5FU-12000-37668

4 vaccinations 8 coded responses 22 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 303 / GA
Registered: 2021-02-01

Relationship: Self
Race: Black or African American
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-29
Dose 1 — Moderna
2021-02-01
Registered in v-safe
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Injection site pain, Injection site swelling, Injection site warmth, Nasal congestion, Nasopharyngitis, Respiratory tract congestion — Feeling: Good · Site: Pain, Swelling

Free text: over thw first three days these things happened. Felt like I was going to get a cold. Stuff left nostril and chest like a cold was coming. Lasted about 6 hours and went totally away without meds. Soreness that went from injection site up to end if my left shoulder. Lasted about 6 hours. Injection site got very warm when swollen for about 6 hours.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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
2021-02-05
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
2021-02-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-02-26
Survey response — day 0, dose 2
MedDRA: Immediate post-injection reaction, Paraesthesia oral — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Free text: A sensation in my mouth like it might swell, immediately after shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Dry mouth, Feeling abnormal — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dry mouth. Foggy thinking seems to be clearing up.

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: Feeling abnormal, Vision blurred — Feeling: Good · Site: Pain

Free text: Yesterday annoying blurriness in eyes was gone and foggy brain was gone after months of annoyance.

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: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills

Adult check-in
2021-03-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 14, dose 2
Feeling: Good

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: Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle spasms

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

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

Adult check-in
2021-08-29
Survey response — 6 months, dose 2
MedDRA: Mobility decreased, Pain — Feeling: Good

Free text: Awoke one morning and my upper body was in pain. I could hardly get up and go to the bathroom. It was also as painful to try to lay back down. Hours later I forced my self to get up and go thru my day.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-09
Dose 3 — Moderna
2022-02-27
Survey response — 12 months, dose 2
MedDRA: Fatigue, Office visit, Parosmia, Retinal disorder, Taste disorder, Visual impairment — 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

Free text: Symptoms: Weariness, food not tasting satisfying (weird and hard yo describe), smells like something is burning when it isn't. A distraction on the retina of my left eye. Pinching together of letters that are side by side when I read. · Healthcare visit (other): Doctors office

MedDRA releases: 2024-11 · check-in free text available
2022-02-27
Report sent to call center — 12 months, dose 2
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)
2022-03-01
Call 1 — Could Not Reach Participant
2022-03-07
Call 2 — Could Not Reach Participant
2022-07-13
Dose 4 — Moderna
2023-01-11
Survey response — 6 months, dose 4
MedDRA: SARS-CoV-2 test negative, Taste disorder — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-02-26	Moderna
3	2021-11-09	Moderna	No
4	2022-07-13	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

2021-02-01

Systemic reaction (other): over thw first three days these things happened. Felt like I was going to get a cold. Stuff left nostril and chest like a cold was coming. Lasted about 6 hours and went totally away without meds. Soreness that went from injection site up to end if my left shoulder. Lasted about 6 hours. Injection site got very warm when swollen for about 6 hours.

Release 4 — day 0, dose 2

2021-02-26

Systemic reaction (other): A sensation in my mouth like it might swell, immediately after shot

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Dry mouth. Foggy thinking seems to be clearing up.

2021-03-01

Systemic reaction (other): Yesterday annoying blurriness in eyes was gone and foggy brain was gone after months of annoyance.

Release 6 — day 35, dose 2

2021-04-02

Symptoms: Muscle spasms

Release 9 — 6 months, dose 2

2021-08-29

Symptoms: Awoke one morning and my upper body was in pain. I could hardly get up and go to the bathroom. It was also as painful to try to lay back down. Hours later I forced my self to get up and go thru my day.

Release 11 — 12 months, dose 2

2022-02-27

Symptoms: Weariness, food not tasting satisfying (weird and hard yo describe), smells like something is burning when it isn't. A distraction on the retina of my left eye. Pinching together of letters that are side by side when I read.

Healthcare visit (other): Doctors office

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	Office visit	·	·	✓
SD	Fatigue	·	·	✓
SD	Mobility decreased	✓	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Pain	✓	·	✓
SD	Parosmia	·	·	✓
SD	Retinal disorder	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Taste disorder	·	·	✓
SD	Visual impairment	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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