4TP-10024-46882

4 vaccinations 16 coded responses 25 check-ins 16 free-text entries 13 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 907 / CA
Registered: 2021-04-26

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

2021-04-21
Dose 1 — Moderna
2021-04-26
Registered in v-safe
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Adult check-in
2021-04-26
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Survey response — day 7, dose 1
MedDRA: Adverse reaction, Emergency care — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Systemic reaction (other): I had to go to the hospital via 911 · Healthcare visit (other): Adverse effects from COVID-19 injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-05
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-12
Survey response — day 21, dose 1
MedDRA: Joint swelling, Peripheral swelling — 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: Swelling of left leg, ankle and foot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-19
Dose 2 — Moderna
2021-05-28
Survey response — day 7, dose 2
MedDRA: Peripheral swelling — Feeling: Fair · Site: Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site

Free text: Left leg and foot swelling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — day 14, dose 2
MedDRA: Pain in extremity, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Swelling and pain in my legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Survey response — day 21, dose 2
MedDRA: Joint swelling, Neck pain, Nodule, Pain, Peripheral swelling, Swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Left leg and Right Stump below the knee gets swollen also. Very painful and hard to. The swelling all started after I got my second Covid-19 injection. I also have pain and swelling in the back of the neck with swollen pea size nodules.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Survey response — day 28, dose 2
MedDRA: Lip pain, Oral herpes, Oral pustule, Peripheral swelling, Purulent discharge, Swelling — 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: Swelling of left leg and swelling of right stump swelling at the base of my neck and huge cold sore on the left side of my lower lip which hurts very painful and ozzing puss

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-18
Call 1 — Left Voicemail
2021-06-23
Call 2 — Could Not Reach Participant
2021-06-24
Survey response — day 35, dose 2
MedDRA: Mass, Neck mass, Office visit, Pain in extremity, Peripheral swelling — 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

Free text: Left leg still swollen I had to go see my PCP for pain to my leg and lumps in my neck and spine towards the middle of the back. She checked me and ordered Analgesic cream for my back and leg I am still waiting for it at pharmacy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
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)
2021-07-02
Call 1 — Could Not Reach Participant
2021-07-03
Survey response — day 42, dose 2
MedDRA: Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Microbial UTI

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-03
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-07
Call 1 — Could Not Reach Participant
2021-08-18
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Back pain, Neck pain, Pain, Self-injurious ideation — 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: Neck, lower lumbar, both elbows and body in general are doing terrible . I am in extreme pain all the time to the point where I think that hurting my self would be the solution, but I pray amen thank you

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-18
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)
2021-08-24
Call 1 — Could Not Reach Participant
2021-11-11
Dose 3 — Moderna
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Adult check-in
2021-11-17
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Fall, Joint injury, Rotator cuff syndrome — 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, Hospitalization

Free text: I fell and hurt my left knee and left rotator cuff hurts really bad as well.

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Report sent to call center — days 1–6 daily, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-11-17
Report sent to call center — 6 months, dose 2
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 · Hospitalization · 1 call case(s)
2021-11-18
Call 1 — Could Not Reach Participant
2021-11-22
Health check-in — day 7, dose 3
Feeling: Fair · Muscle or body aches

Adult check-in
2021-12-04
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-16
Survey response — day 35, dose 3
MedDRA: Anxiety, Office visit, Pain, Restlessness — 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: Symptoms: Restless high anxiety · Healthcare visit (other): Dr (b)(6) pain management

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Report sent to call center — day 35, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-25
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-10
Dose 4 — Moderna
2022-02-10
Health check-in — day 0, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2022-02-10
Survey response — 3 months, dose 3
MedDRA: Mental disorder — Feeling: Poor · Be unable to do your normal daily activities

Free text: Poor mental health issues

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Report sent to call center — day 0, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-13
Survey response — days 1–6 daily, dose 4
MedDRA: Ulcer — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Free text: Ulcers

MedDRA releases: 2024-11 · check-in free text available
2022-02-14
Call 1 — Could Not Reach Participant
2022-02-24
Survey response — day 14, dose 4
MedDRA: Staphylococcal infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Mursa left ankle

MedDRA releases: 2024-11 · check-in free text available
2022-03-03
Survey response — day 21, dose 4
MedDRA: Hospitalisation, Pre-existing disease, Staphylococcal infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Hospitalization

Free text: Mrsa on right ankle. I am in hospital since 2/22/22 on antibiotics Amen. I lost right leg to Mrsa 2018.

MedDRA releases: 2024-11 · check-in free text available
2022-03-03
Report sent to call center — day 21, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Hospitalization · 1 call case(s)
2022-03-04
Call 1 — Left Voicemail
2022-03-11
Survey response — day 28, dose 4
MedDRA: Pain in extremity — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Pain to extremities

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Report sent to call center — day 28, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2022-03-19
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-03-25
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-21	Moderna
2	2021-05-19	Moderna
3	2021-11-11	Moderna	No
4	2022-02-10	Moderna	No

Call center

13 call center cases

13 unsuccessful

See the call center timeline

Free text

Release 8 — day 7, dose 1

2021-04-28

Systemic reaction (other): I had to go to the hospital via 911

Healthcare visit (other): Adverse effects from COVID-19 injection

Release 8 — day 21, dose 1

2021-05-12

Symptoms: Swelling of left leg, ankle and foot

Release 8 — day 7, dose 2

2021-05-28

Systemic reaction (other): Left leg and foot swelling.

Release 8 — day 14, dose 2

2021-06-04

Symptoms: Swelling and pain in my legs

Release 9 — day 21, dose 2

2021-06-11

Symptoms: Left leg and Right Stump below the knee gets swollen also. Very painful and hard to. The swelling all started after I got my second Covid-19 injection. I also have pain and swelling in the back of the neck with swollen pea size nodules.

Release 9 — day 28, dose 2

2021-06-16

Symptoms: Swelling of left leg and swelling of right stump swelling at the base of my neck and huge cold sore on the left side of my lower lip which hurts very painful and ozzing puss

Release 9 — day 35, dose 2

2021-06-24

Symptoms: Left leg still swollen I had to go see my PCP for pain to my leg and lumps in my neck and spine towards the middle of the back. She checked me and ordered Analgesic cream for my back and leg I am still waiting for it at pharmacy.

Release 9 — day 42, dose 2

2021-07-03

Symptoms: Microbial UTI

Release 9 — 3 months, dose 2

2021-08-18

Symptoms: Neck, lower lumbar, both elbows and body in general are doing terrible . I am in extreme pain all the time to the point where I think that hurting my self would be the solution, but I pray amen thank you

Release 10 — 6 months, dose 2

2021-11-17

Symptoms: I fell and hurt my left knee and left rotator cuff hurts really bad as well.

Release 10 — day 35, dose 3

2021-12-16

Symptoms: Restless high anxiety

Healthcare visit (other): Dr (b)(6) pain management

redacted (b)(6)

Release 11 — 3 months, dose 3

2022-02-10

Symptoms: Poor mental health issues

Release 11 — days 1–6 daily, dose 4

2022-02-13

Systemic reaction (other): Ulcers

Release 11 — day 14, dose 4

2022-02-24

Symptoms: Mursa left ankle

Release 11 — day 21, dose 4

2022-03-03

Symptoms: Mrsa on right ankle. I am in hospital since 2/22/22 on antibiotics Amen. I lost right leg to Mrsa 2018.

Release 11 — day 28, dose 4

2022-03-11

Symptoms: Pain to extremities

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	Adverse reaction	✓	✓	✓
HCVO	Office visit	·	·	✓
HCVO	Pain	·	·	✓
SD	Anxiety	·	·	✓
SD	Arthralgia	✓	·	✓
SD	Back pain	✓	·	✓
SD	Fall	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Joint injury	·	·	✓
SD	Joint swelling	✓	✓	✓
SD	Lip pain	✓	✓	✓
SD	Mass	✓	✓	✓
SD	Mental disorder	·	·	✓
SD	Neck mass	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Nodule	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Oral herpes	✓	✓	✓
SD	Oral pustule	○	✓	○
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Purulent discharge	✓	·	✓
SD	Restlessness	·	·	✓
SD	Rotator cuff syndrome	·	·	✓
SD	Self-injurious ideation	✓	·	✓
SD	Staphylococcal infection	·	·	✓
SD	Swelling	✓	✓	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Ulcer	·	·	✓

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