4LM-26389-25180

4 vaccinations 8 coded responses 23 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 810 / CO
Registered: 2021-02-12

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
Dose 1 — Moderna
2021-02-11
Dose 2 — Moderna
2021-02-12
Registered in v-safe
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Myalgia, Nausea — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Muscle body aches severe yesterday and nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body aches

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Redness · Nausea

Adult check-in
2021-02-25
Survey response — day 14, dose 2
MedDRA: Insomnia, Nasal discomfort, Throat irritation, Tongue discomfort — Feeling: Fair

Free text: nose and throat irritated and burning tongue for a couple of days. only 4 hours of sleep last night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-12
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
Survey response — day 42, dose 2
MedDRA: Asthenia — Feeling: Good

Free text: Weakness in legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
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
2021-11-01
Dose 3 — Moderna
2022-02-11
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-11
Dose 4 — Moderna
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-05-21
Health check-in — day 7, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-05-26
Survey response — day 14, dose 4
MedDRA: Dysstasia, Gait disturbance, Myalgia — Feeling: Fair

Free text: Muscle aches in his. Hard to walk and get up and down from chairs and car seats.

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-08
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-16
Survey response — day 35, dose 4
MedDRA: Peripheral swelling — Feeling: Fair

Free text: Swelling of feet

MedDRA releases: 2024-11 · check-in free text available
2022-06-22
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-10
Survey response — 3 months, dose 4
MedDRA: Asthenia, Muscular weakness, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Legs and body weakness · Healthcare visit (other): Primary Care appt for stress echo no

MedDRA releases: 2024-11 · check-in free text available
2022-08-10
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-08-11
Call 2 — Left Voicemail
2022-11-10
Survey response — 6 months, dose 4
MedDRA: Cardiac disorder, Cardiac failure, Cardiac operation, Muscular weakness — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Heart problems with heart procedure and leg weakness · Healthcare visit (other): Outpatient procedure for heart failure.

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-11
Call 2 — Left Voicemail
2023-05-11
Survey response — 12 months, dose 4
MedDRA: Cardiac disorder, Cardiac failure, Cardiac pacemaker insertion, Cardiac resynchronisation therapy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-05-11
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2023-05-12
Call 1 — Left Voicemail
2023-05-12
Call 1 — Left Voicemail
2023-05-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna
3	2021-11-01	Moderna	No
4	2022-05-11	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): Muscle body aches severe yesterday and nausea

Release 4 — day 14, dose 2

2021-02-25

Symptoms: nose and throat irritated and burning tongue for a couple of days. only 4 hours of sleep last night.

Release 6 — day 42, dose 2

2021-03-25

Symptoms: Weakness in legs

Release 11 — day 14, dose 4

2022-05-26

Symptoms: Muscle aches in his. Hard to walk and get up and down from chairs and car seats.

Release 12 — day 35, dose 4

2022-06-16

Symptoms: Swelling of feet

Release 12 — 3 months, dose 4

2022-08-10

Symptoms: Legs and body weakness

Healthcare visit (other): Primary Care appt for stress echo no

Release 12 — 6 months, dose 4

2022-11-10

Symptoms: Heart problems with heart procedure and leg weakness

Healthcare visit (other): Outpatient procedure for heart failure.

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	Cardiac disorder	·	·	✓
HCVO	Cardiac failure	·	·	✓
HCVO	Cardiac operation	·	·	✓
HCVO	Cardiac resynchronisation therapy	·	·	✓
HCVO	Office visit	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Cardiac disorder	·	·	✓
SD	Cardiac failure	·	·	✓
SD	Cardiac operation	·	·	✓
SD	Cardiac pacemaker insertion	·	·	✓
SD	Dysstasia	·	·	✓
SD	Gait disturbance	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Muscular weakness	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasal discomfort	✓	✓	✓
SD	Peripheral swelling	·	·	✓
SD	Throat irritation	✓	✓	✓
SD	Tongue discomfort	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Nausea	✓	✓	✓

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