain and chest discomfort

Release 11 — 3 months, dose 3

2022-03-04

Symptoms: High blood pressure and headaches probably unrelated to vaccine

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	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Dyspnoea exertional	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Hypertension	·	·	✓
SD	Medical counselling	✓	·	✓
SD	Myalgia	✓	✓	✓
SD	SARS-CoV-2 test	✓	·	✓
SD	Tendon pain	✓	✓	✓
SRO	Abdominal discomfort	·	·	✓
SRO	Chest discomfort	·	·	✓
SRO	Dysgeusia	·	·	✓
SRO	Neck pain	·	·	✓

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