4YH-26197-77642

2 vaccinations 14 coded responses 25 check-ins 14 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 775 / TX
Registered: 2020-12-30

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Health check-in — day 0, dose 1
Feeling: Fair · Headache

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site erythema, Injection site pain, Insomnia — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Now it's like light red around , soar , and can't sleep on my right side yet due to the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal pain, Neck pain, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Unable to used it that much while doing laundry Saturday it starts to hurt throbbing goes up to my shoulder blade n neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: It's just soar and my arm feels tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Fair

Free text: It's just sore. Can't my arm too long because then it starts aching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Survey response — day 7, dose 1
MedDRA: Pain — Feeling: Fair

Free text: Just sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-27
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-01-28
Dose 2 — Moderna
2021-01-28
Survey response — day 0, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Sore on my right arm due to vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Headache, Neck pain — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very bad headache n very sore n pain all on the right side of the shoulder , neck , headache , right side of the thoracic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Headache, Loss of personal independence in daily activities, Neck pain, Pain in extremity — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Hurts my right side head, shoulder, neck , and arm very sore unable to do regular activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Pain — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very sore unable to do my daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Loss of personal independence in daily activities, Pain — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore unable to complete daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore cant do much with my arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — day 7, dose 2
MedDRA: Decreased activity, Fatigue — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My arm gets real tired when I start doing any kind of activity that I have to stop n rest my arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-18
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-02-25
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-04
Survey response — day 35, dose 2
MedDRA: Dyspnoea, Muscular weakness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shortness of breathe n my arm feels tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 42, dose 2
MedDRA: Headache, Nasal congestion, Sinus disorder — Feeling: Poor · Be unable to work

Free text: Sinus allergies , headaches, stuffy nose ,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-28
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-28	Moderna

Call center

3 call center cases

3 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): Now it's like light red around , soar , and can't sleep on my right side yet due to the vaccine

2021-01-03

Systemic reaction (other): Unable to used it that much while doing laundry Saturday it starts to hurt throbbing goes up to my shoulder blade n neck

2021-01-04

Systemic reaction (other): It's just soar and my arm feels tired

2021-01-05

Systemic reaction (other): It's just sore. Can't my arm too long because then it starts aching

Release 1 — day 7, dose 1

2021-01-06

Systemic reaction (other): Just sore

Release 2 — day 0, dose 2

2021-01-28

Systemic reaction (other): Sore on my right arm due to vaccine

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Very bad headache n very sore n pain all on the right side of the shoulder , neck , headache , right side of the thoracic

2021-01-30

Systemic reaction (other): Hurts my right side head, shoulder, neck , and arm very sore unable to do regular activities

2021-02-01

Systemic reaction (other): Very sore unable to do my daily activities

2021-02-02

Systemic reaction (other): Sore unable to complete daily activities

2021-02-03

Systemic reaction (other): Sore cant do much with my arm

Release 3 — day 7, dose 2

2021-02-04

Systemic reaction (other): My arm gets real tired when I start doing any kind of activity that I have to stop n rest my arm

Release 5 — day 35, dose 2

2021-03-04

Symptoms: Shortness of breathe n my arm feels tired

Release 5 — day 42, dose 2

2021-03-11

Symptoms: Sinus allergies , headaches, stuffy nose ,

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
SD	Dyspnoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Sinus disorder	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Decreased activity	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site discomfort	○	○	○
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Musculoskeletal pain	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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