4VM-22130-50450

5 vaccinations 15 coded responses 38 check-ins 14 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 297 / SC
Registered: 2021-03-21

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

2021-03-19
Dose 1 — Moderna
2021-03-21
Registered in v-safe
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good

Free text: Soreness at injection site 24 hours after injection improvement today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Good

Free text: I have RA and more joint pain do not believe due to vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Influenza — Feeling: Fair · Nausea · Be unable to do your normal daily activities

Free text: Like flu symptoms ?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 7, dose 1
MedDRA: Malaise — Feeling: Poor · Headache, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Free text: Have been Very ill for 24 hourd

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-09
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-16
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-20
Dose 2 — Moderna
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Fatigue or tiredness

Free text: I have RA fatigue and vac has intensified but OK

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-05-04
Survey response — day 14, dose 2
MedDRA: Pre-existing disease, Rheumatoid arthritis, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: RA more joints more swollen painful May not be from vaccine? · Healthcare visit (other): Increase in prednisone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-11
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-18
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-25
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-01
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-22
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-14
Dose 3 — Moderna
2021-10-22
Survey response — 6 months, dose 2
MedDRA: Weight decreased — Feeling: Fair

Free text: Weight loss 14-15 pounds Having tests etc

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-02-12
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-03-02
Dose 4 — Moderna
2022-04-14
Survey response — day 42, dose 4
MedDRA: Adverse drug reaction — 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: Reactions to a new medication Simponi Aria

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
Report sent to call center — day 42, 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)
2022-04-20
Call 1 — Left Voicemail
2022-06-03
Survey response — 3 months, dose 4
MedDRA: Gastrointestinal disorder, Weight decreased — Feeling: Fair

Free text: GI issues Weight loss

MedDRA releases: 2024-11 · check-in free text available
2022-08-31
Survey response — 6 months, dose 4
MedDRA: Dysphonia, Dyspnoea exertional — Feeling: Fair

Free text: More hoarseness SOB when swimming

MedDRA releases: 2024-11 · check-in free text available
2022-10-26
Dose 5 — Moderna
2022-10-27
Survey response — days 1–6 daily, dose 5
MedDRA: Pain in extremity — Feeling: Fair · Fatigue or tiredness

Free text: Slight sore left arm

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Survey response — days 1–6 daily, dose 5
MedDRA: Fatigue, Pain in extremity — Feeling: Fair · Fatigue or tiredness

Free text: Sore arm Very fatigued

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Survey response — days 1–6 daily, dose 5
MedDRA: Rash, Rash erythematous, Rash papular — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Raised red rash right mid cheek

MedDRA releases: 2024-11 · check-in free text available
2022-10-30
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-31
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-11-01
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-11-02
Health check-in — day 7, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-11-09
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-18
Survey response — day 21, dose 5
MedDRA: Fatigue, Pre-existing disease — Feeling: Fair

Free text: More fatigue due to RA

MedDRA releases: 2024-11 · check-in free text available
2022-11-25
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-12-09
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-04-26
Survey response — 6 months, dose 5
MedDRA: Bronchitis, Medical counselling, Office visit, Pleurisy — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-26
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Moderna
2	2021-04-20	Moderna
3	2021-08-14	Moderna	No
4	2022-03-02	Moderna	No
5	2022-10-26	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Soreness at injection site 24 hours after injection improvement today

2021-03-22

Systemic reaction (other): I have RA and more joint pain do not believe due to vaccine

2021-03-25

Systemic reaction (other): Like flu symptoms ?

Release 6 — day 7, dose 1

2021-03-26

Systemic reaction (other): Have been Very ill for 24 hourd

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): I have RA fatigue and vac has intensified but OK

Release 8 — day 14, dose 2

2021-05-04

Symptoms: RA more joints more swollen painful May not be from vaccine?

Healthcare visit (other): Increase in prednisone

Release 10 — 6 months, dose 2

2021-10-22

Symptoms: Weight loss 14-15 pounds Having tests etc

Release 11 — day 42, dose 4

2022-04-14

Symptoms: Reactions to a new medication Simponi Aria

Release 11 — 3 months, dose 4

2022-06-03

Symptoms: GI issues Weight loss

Release 12 — 6 months, dose 4

2022-08-31

Symptoms: More hoarseness SOB when swimming

Release 12 — days 1–6 daily, dose 5

2022-10-27

Systemic reaction (other): Slight sore left arm

2022-10-28

Systemic reaction (other): Sore arm Very fatigued

2022-10-29

Systemic reaction (other): Raised red rash right mid cheek

Release 12 — day 21, dose 5

2022-11-18

Symptoms: More fatigue due to RA

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	Medical counselling	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Adverse drug reaction	·	·	✓
SD	Bronchitis	·	·	✓
SD	Dysphonia	·	·	✓
SD	Dyspnoea exertional	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Pleurisy	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rheumatoid arthritis	✓	✓	✓
SD	Weight decreased	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Influenza	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rash	·	·	✓
SRO	Rash erythematous	·	·	✓
SRO	Rash papular	·	·	✓
SRO	Rheumatoid arthritis	✓	✓	✓

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