5PE-97649-10070

3 vaccinations 14 coded responses 37 check-ins 14 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 121 / NY
Registered: 2021-02-04

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

2021-01-31
Dose 1 — Moderna
2021-02-04
Registered in v-safe
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Fatigue, Pain — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Constant dull cheekbone pain. EXTREME tiredness and dizziness for the past 24+ hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Swelling face — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Weird cheekbone discomfort but improved somewhat from yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-02-21
Survey response — day 21, dose 1
MedDRA: Dizziness, Fatigue, Headache — Feeling: Fair

Free text: Headaches, intermittent dizziness , chronically tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Dose 2 — Moderna
2021-02-28
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity, Sleep disorder — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Leg pain that wakes me up. Both legs. But ok when up and around during daylight hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — day 7, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-03-14
Survey response — day 14, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — day 21, dose 2
MedDRA: Arthralgia, Dizziness, Fatigue, Headache — Feeling: Fair

Free text: Joint aches. Tired. Intermittent headaches and dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — day 28, dose 2
MedDRA: Fatigue, Feeling abnormal, Joint stiffness — Feeling: Fair

Free text: Just bouts of tiredness and brain fog. Extra sleep needed for sure. Periodic joint stiffness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — day 35, dose 2
MedDRA: Fatigue, Limb discomfort, Sleep disorder — Feeling: Fair

Free text: When will leg discomfort stop? It wakes me at night. I deal all day at work because I cant lose time. Is this common? Plus periodic tiredness. I forge onward because I need to work

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

Adult check-in
2021-05-30
Survey response — 3 months, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Always TIRED!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-14
Dose 3 — Moderna
2021-11-14
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-11-21
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-11-28
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-05
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-12
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-19
Survey response — day 35, dose 3
MedDRA: Fatigue — Feeling: Good

Free text: Tired

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-13
Survey response — 3 months, dose 3
MedDRA: Back pain, Chest pain, Musculoskeletal chest pain, Pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Severe thoracic pain/burning radiating to right lower back and into rib cage.

MedDRA releases: 2024-11 · check-in free text available
2022-02-13
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-02-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-17
Survey response — 6 months, dose 3
MedDRA: Muscle spasms — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Severe upper right thoracic spasms radiating down and around to right rib cage. Ultrasound,Ct scan chest X-ray and ekg normal. Took 2 weeks to resolve

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-05-18
Call 1 — Left Voicemail
2022-05-18
Call 1 — Left Voicemail
2022-11-17
Survey response — 12 months, dose 3
MedDRA: COVID-19, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, 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: COVID June verified with pcr test

MedDRA releases: 2024-11 · check-in free text available
2022-11-17
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-18
Call 2 — Left Voicemail
2022-11-18
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-31	Moderna
2	2021-02-28	Moderna
3	2021-11-14	Moderna	No

Call center

3 call center cases

1 successful · 2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): Constant dull cheekbone pain. EXTREME tiredness and dizziness for the past 24+ hours

2021-02-06

Systemic reaction (other): Weird cheekbone discomfort but improved somewhat from yesterday.

Release 4 — day 21, dose 1

2021-02-21

Symptoms: Headaches, intermittent dizziness , chronically tired

Release 4 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Leg pain that wakes me up. Both legs. But ok when up and around during daylight hours

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Sore throat

Release 5 — day 14, dose 2

2021-03-14

Symptoms: Joint aches

Release 6 — day 21, dose 2

2021-03-21

Symptoms: Joint aches. Tired. Intermittent headaches and dizziness

Release 6 — day 28, dose 2

2021-03-28

Symptoms: Just bouts of tiredness and brain fog. Extra sleep needed for sure. Periodic joint stiffness.

Release 6 — day 35, dose 2

2021-04-04

Symptoms: When will leg discomfort stop? It wakes me at night. I deal all day at work because I cant lose time. Is this common? Plus periodic tiredness. I forge onward because I need to work

Release 8 — 3 months, dose 2

2021-05-30

Symptoms: Always TIRED!

Release 10 — day 35, dose 3

2021-12-19

Symptoms: Tired

Release 11 — 3 months, dose 3

2022-02-13

Symptoms: Severe thoracic pain/burning radiating to right lower back and into rib cage.

Release 11 — 6 months, dose 3

2022-05-17

Symptoms: Severe upper right thoracic spasms radiating down and around to right rib cage. Ultrasound,Ct scan chest X-ray and ekg normal. Took 2 weeks to resolve

Release 12 — 12 months, dose 3

2022-11-17

Symptoms: COVID June verified with pcr test

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	Arthralgia	✓	✓	✓
SD	Back pain	·	·	✓
SD	Chest pain	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Joint stiffness	✓	✓	✓
SD	Limb discomfort	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Musculoskeletal chest pain	·	·	✓
SD	Pain	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sleep disorder	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Swelling face	✓	✓	✓

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