55N-23861-29705

3 vaccinations 10 coded responses 34 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 802 / CO
Registered: 2021-02-06

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

2021-02-06
Registered in v-safe
2021-02-06
Dose 1 — Moderna
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Acne — Feeling: Good · Site: Redness · Headache

Free text: Face breaking out

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Skin swelling — Feeling: Good · Site: Redness · Headache

Free text: Underskin chili size bump. Doesn't hurt.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Headache

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-02-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-21
Survey response — day 14, dose 1
MedDRA: Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: I ache all over, especially my legs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-06
Dose 2 — Moderna
2021-03-06
Survey response — day 0, dose 2
MedDRA: Angina pectoris, Arteriospasm coronary, Cough, Dyspnoea, Office visit — Feeling: Fair · Fever · Headache, Muscle or body aches, Diarrhea · Be unable to work

Free text: Deep coughing. It might be due to piece of tortilla chip going down wrong tube. Initially, I couldn't catch my breath. Now 6 hours later I'm still coughing. Dr. testing for GERD for last 5 weeks. Cardiologist diahnosed agina caused by arterial coronary spasms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I don't think these are related to the vaccine. I have chronic pain issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-27
Survey response — day 21, dose 2
MedDRA: Arthralgia, Back pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint and back aches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — day 28, dose 2
MedDRA: Hyposmia — Feeling: Good

Free text: Seems like my sense of smell has decreased. I can smell very strong scents, but definitely not all scents.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 35, dose 2
MedDRA: Arthralgia, Cough, Hypersomnia, Myalgia, Sneezing — Feeling: Poor · Be unable to do your normal daily activities

Free text: Lots of sneezing, coughing, joints and muscle aches. I've been sleeping at least 12 hours the night 2 nights.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-16
Dose 3 — Moderna
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, 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
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · None · Be unable to do your normal daily activities

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-23
Health check-in — day 7, dose 3
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-30
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-14
Survey response — day 28, dose 3
MedDRA: Chest pain, Influenza, Nasopharyngitis, Pre-existing disease, Unevaluable event — 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: Symptoms: Chest pain. I ve been previously diagnosed with coronary artery spasms and GERD. Plus either coming down with cold or flu. · Healthcare visit (other): Telemed appointment tomorrow, Wednesday, December 15.

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Report sent to call center — day 28, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-17
Call 1 — Left Voicemail
2021-12-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-15
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-19
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-11-17
Survey response — 12 months, dose 3
MedDRA: Impaired gastric emptying, Nasopharyngitis — Feeling: Fair

Free text: Newly diagnosed gastroparesis. Today it feels like I'm getting a cold.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-06	Moderna
2	2021-03-06	Moderna
3	2021-11-16	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

2021-02-09

Systemic reaction (other): Face breaking out

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Underskin chili size bump. Doesn't hurt.

Release 4 — day 14, dose 1

2021-02-21

Symptoms: I ache all over, especially my legs.

Release 5 — day 0, dose 2

2021-03-06

Systemic reaction (other): Deep coughing. It might be due to piece of tortilla chip going down wrong tube. Initially, I couldn't catch my breath. Now 6 hours later I'm still coughing. Dr. testing for GERD for last 5 weeks. Cardiologist diahnosed agina caused by arterial coronary spasms.

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): I don't think these are related to the vaccine. I have chronic pain issues.

Release 6 — day 21, dose 2

2021-03-27

Symptoms: Joint and back aches.

Release 6 — day 28, dose 2

2021-04-03

Symptoms: Seems like my sense of smell has decreased. I can smell very strong scents, but definitely not all scents.

Release 7 — day 35, dose 2

2021-04-10

Symptoms: Lots of sneezing, coughing, joints and muscle aches. I've been sleeping at least 12 hours the night 2 nights.

Release 10 — day 28, dose 3

2021-12-14

Symptoms: Chest pain. I ve been previously diagnosed with coronary artery spasms and GERD. Plus either coming down with cold or flu.

Healthcare visit (other): Telemed appointment tomorrow, Wednesday, December 15.

Release 12 — 12 months, dose 3

2022-11-17

Symptoms: Newly diagnosed gastroparesis. Today it feels like I'm getting a cold.

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	Unevaluable event	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Chest pain	·	·	✓
SD	Cough	✓	✓	✓
SD	Hypersomnia	✓	✓	✓
SD	Hyposmia	✓	✓	✓
SD	Impaired gastric emptying	·	·	✓
SD	Influenza	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Sneezing	✓	✓	✓
SRO	Acne	✓	✓	✓
SRO	Angina pectoris	✓	✓	✓
SRO	Arteriospasm coronary	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Office visit	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Skin swelling	✓	✓	✓

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