4Y7-10724-11453

3 vaccinations 11 coded responses 32 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 730 / OK
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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Health check-in — day 0, dose 1
Feeling: Good · Fever · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Itching · Diarrhea

Adult check-in
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Back pain, Condition aggravated, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Neuropathy is much worse. Had horrific back pain At 4:00 am Sunday. Have knee pain this evening

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — day 7, dose 1
MedDRA: Thrombophlebitis — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Thrombophlebitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-13
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
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Nausea — Feeling: Good · Nausea

Free text: A little nausea in the evening

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
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 — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Survey response — day 7, dose 2
MedDRA: Dermatitis acneiform, Rash — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Free text: Rash going down arm about ten inches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — day 14, dose 2
MedDRA: Balance disorder, Fatigue, Limb discomfort — Feeling: Fair

Free text: Funny feeling of being off balance, sort of loopy. Both legs felt like they had weights on my knees, took effort to walk. Just tired. Lasted for three days. Felt better except for heaviness in my legs from the knee down

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
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-27
Survey response — day 42, dose 2
MedDRA: Diabetes mellitus, Pre-existing disease — Feeling: Good

Free text: Diabetes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Call 1 — Left Voicemail
2021-05-13
Survey response — 3 months, dose 2
MedDRA: Arrhythmia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Heart arrhythmia · Healthcare visit (other): Cardiologist appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Dose 3 — Pfizer-BioNTech
2021-10-25
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Fair · Site: Pain, Redness, Swelling · Diarrhea

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2021-10-29
Health check-in — day 7, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · Muscle or body aches

Adult check-in
2021-11-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-21
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-05
Survey response — day 42, dose 3
MedDRA: Sciatica — Feeling: Poor · Be unable to do your normal daily activities

Free text: Left syatic nerve is causing a lot of pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Call 1 — Left Voicemail
2022-01-21
Survey response — 3 months, dose 3
MedDRA: Office visit, Sciatica — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Syatica in my left leg · Healthcare visit (other): Pain management Doctor

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-24
Call 1 — Left Voicemail
2022-04-22
Survey response — 6 months, dose 3
MedDRA: Diabetes mellitus, Kidney infection, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Kidney infection. Believe but not sure it maybe a side effect of jardiance. Developed diabetes · Healthcare visit (other): Family doctor. Cardiologist

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-26
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna
3	2021-10-22	Pfizer-BioNTech	No

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): Neuropathy is much worse. Had horrific back pain At 4:00 am Sunday. Have knee pain this evening

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): Thrombophlebitis

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): A little nausea in the evening

Release 4 — day 7, dose 2

2021-02-18

Systemic reaction (other): Rash going down arm about ten inches

Release 4 — day 14, dose 2

2021-02-25

Symptoms: Funny feeling of being off balance, sort of loopy. Both legs felt like they had weights on my knees, took effort to walk. Just tired. Lasted for three days. Felt better except for heaviness in my legs from the knee down

Release 6 — day 42, dose 2

2021-03-27

Symptoms: Diabetes

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: Heart arrhythmia

Healthcare visit (other): Cardiologist appointment

Release 10 — days 1–6 daily, dose 3

2021-10-25

Systemic reaction (other): No

Release 10 — day 42, dose 3

2021-12-05

Symptoms: Left syatic nerve is causing a lot of pain

Release 11 — 3 months, dose 3

2022-01-21

Symptoms: Syatica in my left leg

Healthcare visit (other): Pain management Doctor

Release 11 — 6 months, dose 3

2022-04-22

Symptoms: Kidney infection. Believe but not sure it maybe a side effect of jardiance. Developed diabetes

Healthcare visit (other): Family doctor. Cardiologist

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	Arrhythmia	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Diabetes mellitus	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Kidney infection	·	·	✓
SD	Limb discomfort	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sciatica	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Dermatitis acneiform	○	✓	○
SRO	Nausea	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rash	✓	·	✓
SRO	Thrombophlebitis	✓	✓	✓

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