5XE-16497-01439

2 vaccinations 14 coded responses 25 check-ins 14 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 430 / OH
Registered: 2021-02-02

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

2021-02-01
Dose 1 — Moderna
2021-02-02
Registered in v-safe
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Injection site pain, Musculoskeletal pain, Myalgia, Pain, Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Six hours after the shot my arm, shoulder, shoulder blade, and muscles around my ribs and chest on the side of the shot aches. Today, just my arm is sore at the injection site and is getting less sore as the day goes on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: I have cold symptoms: runny nose, sneezing, fatigue . Symptoms are noticeable but I am pushing through most of daily routine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: A bad cold. Sneezing, drippy nose, very tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-22
Survey response — day 21, dose 1
MedDRA: Arthralgia, Chest pain, Fatigue, Heart rate increased, Musculoskeletal pain, Office visit, Pain in extremity, Sneezing, Supraclavicular fossa pain — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Chest pain, arm, shoulder and shoulder blade pain, collar bone pain . Sneezing. Tiredness. Rapid heartbeat · Healthcare visit (other): Doctors office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-01
Dose 2 — Moderna
2021-03-01
Health check-in — day 0, dose 2
Feeling: Fair · Chills, Joint pains, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Toothache — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Ear ache and teeth hurt on side of body where I got the shot.

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

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness, Neck pain — Feeling: Good · Fatigue or tiredness

Free text: stiff and sore neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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: Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: Good · Fatigue or tiredness

Free text: Cold symptoms. Runny nose and sneezing

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: Rhinorrhoea, Sneezing — Feeling: Good · Headache

Free text: Runny nose, sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — day 7, dose 2
MedDRA: Headache, Nasal congestion, Nasopharyngitis, Rhinorrhoea — Feeling: Fair · Headache

Free text: Cold symptoms (sinus?) runny nose, pain on left side of head, fullness and pressure in nose, between eyes , forehead, Enough to take coricidin twice already.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — day 14, dose 2
MedDRA: Headache, Office visit, Palpitations, Photopsia — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Headache is worse and flashing in left eye. Saw doctor. No explanation for it. Plus, pounding heartbeat · Healthcare visit (other): Doctors office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-22
Survey response — day 21, dose 2
MedDRA: Headache, Office visit, Self-medication — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: The headache won't go away. I have been taking tylenol which helps. · Healthcare visit (other): in person

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-31
Survey response — 3 months, dose 2
MedDRA: Aortic valve incompetence, Heart valve incompetence, Medical counselling, Office visit, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Heart related. pounding heart beat. Testing done by cardiologist. Started after vaccines. A leaky aortic valve was found · Healthcare visit (other): Office call

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Call 1 — Left Voicemail
2021-08-30
Survey response — 6 months, dose 2
MedDRA: Office visit, Sciatica — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Sciatica · Healthcare visit (other): Office visit

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-30
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-31
Call 1 — Left Voicemail
2022-03-01
Survey response — 12 months, dose 2
MedDRA: Palpitations — Feeling: Good

Free text: Heart palpitations

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Moderna
2	2021-03-01	Moderna

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-02

Systemic reaction (other): Six hours after the shot my arm, shoulder, shoulder blade, and muscles around my ribs and chest on the side of the shot aches. Today, just my arm is sore at the injection site and is getting less sore as the day goes on

2021-02-03

Systemic reaction (other): I have cold symptoms: runny nose, sneezing, fatigue . Symptoms are noticeable but I am pushing through most of daily routine.

2021-02-04

Systemic reaction (other): A bad cold. Sneezing, drippy nose, very tired.

Release 4 — day 21, dose 1

2021-02-22

Symptoms: Chest pain, arm, shoulder and shoulder blade pain, collar bone pain . Sneezing. Tiredness. Rapid heartbeat

Healthcare visit (other): Doctors office

Release 4 — days 1–6 daily, dose 2

2021-03-02

Systemic reaction (other): Ear ache and teeth hurt on side of body where I got the shot.

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): stiff and sore neck

2021-03-06

Systemic reaction (other): Cold symptoms. Runny nose and sneezing

2021-03-07

Systemic reaction (other): Runny nose, sneezing

Release 5 — day 7, dose 2

2021-03-08

Systemic reaction (other): Cold symptoms (sinus?) runny nose, pain on left side of head, fullness and pressure in nose, between eyes , forehead, Enough to take coricidin twice already.

Release 5 — day 14, dose 2

2021-03-15

Symptoms: Headache is worse and flashing in left eye. Saw doctor. No explanation for it. Plus, pounding heartbeat

Healthcare visit (other): Doctors office

Release 6 — day 21, dose 2

2021-03-22

Symptoms: The headache won't go away. I have been taking tylenol which helps.

Healthcare visit (other): in person

Release 8 — 3 months, dose 2

2021-05-31

Symptoms: Heart related. pounding heart beat. Testing done by cardiologist. Started after vaccines. A leaky aortic valve was found

Healthcare visit (other): Office call

Release 9 — 6 months, dose 2

2021-08-30

Symptoms: Sciatica

Healthcare visit (other): Office visit

Release 11 — 12 months, dose 2

2022-03-01

Symptoms: Heart palpitations

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	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Aortic valve incompetence	○	✓	○
SD	Arthralgia	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Heart valve incompetence	✓	·	✓
SD	Musculoskeletal pain	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Photopsia	✓	✓	✓
SD	Sciatica	✓	·	✓
SD	Self-medication	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Supraclavicular fossa pain	✓	✓	✓
SRO	Arthralgia	·	·	✓
SRO	Ear pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Musculoskeletal pain	·	·	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Myalgia	·	·	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain	✓	✓	○
SRO	Pain in extremity	·	·	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Toothache	✓	✓	✓

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