5GV-14160-02185

3 vaccinations 10 coded responses 34 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 126 / NY
Registered: 2020-12-30

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Health check-in — day 0, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Sore arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Soreness is almist gone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-27
Dose 2 — Moderna
2021-01-27
Survey response — day 0, dose 2
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: The site of the injection is tender only when i push on it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-02-03
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-13
Survey response — day 14, dose 2
MedDRA: Lymphadenopathy, Salivary gland calculus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Might be unrelated, but i had a paratid gland suddenly swell to the size of half z ping pong ball. Doctor said it was due to a stone in it. I use heat and and am on antibiotics

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-03-10
Survey response — day 42, dose 2
MedDRA: Nasal congestion — Feeling: Good

Free text: A little nasal congestion. But allergy season might be starting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — 3 months, dose 2
MedDRA: Hand dermatitis — Feeling: Good

Free text: Brief excema on hand..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-30
Call 1 — Left Voicemail
2021-08-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-24
Dose 3 — Moderna
2021-10-24
Health check-in — day 0, dose 3
Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-25
Survey response — days 1–6 daily, dose 3
MedDRA: Body temperature decreased, Chills, Fatigue — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: my normal temo is between 97.3 and 97.7... when i woke up it was 98.2. also i had chills late last nite twice... they didnt last long. i was tired and went to work late, after calling in and going back to sleep for a couple hours

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-10-31
Survey response — day 7, dose 3
MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches

Free text: probably related to weather

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-28
Health check-in — day 35, dose 3
Feeling: Good · Be unable to do your normal daily activities

Free text: It is probably unrelated to the vaccine, but my jaw and ear hurt ....i may call an MD tomorrow...hav e not yet

Adult check-in · check-in free text available
2021-12-05
Survey response — day 42, dose 3
MedDRA: Office visit, Temporomandibular joint syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: tmj · Healthcare visit (other): dentist

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-07
Call 1 — Left Voicemail
2022-01-28
Survey response — 3 months, dose 3
MedDRA: Cheilitis, Pain in jaw — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: rash near lips. jaw hurts.

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-01
Call 1 — Left Voicemail
2022-04-26
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-27	Moderna
3	2021-10-24	Moderna	No

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Sore arm

2021-01-03

Systemic reaction (other): Soreness is almist gone

Release 2 — day 0, dose 2

2021-01-27

Systemic reaction (other): The site of the injection is tender only when i push on it

Release 4 — day 14, dose 2

2021-02-13

Symptoms: Might be unrelated, but i had a paratid gland suddenly swell to the size of half z ping pong ball. Doctor said it was due to a stone in it. I use heat and and am on antibiotics

Release 5 — day 42, dose 2

2021-03-10

Symptoms: A little nasal congestion. But allergy season might be starting

Release 8 — 3 months, dose 2

2021-04-28

Symptoms: Brief excema on hand..

Release 10 — days 1–6 daily, dose 3

2021-10-25

Systemic reaction (other): my normal temo is between 97.3 and 97.7... when i woke up it was 98.2. also i had chills late last nite twice... they didnt last long. i was tired and went to work late, after calling in and going back to sleep for a couple hours

Release 10 — day 7, dose 3

2021-10-31

Systemic reaction (other): probably related to weather

Release 10 — day 42, dose 3

2021-12-05

Symptoms: tmj

Healthcare visit (other): dentist

Release 11 — 3 months, dose 3

2022-01-28

Symptoms: rash near lips. jaw hurts.

Release 12 — day 35, dose 3

2021-11-28

Symptoms: It is probably unrelated to the vaccine, but my jaw and ear hurt ....i may call an MD tomorrow...hav e not yet

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	Cheilitis	·	·	✓
SD	Hand dermatitis	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Pain in jaw	·	·	✓
SD	Salivary gland calculus	✓	✓	✓
SD	Temporomandibular joint syndrome	·	·	✓
SRO	Body temperature decreased	·	·	✓
SRO	Chills	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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