4XH-15691-07938

3 vaccinations 8 coded responses 26 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 497 / MI
Registered: 2021-03-13

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

2021-03-12
Dose 1 — Moderna
2021-03-13
Registered in v-safe
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Headache, Joint pains

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-19
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-26
Survey response — day 14, dose 1
MedDRA: Office visit, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Severe right thigh pain felt as though my muscle was being torn apart. · Healthcare visit (other): To doctors then to hospital for ultrasound to rule out DVT

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-04
Survey response — day 21, dose 1
MedDRA: Tooth disorder — Feeling: Fair

Free text: Bad tooth, possibly abcessef

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 28, dose 1
MedDRA: Nausea, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased pain/achiness all over, nauseous

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-04-24
Survey response — day 42, dose 1
MedDRA: Neuropathy peripheral, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: ? Neuropathy in legs hip area hands feels like hot nails being stabbed into meat (legs) · Healthcare visit (other): Dr visit then ultrasound to rule out clot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — day 42, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Dose 2 — Moderna
2021-06-11
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-06-14
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness

Free text: Lightheaded,dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-06-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-06-18
Health check-in — day 7, dose 2
Feeling: Good · Headache, Joint pains

Adult check-in
2021-06-25
Survey response — day 14, dose 2
MedDRA: Fatigue, Muscle fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased fatigue, muscle fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-07-09
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-07-16
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-10
Survey response — 6 months, dose 2
MedDRA: Fatigue, Pain — Feeling: Fair

Free text: All over acheness increased fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Call 1 — Left Voicemail
2022-03-01
Dose 3 — Moderna
2022-06-02
Survey response — 3 months, dose 3
MedDRA: Arthralgia, Hypoaesthesia, Paraesthesia — Feeling: Good

Free text: Tingling and numbness in my hands tingling in my arms increased pain in all my joints

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Moderna
2	2021-06-11	Moderna
3	2022-03-01	Moderna	No

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-26

Symptoms: Severe right thigh pain felt as though my muscle was being torn apart.

Healthcare visit (other): To doctors then to hospital for ultrasound to rule out DVT

Release 6 — day 21, dose 1

2021-04-04

Symptoms: Bad tooth, possibly abcessef

Release 7 — day 28, dose 1

2021-04-09

Symptoms: Increased pain/achiness all over, nauseous

Release 7 — day 42, dose 1

2021-04-24

Symptoms: ? Neuropathy in legs hip area hands feels like hot nails being stabbed into meat (legs)

Healthcare visit (other): Dr visit then ultrasound to rule out clot

Release 9 — days 1–6 daily, dose 2

2021-06-14

Systemic reaction (other): Lightheaded,dizzy

Release 9 — day 14, dose 2

2021-06-25

Symptoms: Increased fatigue, muscle fatigue

Release 10 — 6 months, dose 2

2021-12-10

Symptoms: All over acheness increased fatigue

Release 11 — 3 months, dose 3

2022-06-02

Symptoms: Tingling and numbness in my hands tingling in my arms increased pain in all my joints

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	Arthralgia	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Muscle fatigue	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Neuropathy peripheral	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	·	·	✓
SD	Tooth disorder	✓	✓	✓
SRO	Dizziness	✓	✓	✓

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