5Q9-31760-87824

3 vaccinations 13 coded responses 25 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 236 / VA
Registered: 2021-02-14

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-02-04
Dose 1 — Moderna
2021-02-14
Registered in v-safe
2021-02-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-04
Dose 2 — Moderna
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Pain — Feeling: Fair · Site: Pain, Swelling

Free text: Soreness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Free text: Lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain, Muscle spasms — Feeling: Fair · Site: Pain, Swelling · Be unable to do your normal daily activities

Free text: Soreness shot area and finger cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Myalgia — Feeling: Fair · Site: Swelling · Fatigue or tiredness

Free text: Soreness in lower right leg muscle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Good

Free text: Small circular blotches on arm w/shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Good · Fatigue or tiredness

Free text: Soreness in right lower leg muscle.

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

Adult check-in
2021-03-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 21, dose 2
MedDRA: Cough, Fatigue, Oropharyngeal pain, Sluggishness — Feeling: Fair

Free text: Cough slight soar throat. Feels like maybe cold symptoms. Tired or sloughish.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 28, dose 2
MedDRA: Alopecia, Anxiety, Depression, Mood altered — Feeling: Fair

Free text: Anxiety, hair lose, depression, moody

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-03
Survey response — 3 months, dose 2
MedDRA: Endometrial hyperplasia, Myalgia, Ovarian cyst, Pain in extremity, Ureteral wall thickening — Feeling: Fair · Be unable to do your normal daily activities

Free text: Uterus lining thinking, ovarian cyst, muscle pain in calf area of leg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-02
Survey response — 6 months, dose 2
MedDRA: Limb discomfort, Myalgia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I continue to have soreness in my muscles in my legs. Mainly near the calf and lower part of my leg. This discomfort recycles and never happened before the COVID shot. It occurs the most in my left leg.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-03
Dose 3 — Moderna
2021-12-05
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal discomfort, Muscle discomfort — Feeling: Fair · Site: Swelling, Itching · Muscle or body aches

Free text: Slight discomfort in left calf nerve or muscle.

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Survey response — days 1–6 daily, dose 3
MedDRA: Paraesthesia — Feeling: Good

Free text: A brief tingling sensation behind the left knee.

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Survey response — days 1–6 daily, dose 3
MedDRA: Muscle discomfort — Feeling: Good · Muscle or body aches

Free text: Slight irregular discomfort in left calf muscle.

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-26
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-02
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-04	Moderna
3	2021-12-03	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Soreness

2021-03-06

Systemic reaction (other): Lightheaded

2021-03-07

Systemic reaction (other): Soreness shot area and finger cramps

2021-03-08

Systemic reaction (other): Soreness in lower right leg muscle

2021-03-09

Systemic reaction (other): Small circular blotches on arm w/shot

2021-03-10

Systemic reaction (other): Soreness in right lower leg muscle.

Release 6 — day 21, dose 2

2021-03-25

Symptoms: Cough slight soar throat. Feels like maybe cold symptoms. Tired or sloughish.

Release 6 — day 28, dose 2

2021-04-01

Symptoms: Anxiety, hair lose, depression, moody

Release 8 — 3 months, dose 2

2021-06-03

Symptoms: Uterus lining thinking, ovarian cyst, muscle pain in calf area of leg.

Release 9 — 6 months, dose 2

2021-09-02

Symptoms: I continue to have soreness in my muscles in my legs. Mainly near the calf and lower part of my leg. This discomfort recycles and never happened before the COVID shot. It occurs the most in my left leg.

Release 10 — days 1–6 daily, dose 3

2021-12-05

Systemic reaction (other): Slight discomfort in left calf nerve or muscle.

2021-12-07

Systemic reaction (other): A brief tingling sensation behind the left knee.

2021-12-09

Systemic reaction (other): Slight irregular discomfort in left calf muscle.

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	Alopecia	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Depression	✓	✓	✓
SD	Endometrial hyperplasia	○	✓	○
SD	Fatigue	✓	✓	✓
SD	Limb discomfort	✓	·	✓
SD	Mood altered	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Ovarian cyst	✓	✓	✓
SD	Pain in extremity	✓	·	✓
SD	Sluggishness	✓	✓	✓
SD	Ureteral wall thickening	✓	·	✓
SRO	Abdominal discomfort	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Muscle discomfort	·	·	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	·	·	✓
SRO	Rash	✓	✓	✓

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