52X-25310-27663

2 vaccinations 14 coded responses 20 check-ins 14 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 850 / AZ
Registered: 2021-11-19

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

2021-11-18
Dose 1 — Moderna
2021-11-19
Registered in v-safe
2021-11-19
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Limb discomfort, Musculoskeletal stiffness, Oral pain, Pain in extremity — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Inside roof of mouth sore,Neck stiff,Lightheaded/ dizzy, arm Hurts feels heavy

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness, Oral pain — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Stiff neck, roof of back mouth is more sore than yesterday

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Oxygen saturation decreased, Pain, Paraesthesia — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: My nerve ending tingling throbbing arms hands feet, Shortness of breathe oxygen levels lower without oxygen

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Poor · Muscle or body aches

Free text: My legs and feet are sore hurting ,sharp pains last night on feet

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Survey response — days 1–6 daily, dose 1
MedDRA: Neurological symptom, Pain, Post-acute COVID-19 syndrome, Pre-existing disease — Feeling: Poor · Headache, Joint pains, Muscle or body aches

Free text: I am a long hauler with neurological issues. It appears the pain in legs, feet and hands have flavored up after shot.

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Dyspnoea, Headache, Pain in extremity — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Hard to breathe in elevation. Got a bad headache, arms and elbow are hurt

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Survey response — day 7, dose 1
MedDRA: Dyspnoea, Oxygen saturation decreased, Pain, Pain in extremity — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Nausea, Diarrhea

Free text: Short of breath lower oxygen , legs and feet throbbing and hurting

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Survey response — day 14, dose 1
MedDRA: Myalgia, Office visit, Pain, Pain in extremity, Paraesthesia — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Muscle aches arms and legs feet continue to hurt tingle- and pain in my toes and feet when I walk. Pangs throughout the night · Healthcare visit (other): Neurologist appt

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-03
Call 1 — Left Voicemail
2021-12-07
Call 2 — Left Voicemail
2021-12-07
Callback requested for
2021-12-09
Survey response — day 21, dose 1
MedDRA: Dyspnoea, Heart rate decreased, Office visit, Pain in extremity — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: My legs and feet hurt almost continuously, low heart rate short of breath · Healthcare visit (other): Cardiologist

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-13
Call 1 — Left Voicemail
2021-12-16
Dose 2 — Moderna
Co-administered: Flu
2021-12-17
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Muscle spasms, Oxygen saturation decreased, Unevaluable event — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Muscle spasms, low oxygen levels 83and chest aches & back

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-20
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Will see doctor today if it doesn't get betterLeft side of the middle of my back has ached for days

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Mid left side of back

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Health check-in — day 14, dose 2
Feeling: Poor

Adult check-in
2022-01-06
Survey response — day 21, dose 2
MedDRA: Chest pain, Dyspnoea, Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: My chest feels like it's burning, shortness of breath and exhaustion probably will get tested

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2022-01-20
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2022-01-27
Survey response — day 42, dose 2
MedDRA: Left atrial enlargement — Feeling: Poor · Be unable to do your normal daily activities

Free text: Left v atria enlarged

MedDRA releases: 2024-11 · check-in free text available
2022-03-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-18	Moderna	No
2	2021-12-16	Moderna	Flu

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 1

2021-11-19

Systemic reaction (other): Inside roof of mouth sore,Neck stiff,Lightheaded/ dizzy, arm Hurts feels heavy

2021-11-20

Systemic reaction (other): Stiff neck, roof of back mouth is more sore than yesterday

2021-11-21

Systemic reaction (other): My nerve ending tingling throbbing arms hands feet, Shortness of breathe oxygen levels lower without oxygen

2021-11-22

Systemic reaction (other): My legs and feet are sore hurting ,sharp pains last night on feet

2021-11-23

Systemic reaction (other): I am a long hauler with neurological issues. It appears the pain in legs, feet and hands have flavored up after shot.

2021-11-24

Systemic reaction (other): Hard to breathe in elevation. Got a bad headache, arms and elbow are hurt

Release 10 — day 7, dose 1

2021-11-26

Systemic reaction (other): Short of breath lower oxygen , legs and feet throbbing and hurting

Release 10 — day 14, dose 1

2021-12-02

Symptoms: Muscle aches arms and legs feet continue to hurt tingle- and pain in my toes and feet when I walk. Pangs throughout the night

Healthcare visit (other): Neurologist appt

Release 10 — day 21, dose 1

2021-12-09

Symptoms: My legs and feet hurt almost continuously, low heart rate short of breath

Healthcare visit (other): Cardiologist

Release 10 — days 1–6 daily, dose 2

2021-12-17

Systemic reaction (other): Muscle spasms, low oxygen levels 83and chest aches & back

2021-12-20

Systemic reaction (other): Will see doctor today if it doesn't get betterLeft side of the middle of my back has ached for days

2021-12-22

Systemic reaction (other): Mid left side of back

Release 10 — day 21, dose 2

2022-01-06

Symptoms: My chest feels like it's burning, shortness of breath and exhaustion probably will get tested

Release 11 — day 42, dose 2

2022-01-27

Symptoms: Left v atria enlarged

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	Chest pain	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Heart rate decreased	·	·	✓
SD	Left atrial enlargement	·	·	✓
SD	Myalgia	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Paraesthesia	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Back pain	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Headache	·	·	✓
SRO	Limb discomfort	·	·	✓
SRO	Muscle spasms	·	·	✓
SRO	Musculoskeletal stiffness	·	·	✓
SRO	Neurological symptom	·	·	✓
SRO	Oral pain	·	·	✓
SRO	Oxygen saturation decreased	·	·	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Paraesthesia	·	·	✓
SRO	Post-acute COVID-19 syndrome	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Unevaluable event	·	·	✓

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