4X6-60250-37456

2 vaccinations 10 coded responses 25 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 350 / AL
Registered: 2021-05-06

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

2021-05-06
Registered in v-safe
2021-05-06
Dose 1 — Moderna
2021-05-06
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-05-07
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pain, Headache, Injection site pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Muscle in arm near shot site sore. Headache in front of head and eyes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Headache — Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Headache in front of head. Lower backache on right side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-05-11
Survey response — days 1–6 daily, dose 1
MedDRA: Ear discomfort, Nasopharyngitis, Oropharyngeal pain — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Head cold, sore throat, ears popped.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — days 1–6 daily, dose 1
MedDRA: Sinusitis — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Severe head/sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-03
Dose 2 — Moderna
2021-06-03
Health check-in — day 0, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-06-04
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle twitching — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Lightening twitches in my face in right eyebrow area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Survey response — days 1–6 daily, dose 2
MedDRA: Facial pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Lightening streak type pains through my right eyebrow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-06-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-06-08
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-06-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-10
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-06-17
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-24
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-07-01
Survey response — day 28, dose 2
MedDRA: Oesophageal discomfort, Office visit — 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

Free text: Symptoms: Extreme esophageal uncomfortableness. I went to Gastrointestinal Dr. Given meds I cannot afford even with insurance. Made appointments for upper and lower GI screens. · Healthcare visit (other): Gastrointestinal Dr. Office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Report sent to call center — day 28, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-06
Call 2 — Left Voicemail
2021-07-08
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-15
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-09-02
Survey response — 3 months, dose 2
MedDRA: Cholelithiasis, Hepatic enzyme increased, Hospitalisation, Nephrolithiasis, Oesophageal obstruction, Unevaluable event — 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 · Emergency room or emergency department visit, Hospitalization

Free text: Gastrointestinal. Liver enzymes above 700. Hospitalized for gallstone stuck in esophagus. Kidney Stones.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-09-08
Call 2 — Left Voicemail
2021-12-02
Survey response — 6 months, dose 2
MedDRA: Arthralgia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Joint Pain

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Survey response — 12 months, dose 2
MedDRA: Anxiety, Arthralgia, Depression, Glucose tolerance impaired, Office visit — Feeling: Poor · 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

Free text: Symptoms: Depression Anxiety Joint pain pre diabetes · Healthcare visit (other): New Drs

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Report sent to call center — 12 months, dose 2
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 · 1 call case(s)
2022-06-06
Call 1 — Left Voicemail
2022-06-06
Call 1 — Left Voicemail
2022-06-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-06	Moderna
2	2021-06-03	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-07

Systemic reaction (other): Muscle in arm near shot site sore. Headache in front of head and eyes.

2021-05-08

Systemic reaction (other): Headache in front of head. Lower backache on right side.

2021-05-11

Systemic reaction (other): Head cold, sore throat, ears popped.

2021-05-12

Systemic reaction (other): Severe head/sinus infection

Release 8 — days 1–6 daily, dose 2

2021-06-04

Systemic reaction (other): Lightening twitches in my face in right eyebrow area.

2021-06-05

Systemic reaction (other): Lightening streak type pains through my right eyebrow

Release 9 — day 28, dose 2

2021-07-01

Symptoms: Extreme esophageal uncomfortableness. I went to Gastrointestinal Dr. Given meds I cannot afford even with insurance. Made appointments for upper and lower GI screens.

Healthcare visit (other): Gastrointestinal Dr. Office

Release 9 — 3 months, dose 2

2021-09-02

Symptoms: Gastrointestinal. Liver enzymes above 700. Hospitalized for gallstone stuck in esophagus. Kidney Stones.

Release 10 — 6 months, dose 2

2021-12-02

Symptoms: Joint Pain

Release 11 — 12 months, dose 2

2022-06-03

Symptoms: Depression Anxiety Joint pain pre diabetes

Healthcare visit (other): New Drs

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	Anxiety	·	·	✓
SD	Arthralgia	·	·	✓
SD	Cholelithiasis	✓	·	✓
SD	Depression	·	·	✓
SD	Glucose tolerance impaired	·	·	✓
SD	Hepatic enzyme increased	✓	·	✓
SD	Hospitalisation	✓	·	✓
SD	Nephrolithiasis	✓	·	✓
SD	Oesophageal discomfort	✓	✓	✓
SD	Oesophageal obstruction	✓	·	✓
SD	Office visit	·	·	✓
SD	Unevaluable event	✓	·	✓
SRO	Back pain	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Eye pain	·	·	✓
SRO	Facial pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Muscle twitching	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Sinusitis	✓	✓	✓

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