5AF-11251-87499

3 vaccinations 8 coded responses 23 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 759 / TX
Registered: 2021-01-07

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-07
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-01-21
Survey response — day 14, dose 1
MedDRA: Pain in extremity, Pre-existing disease, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Too active bowels and pain in my leg has lessened. There is a steel rod in that leg and the vaccine seems to have attacked it. · Healthcare visit (other): Made appointment with doctor to see if they can remove the steel rod. I had pain meds prescribed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-04
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Poor quality sleep — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Not sleeping well

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — day 7, dose 2
MedDRA: Sleep disorder — Feeling: Poor · Headache, Fatigue or tiredness, Nausea

Free text: Sleep problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-03-29
Call 1 — Left Voicemail
2021-03-30
Call 2 — Left Voicemail
2021-05-08
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Inflammation, Pain, 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: I believe the vaccine caused inflammation and pain from that. It is not severe and hurts when I push on my joints and location of two past injuries that included broken bones. I take 3 nor o 325 tablets a day. I am 78 yrs old.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-07
Survey response — 6 months, dose 2
MedDRA: Blood pressure increased, Dysuria, Peripheral swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Trouble urinating. Rise in blood pressure. Swelling in my left foot. I am seeing my doctor next Tuesday.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-07
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-11
Call 1 — Left Voicemail
2021-11-07
Dose 3 — Moderna
2021-11-22
Survey response — day 14, dose 3
MedDRA: Neck pain — Feeling: Poor

Free text: Neck pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-05
Survey response — day 28, dose 3
MedDRA: Fatigue, Pain — Feeling: Fair

Free text: Body aches and fatigue

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

Adult check-in
2021-12-19
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna
3	2021-11-07	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-21

Symptoms: Too active bowels and pain in my leg has lessened. There is a steel rod in that leg and the vaccine seems to have attacked it.

Healthcare visit (other): Made appointment with doctor to see if they can remove the steel rod. I had pain meds prescribed.

Release 3 — days 1–6 daily, dose 2

2021-02-08

Systemic reaction (other): Back pain

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Not sleeping well

Release 4 — day 7, dose 2

2021-02-11

Systemic reaction (other): Sleep problems

Release 8 — 3 months, dose 2

2021-05-08

Symptoms: I believe the vaccine caused inflammation and pain from that. It is not severe and hurts when I push on my joints and location of two past injuries that included broken bones. I take 3 nor o 325 tablets a day. I am 78 yrs old.

Release 9 — 6 months, dose 2

2021-08-07

Symptoms: Trouble urinating. Rise in blood pressure. Swelling in my left foot. I am seeing my doctor next Tuesday.

Release 10 — day 14, dose 3

2021-11-22

Symptoms: Neck pain

Release 10 — day 28, dose 3

2021-12-05

Symptoms: Body aches and fatigue

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	Blood pressure increased	✓	·	✓
SD	Dysuria	✓	·	✓
SD	Fatigue	·	·	✓
SD	Inflammation	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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