5BF-15864-43039

4 vaccinations 13 coded responses 45 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 236 / VA
Registered: 2021-01-31

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-30
Dose 1 — Moderna
2021-01-31
Registered in v-safe
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · Headache

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · Headache

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

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event, Unevaluable event — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site

Free text: None

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

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Chills

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — day 7, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-02-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-27
Dose 2 — Moderna
2021-02-27
Health check-in — day 0, dose 2
Feeling: Fair · Site: Swelling · Headache

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Good · Muscle or body aches

Free text: Arm hurting where i got my shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-27
Survey response — day 28, dose 2
MedDRA: Pain in extremity — Feeling: Good

Free text: My arm has been hurting.Its getting better. Where i had my shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-02
Dose 3 — Moderna
2021-11-02
Health check-in — day 0, dose 3
Feeling: Fair · Site: Redness · Fever · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Fair · Site: Redness, Swelling, Itching · Chills, Headache · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · Headache

Adult check-in
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity — Feeling: Good · Site: Swelling · Joint pains

Free text: Leg hurt same side as. The shot

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Joint pains

Adult check-in
2021-11-09
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-16
Survey response — day 14, dose 3
MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Right leg hurts.

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-30
Survey response — day 28, dose 3
MedDRA: Flank pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Side hurting right side

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-01
Call 1 — Left Voicemail
2021-12-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-01
Survey response — 3 months, dose 3
MedDRA: Dyspnoea, Emergency care, Office visit, Pneumonia — Feeling: Good · Be unable to do your normal daily activities

Free text: Lung inflection, had to go to the emergency room. Getting better seeing lung and heart doctor. In December,January and in February . Was out of breathe.

MedDRA releases: 2024-11 · check-in free text available
2022-04-12
Dose 4 — Moderna
2022-04-20
Survey response — day 7, dose 4
MedDRA: Pain in extremity — Feeling: Fair · Site: Swelling · Fever · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Arm was aches

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Survey response — day 14, dose 4
MedDRA: Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Right leg hurts

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-10
Survey response — day 28, dose 4
MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Right leg is hurting me. Going to the doctor. Started two weeks ago. Never had this problem before.

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-24
Survey response — day 42, dose 4
MedDRA: Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Heel and leg pain

MedDRA releases: 2024-11 · check-in free text available
2022-05-24
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-13
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-13
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-12
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Moderna
2	2021-02-27	Moderna
3	2021-11-02	Moderna	No
4	2022-04-12	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-03

Systemic reaction (other): None

2021-02-05

Systemic reaction (other): None

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Arm hurting where i got my shot.

Release 6 — day 28, dose 2

2021-03-27

Symptoms: My arm has been hurting.Its getting better. Where i had my shot.

Release 10 — days 1–6 daily, dose 3

2021-11-03

Systemic reaction (other): No

2021-11-05

Systemic reaction (other): Leg hurt same side as. The shot

Release 10 — day 14, dose 3

2021-11-16

Symptoms: Right leg hurts.

Release 10 — day 28, dose 3

2021-11-30

Symptoms: Side hurting right side

Release 11 — 3 months, dose 3

2022-02-01

Symptoms: Lung inflection, had to go to the emergency room. Getting better seeing lung and heart doctor. In December,January and in February . Was out of breathe.

Release 11 — day 7, dose 4

2022-04-20

Systemic reaction (other): Arm was aches

Release 11 — day 14, dose 4

2022-04-26

Symptoms: Right leg hurts

Release 11 — day 28, dose 4

2022-05-10

Symptoms: Right leg is hurting me. Going to the doctor. Started two weeks ago. Never had this problem before.

Release 11 — day 42, dose 4

2022-05-24

Symptoms: Heel and leg pain

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	Dyspnoea	·	·	✓
SD	Emergency care	·	·	✓
SD	Flank pain	·	·	✓
SD	Office visit	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pneumonia	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Unevaluable event	○	✓	○

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