4MJ-10075-86474

4 vaccinations 8 coded responses 29 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 958 / CA
Registered: 2021-04-02

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Registered dependents

6WD-94035-35811 Child or adolescent in my care · Male · 2022-06-24

Timeline

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

2021-03-30
Dose 1 — Moderna
2021-04-02
Registered in v-safe
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Good

Free text: Back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 7, dose 1
MedDRA: Back pain — Feeling: Good · Chills

Free text: slight backache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 14, dose 1
MedDRA: Back pain, Myalgia — Feeling: Good

Free text: Consistent back pain. More like right side back muscle pain. It bothers me enough to care but not enough to not work since Im teleworking

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-27
Dose 2 — Moderna
2021-04-27
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain, Snoring — Feeling: Good

Free text: Sore throat. But not sure if its because of vaccine or snoring

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-04
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-18
Survey response — day 21, dose 2
MedDRA: Back pain — Feeling: Fair

Free text: Random backache around back of the rib cage. Like I pulled rib cage muscle.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-28
Survey response — 3 months, dose 2
MedDRA: Cough, Productive cough — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Cough with phlegm that will not go away (its been 5+ weeks). X-ray doesnt show any issue and antibiotics dont work.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-28
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-09
Call 1 — Left Voicemail
2021-10-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-26
Dose 3 — Moderna
2022-04-27
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-09-22
Dose 4 — Moderna
2022-09-22
Survey response — day 0, dose 4
MedDRA: Pharyngeal swelling — Feeling: Fair

Free text: Minor throat swelling

MedDRA releases: 2024-11 · check-in free text available
2022-09-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-09-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-09-29
Health check-in — day 7, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-10-08
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-29
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-05
Survey response — day 42, dose 4
MedDRA: Back pain, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Backache · Healthcare visit (other): Went to go see chiropractor

MedDRA releases: 2024-11 · check-in free text available
2022-11-05
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-07
Call 2 — Left Voicemail
2022-11-07
Call 1 — Left Voicemail
2022-12-22
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Moderna
2	2021-04-27	Moderna
3	2021-11-26	Moderna	No
4	2022-09-22	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-05

Systemic reaction (other): Back pain

Release 7 — day 7, dose 1

2021-04-06

Systemic reaction (other): slight backache

Release 7 — day 14, dose 1

2021-04-13

Symptoms: Consistent back pain. More like right side back muscle pain. It bothers me enough to care but not enough to not work since Im teleworking

Release 8 — days 1–6 daily, dose 2

2021-04-29

Systemic reaction (other): Sore throat. But not sure if its because of vaccine or snoring

Release 8 — day 21, dose 2

2021-05-18

Symptoms: Random backache around back of the rib cage. Like I pulled rib cage muscle.

Release 9 — 3 months, dose 2

2021-07-28

Symptoms: Cough with phlegm that will not go away (its been 5+ weeks). X-ray doesnt show any issue and antibiotics dont work.

Release 12 — day 0, dose 4

2022-09-22

Systemic reaction (other): Minor throat swelling

Release 12 — day 42, dose 4

2022-11-05

Symptoms: Backache

Healthcare visit (other): Went to go see chiropractor

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	Back pain	✓	✓	✓
SD	Cough	✓	·	✓
SD	Myalgia	✓	✓	✓
SD	Productive cough	✓	·	✓
SRO	Back pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pharyngeal swelling	·	·	✓
SRO	Snoring	✓	✓	✓

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