4V2-28455-49650

2 vaccinations 11 coded responses 26 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 347 / FL
Registered: 2021-02-15

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

2021-02-15
Registered in v-safe
2021-02-15
Dose 1 — Moderna
2021-02-15
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea

Adult check-in
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Fatigue or tiredness, Nausea

Adult check-in
2021-02-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-01
Survey response — day 14, dose 1
MedDRA: Erythema, Fatigue, Headache, Muscle spasms, Pruritus, Swelling — Feeling: Fair

Free text: Rednesses and swelling and itching that woke me up many times came back. It had finally gone away a week after the shot, then this happened a couple days later. Leg cramps that at times are severe came on recently. Some fatigue & headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-15
Dose 2 — Moderna
2021-03-15
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen and sore gland

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Heart rate is back to normal and oxygen levels back to normal too. Armpit lymph node is better today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Headache, Fatigue or tiredness

Free text: Lymph node still swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Wheezing — Feeling: Good · Headache, Fatigue or tiredness

Free text: Wheezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Wheezing — Feeling: Poor · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Wheezing and chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — day 7, dose 2
MedDRA: Chest discomfort, Wheezing — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still wheezing, chest tightness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — day 14, dose 2
MedDRA: Asthma, Emergency care — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I ended up in the er with an asthma exacerbation. Not sure if related to the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
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)
2021-04-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-12
Survey response — day 28, dose 2
MedDRA: Arthralgia, Asthma prophylaxis, Emergency care, Muscle spasms — Feeling: Good · Be unable to do your normal daily activities

Free text: Muscle cramps and severe joint pain in right knee and right back ankle. In case I forgot to mention, had an asthma exacerbation resulting in ER visit 3/29/21

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 35, dose 2
MedDRA: Cough, Wheezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Wheezing worse since vaccine. Comes and goes. Cough periodically. Been tested but not covid.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-16
Call 1 — Could Not Reach Participant
2022-03-17
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-15	Moderna
2	2021-03-15	Moderna

Call center

1 call center case

1 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

2021-02-18

Systemic reaction (other): Sore throat

Release 4 — day 14, dose 1

2021-03-01

Symptoms: Rednesses and swelling and itching that woke me up many times came back. It had finally gone away a week after the shot, then this happened a couple days later. Leg cramps that at times are severe came on recently. Some fatigue & headache

Release 5 — days 1–6 daily, dose 2

2021-03-17

Systemic reaction (other): Swollen and sore gland

2021-03-18

Systemic reaction (other): Heart rate is back to normal and oxygen levels back to normal too. Armpit lymph node is better today.

2021-03-19

Systemic reaction (other): Lymph node still swollen

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Wheezing

2021-03-21

Systemic reaction (other): Wheezing and chest pain

Release 6 — day 7, dose 2

2021-03-22

Systemic reaction (other): Still wheezing, chest tightness

Release 6 — day 14, dose 2

2021-03-29

Symptoms: I ended up in the er with an asthma exacerbation. Not sure if related to the shot.

Release 7 — day 28, dose 2

2021-04-12

Symptoms: Muscle cramps and severe joint pain in right knee and right back ankle. In case I forgot to mention, had an asthma exacerbation resulting in ER visit 3/29/21

Release 7 — day 35, dose 2

2021-04-19

Symptoms: Wheezing worse since vaccine. Comes and goes. Cough periodically. Been tested but not covid.

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	Asthma	✓	✓	✓
SD	Asthma prophylaxis	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Wheezing	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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