5WW-21543-49696

4 vaccinations 4 coded responses 32 check-ins 4 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 871 / NM
Registered: 2021-01-27

Relationship: Self
Race: N/A
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-27
Registered in v-safe
2021-01-27
Dose 1 — Moderna
2021-01-27
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site warmth — Feeling: Good · Site: Pain

Free text: Last night the site of the shot felt hot to the touch but I didnt have a fever. The temperature there is back to normal now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Oropharyngeal pain — Feeling: Good · Site: Pain

Free text: Slight sore throat , some coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-03
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-24
Dose 2 — Moderna
2021-02-24
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-04
Health check-in — day 7, dose 2
Feeling: Fair · Site: Redness, Itching · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-27
Survey response — 3 months, dose 2
MedDRA: Medical counselling — Feeling: Good · Be unable to do your normal daily activities

Free text: My Dr prescribed 25 mg of hydrochlorothiazidr and that made me feel lightheaded and gave me a headache for a few days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-21
Dose 3 — Moderna
2022-02-24
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-09
Dose 4 — Moderna
2022-04-21
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-23
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-09
Survey response — 3 months, dose 4
MedDRA: Office visit, Tendon pain, Tendonitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: A tendon in my left foot became swollen and painful. After a steroid shot and wearing a boot for several days it's not swelling and pain has subsided · Healthcare visit (other): Saw podiatrist in his office

MedDRA releases: 2024-11 · check-in free text available
2022-07-09
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2022-07-11
Call 1 — Left Voicemail
2022-10-08
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-10
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Moderna
2	2021-02-24	Moderna
3	2021-10-21	Moderna	No
4	2022-04-09	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

2021-01-29

Systemic reaction (other): Last night the site of the shot felt hot to the touch but I didnt have a fever. The temperature there is back to normal now

2021-01-30

Systemic reaction (other): Slight sore throat , some coughing

Release 8 — 3 months, dose 2

2021-05-27

Symptoms: My Dr prescribed 25 mg of hydrochlorothiazidr and that made me feel lightheaded and gave me a headache for a few days

Release 12 — 3 months, dose 4

2022-07-09

Symptoms: A tendon in my left foot became swollen and painful. After a steroid shot and wearing a boot for several days it's not swelling and pain has subsided

Healthcare visit (other): Saw podiatrist in his 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	Medical counselling	✓	✓	✓
SD	Tendon pain	·	·	✓
SD	Tendonitis	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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