535-23383-24988

5 vaccinations 11 coded responses 60 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 941 / CA
Registered: 2021-01-27

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

2021-01-27
Registered in v-safe
2021-01-27
Dose 1 — Moderna
2021-01-27
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to work

Free text: Lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Lower back pain on same side as injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Good · Muscle or body aches

Free text: Lower back pain on same side as injection is getting better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Good · Muscle or body aches

Free text: Lower back pain on same side as injection. But much better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Good · Muscle or body aches

Free text: Lower back pain on same side as injection. Getting better though.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-24
Dose 2 — Moderna
2021-02-24
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: Good

Free text: Sensitive lymph node and sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-30
Dose 3 — Moderna
2021-10-30
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains

Adult check-in
2021-11-06
Health check-in — day 7, dose 3
Feeling: Good · Joint pains

Adult check-in
2021-11-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-20
Survey response — day 21, dose 3
MedDRA: Food poisoning, Pyrexia, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Food poisoning with vomiting and fever.

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Survey response — day 28, dose 3
MedDRA: Asthenia, Nausea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: No energy and nauseous.

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-03
Dose 4 — Moderna
2022-04-15
Survey response — day 7, dose 4
MedDRA: Arthralgia, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: I had severe joint pain and a fever the day after 4th dose

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-24
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-01
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-08
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-15
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-03
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-02
Survey response — 6 months, dose 4
MedDRA: Bronchitis, Oropharyngeal pain, Productive cough, Secretion discharge — Feeling: Good

Free text: Bronchitis with bad mucous cough and very bad sore throat. Tested negative 4 times.

MedDRA releases: 2024-11 · check-in free text available
2022-10-09
Dose 5 — Moderna
2022-10-10
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-12
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2022-10-13
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2022-10-14
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2022-10-15
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2022-10-16
Health check-in — day 7, dose 5
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2022-10-23
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-30
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-06
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-13
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-20
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-08
Survey response — 3 months, dose 5
MedDRA: Bronchitis, Cough — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-01-08
Report sent to call center — 3 months, dose 5
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-01-09
Call 1 — Left Voicemail
2023-04-09
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Moderna
2	2021-02-24	Moderna
3	2021-10-30	Moderna	No
4	2022-04-03	Moderna	No
5	2022-10-09	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): Lower back pain

2021-01-29

Systemic reaction (other): Lower back pain on same side as injection.

2021-01-30

Systemic reaction (other): Lower back pain on same side as injection is getting better.

2021-01-31

Systemic reaction (other): Lower back pain on same side as injection. But much better.

2021-02-02

Systemic reaction (other): Lower back pain on same side as injection. Getting better though.

Release 4 — days 1–6 daily, dose 2

2021-03-01

Systemic reaction (other): Sensitive lymph node and sore throat

Release 10 — day 21, dose 3

2021-11-20

Symptoms: Food poisoning with vomiting and fever.

Release 10 — day 28, dose 3

2021-11-27

Symptoms: No energy and nauseous.

Release 11 — day 7, dose 4

2022-04-15

Systemic reaction (other): I had severe joint pain and a fever the day after 4th dose

Release 12 — 6 months, dose 4

2022-10-02

Symptoms: Bronchitis with bad mucous cough and very bad sore throat. Tested negative 4 times.

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	Asthenia	·	·	✓
SD	Bronchitis	·	·	✓
SD	Cough	·	·	✓
SD	Food poisoning	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Productive cough	·	·	✓
SD	Pyrexia	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Vomiting	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pyrexia	·	·	✓

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