4WE-17043-92748

2 vaccinations 11 coded responses 23 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 231 / VA
Registered: 2021-01-14

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

2021-01-13
Dose 1 — Moderna
2021-01-14
Registered in v-safe
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain — Feeling: Good · Site: Pain · Headache

Free text: Neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain — Feeling: Good · Headache

Free text: Neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain, Pain in jaw — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Jaw and neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness — Feeling: Good

Free text: Neck stiffness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Rhinorrhoea — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Slightly runny nose slight headache behind eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-10
Dose 2 — Moderna
2021-02-10
Health check-in — day 0, dose 2
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Neck pain — Feeling: Fair · Headache, Muscle or body aches

Free text: Neck pain , shoulder pain bilateral

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Headache, Self-medication — Feeling: Fair · Headache, Joint pains

Free text: Shoulder pain bilateral with headache resolves with 2 Tylenol

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Survey response — day 14, dose 2
MedDRA: Arthralgia, Sleep disorder — Feeling: Fair

Free text: Hip joint pain SI joint radiating to thigh in front . Could be old injury flaring up and progressing . I rode my bike yesterday and the pain tonight is waking me from sleep despite taking Tylenol . I will see my physician if it doesnt improve

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

Adult check-in
2021-03-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-17
Survey response — day 35, dose 2
MedDRA: Arthralgia, Back pain, Manipulation — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Hips and low back pain · Healthcare visit (other): Had a manipulation and cold laser treatment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-24
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-14
Survey response — 3 months, dose 2
MedDRA: Alopecia, Arthralgia, Back pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Low back pain and knee pain , I have had some hair loss

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-11
Survey response — 6 months, dose 2
MedDRA: Blepharitis, Eye inflammation, Eyelid pain, Lacrimation increased, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Eyes and eyelid inflammation and lid pain constant tearing of left eye · Healthcare visit (other): Optometrist, dermatologist. I will be consulting an ophthalmologist next week

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-11
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-10	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): Neck pain

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Neck pain

2021-01-16

Systemic reaction (other): Jaw and neck pain

2021-01-17

Systemic reaction (other): Neck stiffness

2021-01-19

Systemic reaction (other): Slightly runny nose slight headache behind eye

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Neck pain , shoulder pain bilateral

2021-02-12

Systemic reaction (other): Shoulder pain bilateral with headache resolves with 2 Tylenol

Release 4 — day 14, dose 2

2021-02-25

Symptoms: Hip joint pain SI joint radiating to thigh in front . Could be old injury flaring up and progressing . I rode my bike yesterday and the pain tonight is waking me from sleep despite taking Tylenol . I will see my physician if it doesnt improve

Release 5 — day 35, dose 2

2021-03-17

Symptoms: Hips and low back pain

Healthcare visit (other): Had a manipulation and cold laser treatment

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: Low back pain and knee pain , I have had some hair loss

Release 9 — 6 months, dose 2

2021-08-11

Symptoms: Eyes and eyelid inflammation and lid pain constant tearing of left eye

Healthcare visit (other): Optometrist, dermatologist. I will be consulting an ophthalmologist next week

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	Manipulation	✓	✓	✓
HCVO	Office visit	✓	·	✓
SD	Alopecia	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Blepharitis	✓	·	✓
SD	Eye inflammation	✓	·	✓
SD	Eyelid pain	✓	·	✓
SD	Lacrimation increased	✓	·	✓
SD	Sleep disorder	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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