5WG-26423-73193

2 vaccinations 11 coded responses 23 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 070 / NJ
Registered: 2021-03-17

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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Moderna
2021-03-17
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia — Feeling: Good

Free text: Muscle ache from standing in line.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal pain — Feeling: Good

Free text: Butt ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal pain, Pre-existing disease — Feeling: Good

Free text: Butt muscle ache since chemo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Survey response — day 7, dose 1
MedDRA: Arthralgia — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Left elbow is sore upon touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-14
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Chills — Feeling: Good

Free text: I experience chills for about 3 hours from 7pm-9pm last night. I take a blood thinner so Im not sure if it was the shot or the blood thinner. Otherwise Im good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Cataract, Surgery, Unevaluable event — Feeling: Good

Free text: Having cataract surgery Wednesday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Myalgia — Feeling: Good

Free text: Muscle Aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Myalgia — Feeling: Good

Free text: Little muscle ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-19
Survey response — day 35, dose 2
MedDRA: Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle ache in buttocks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-13
Survey response — 6 months, dose 2
MedDRA: Dizziness, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Light headiness currently receiving therapy. · Healthcare visit (other): Referral to Neurologist

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-18
Call 1 — Could Not Reach Participant
2021-11-23
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): No

2021-03-19

Systemic reaction (other): Muscle ache from standing in line.

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Butt ache

2021-03-21

Systemic reaction (other): Butt muscle ache since chemo

Release 6 — day 7, dose 1

2021-03-24

Systemic reaction (other): Left elbow is sore upon touch

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): I experience chills for about 3 hours from 7pm-9pm last night. I take a blood thinner so Im not sure if it was the shot or the blood thinner. Otherwise Im good

2021-04-18

Systemic reaction (other): Having cataract surgery Wednesday.

2021-04-19

Systemic reaction (other): Muscle Aches

2021-04-20

Systemic reaction (other): Little muscle ache

Release 8 — day 35, dose 2

2021-05-19

Symptoms: Muscle ache in buttocks

Release 10 — 6 months, dose 2

2021-10-13

Symptoms: Light headiness currently receiving therapy.

Healthcare visit (other): Referral to Neurologist

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	Dizziness	·	·	✓
SD	Myalgia	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Cataract	✓	✓	○
SRO	Chills	✓	✓	✓
SRO	Musculoskeletal pain	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Surgery	✓	✓	○
SRO	Unevaluable event	·	·	✓

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