53B-24412-02218

2 vaccinations 10 coded responses 25 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 080 / NJ
Registered: 2021-01-29

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

2021-01-29
Registered in v-safe
2021-01-29
Dose 1 — Moderna
2021-01-29
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Site: Pain

Free text: Mild fatigue but not inconsistent with cenotaph/immunotherapy (IOW not necessarily related to vaccine)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-19
Survey response — day 21, dose 1
MedDRA: Arthralgia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: hip pain--probably unrelated (either arthritis or related to cancer treatment)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-26
Dose 2 — Moderna
2021-02-26
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activities

Free text: Note that I had pain before vaccine--not related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Some of these pre-dated vaccine; probably unrelated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Pre-existing; probably unrelated to vaccine

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

Free text: Pre-existing; probably unrelated to vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Note that above were pre-existing; probably unrelated to vaccine

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

Free text: Pre-existing--probably unrelated to vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 7, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches

Free text: Pre-existing, probably unrelated to vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-02
Survey response — day 35, dose 2
MedDRA: Neuralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nerve pain in arm/hand (ulnar nerve?)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-13
Call 1 — Left Voicemail
2021-08-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-02-26	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): Mild fatigue but not inconsistent with cenotaph/immunotherapy (IOW not necessarily related to vaccine)

Release 4 — day 21, dose 1

2021-02-19

Symptoms: hip pain--probably unrelated (either arthritis or related to cancer treatment)

Release 4 — day 0, dose 2

2021-02-26

Systemic reaction (other): Note that I had pain before vaccine--not related

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): Some of these pre-dated vaccine; probably unrelated

2021-03-01

Systemic reaction (other): Pre-existing; probably unrelated to vaccine

2021-03-02

Systemic reaction (other): Pre-existing; probably unrelated to vaccine

2021-03-03

Systemic reaction (other): Note that above were pre-existing; probably unrelated to vaccine

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Pre-existing--probably unrelated to vaccine

Release 5 — day 7, dose 2

2021-03-05

Systemic reaction (other): Pre-existing, probably unrelated to vaccine

Release 6 — day 35, dose 2

2021-04-02

Symptoms: Nerve pain in arm/hand (ulnar nerve?)

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	Arthralgia	✓	✓	✓
SD	Neuralgia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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