62T-21617-50802

4 vaccinations 15 coded responses 47 check-ins 15 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 730 / OK
Registered: 2021-01-10

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

2021-01-10
Registered in v-safe
2021-01-10
Dose 1 — Moderna
2021-01-10
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Diarrhea

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-19
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-06
Dose 2 — Moderna
2021-02-14
Survey response — day 7, dose 2
MedDRA: Pain, Pyrexia — Feeling: Good · Site: Pain

Free text: I had fever the day after the shot and ached and was sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-27
Dose 3 — Moderna
2021-10-27
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site pruritus — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Muscle or body aches

Free text: The shot site is so itchy.

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Joint pains

Adult check-in
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Myalgia — Feeling: Good · Site: Itching · Joint pains

Free text: My shoulder and neck area on the arm I got the shot is hurting in the muscle/ joint area, right side.

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Joint pains

Adult check-in
2021-11-03
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-11
Survey response — day 14, dose 3
MedDRA: Impaired work ability, Lymph node pain, Myalgia, Neck pain, Pain, Pain in extremity — Feeling: Good

Free text: My neck muscles/gland started hurting last Friday. Lifting my arm, turning my neck causes pain. I've had to use my opposite arm the most in my work but was able to keep working.

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Survey response — day 21, dose 3
MedDRA: Muscle fatigue, Myalgia, Pain, Self-medication — Feeling: Fair

Free text: My neck muscles on the injection site side is still very sore and tender to move my neck. I'm using salonpaas to help. Most of my arm tires out quicker as I work. I'm using an ace bandage to give it support to work.

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-08
Survey response — day 42, dose 3
MedDRA: Myalgia, Pain in extremity — Feeling: Fair

Free text: My neck muscle and right arm continue to ache, I still wrap my arm with an ace bandage to do my work.

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Survey response — 3 months, dose 3
MedDRA: Muscular weakness, Myalgia — Feeling: Good

Free text: Still dealing with pain in the muscle going up to the right side of my neck and honestly my muscle on the right arm is not as strong prior to booster.

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-05-18
Dose 4 — Moderna
2022-05-18
Survey response — day 0, dose 4
MedDRA: Neck pain — Feeling: Good

Free text: My right neck still has mild pain since the last vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-20
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: The lymph nodes under the armpit where I guu on t the shit hurts

MedDRA releases: 2024-11 · check-in free text available
2022-05-21
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches

Free text: Lymph nodes still hurt

MedDRA releases: 2024-11 · check-in free text available
2022-05-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2022-05-23
Survey response — days 1–6 daily, dose 4
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Headache

Free text: FYI my normal temp is 97.7

MedDRA releases: 2024-11 · check-in free text available
2022-05-24
Survey response — days 1–6 daily, dose 4
MedDRA: Headache, Lymph node pain, Pyrexia — Feeling: Good · Site: Pain · Fever · Headache

Free text: Fever is only in the evenings now. Headaches are worse in the evening. Lymph nodes in neck still hurt. I think that's causing the headaches.

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Survey response — day 7, dose 4
MedDRA: Headache, Pain — Feeling: Good · Site: Pain, Itching · Fever · Headache

Free text: My headache is constant, and dull pain.

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Survey response — day 14, dose 4
MedDRA: Discomfort, Lymph node pain, Pyrexia — Feeling: Fair

Free text: Fever came back every night and my lymph nodes in neck are painful. Makes it uncomfy to lay

MedDRA releases: 2024-11 · check-in free text available
2022-06-08
Survey response — day 21, dose 4
MedDRA: Lymph node pain, Myalgia, Tendon pain, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: The right arm muscles, tendons, lymph nodes hurt a lot · Healthcare visit (other): Cortisone injection in right shiulder

MedDRA releases: 2024-11 · check-in free text available
2022-06-08
Report sent to call center — day 21, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-09
Call 1 — Left Voicemail
2022-06-09
Call successful
Completed over the phone
2022-06-15
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-22
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-29
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-17
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-11-16
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-18
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-10	Moderna
2	2021-02-06	Moderna
3	2021-10-27	Moderna	No
4	2022-05-18	Moderna	No

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 4 — day 7, dose 2

2021-02-14

Systemic reaction (other): I had fever the day after the shot and ached and was sore

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): The shot site is so itchy.

2021-11-01

Systemic reaction (other): My shoulder and neck area on the arm I got the shot is hurting in the muscle/ joint area, right side.

Release 10 — day 14, dose 3

2021-11-11

Symptoms: My neck muscles/gland started hurting last Friday. Lifting my arm, turning my neck causes pain. I've had to use my opposite arm the most in my work but was able to keep working.

Release 10 — day 21, dose 3

2021-11-17

Symptoms: My neck muscles on the injection site side is still very sore and tender to move my neck. I'm using salonpaas to help. Most of my arm tires out quicker as I work. I'm using an ace bandage to give it support to work.

Release 10 — day 42, dose 3

2021-12-08

Symptoms: My neck muscle and right arm continue to ache, I still wrap my arm with an ace bandage to do my work.

Release 11 — 3 months, dose 3

2022-01-26

Symptoms: Still dealing with pain in the muscle going up to the right side of my neck and honestly my muscle on the right arm is not as strong prior to booster.

Release 11 — day 0, dose 4

2022-05-18

Systemic reaction (other): My right neck still has mild pain since the last vaccine.

Release 11 — days 1–6 daily, dose 4

2022-05-20

Systemic reaction (other): The lymph nodes under the armpit where I guu on t the shit hurts

2022-05-21

Systemic reaction (other): Lymph nodes still hurt

2022-05-23

Systemic reaction (other): FYI my normal temp is 97.7

2022-05-24

Systemic reaction (other): Fever is only in the evenings now. Headaches are worse in the evening. Lymph nodes in neck still hurt. I think that's causing the headaches.

Release 11 — day 7, dose 4

2022-05-25

Systemic reaction (other): My headache is constant, and dull pain.

Release 11 — day 14, dose 4

2022-06-01

Symptoms: Fever came back every night and my lymph nodes in neck are painful. Makes it uncomfy to lay

Release 11 — day 21, dose 4

2022-06-08

Symptoms: The right arm muscles, tendons, lymph nodes hurt a lot

Healthcare visit (other): Cortisone injection in right shiulder

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	Unevaluable event	·	·	✓
SD	Discomfort	·	·	✓
SD	Impaired work ability	·	·	✓
SD	Lymph node pain	·	·	✓
SD	Muscle fatigue	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Myalgia	·	·	✓
SD	Neck pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pyrexia	·	·	✓
SD	Self-medication	·	·	✓
SD	Tendon pain	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Headache	·	·	✓
SRO	Injection site pruritus	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Myalgia	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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