63M-22226-75655

3 vaccinations 8 coded responses 31 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 988 / WA
Registered: 2021-01-13

Relationship: Self
Race: White
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

2021-01-12
Dose 1 — Moderna
2021-01-13
Registered in v-safe
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Sinus headache — Feeling: Fair · Site: Pain, Swelling · Headache

Free text: Feels like a sinus headache. Not sure if it is related to the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

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

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — day 14, dose 1
Feeling: Good

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

Adult check-in
2021-02-09
Dose 2 — Moderna
2021-02-09
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature increased, Pain, Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: My temperature is nornally 97.4, so I experienced a very mild elevation. The pain that I normally have (back, hip, IT band) was much worse than usual today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Symptoms much better than yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-08-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Moderna
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Free text: I have had five back surgeries and experience low back pain on a daily basis. After the second shot, and now the booster shot, I have severe acute sharp lower back pain just on the day or two after the shot

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain, Pain — Feeling: Fair · Muscle or body aches

Free text: Low back pain seemed to turn a corner yesterday afternoon. Still experiencing more than usual body ache sensation, but definitely subsiding

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Fatigue, Pain — Feeling: Poor · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Was getting better, pain came back yesterday. Pain at a "6", fatigue, joint pain, feeling achy like a fever with normal temperature.

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Survey response — day 7, dose 3
MedDRA: Adverse reaction — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Symtoms seens to be lingering

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Survey response — day 14, dose 3
MedDRA: Arthralgia, Brain fog, Fatigue, Feeling abnormal, Myalgia — Feeling: Good

Free text: I had disruptive side effects for a full week and a half. (So did my husband) it included fatigue, joint pain, muscle pain, and fuzzy thinking. Finally started feeling normal again two days ago. I kept working thru it, but felt like calling in sick

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Good

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

Adult check-in
2021-12-12
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Moderna
2	2021-02-09	Moderna
3	2021-10-29	Moderna	No

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): Feels like a sinus headache. Not sure if it is related to the shot.

Release 3 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): My temperature is nornally 97.4, so I experienced a very mild elevation. The pain that I normally have (back, hip, IT band) was much worse than usual today.

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Symptoms much better than yesterday

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): I have had five back surgeries and experience low back pain on a daily basis. After the second shot, and now the booster shot, I have severe acute sharp lower back pain just on the day or two after the shot

2021-11-02

Systemic reaction (other): Low back pain seemed to turn a corner yesterday afternoon. Still experiencing more than usual body ache sensation, but definitely subsiding

2021-11-04

Systemic reaction (other): Was getting better, pain came back yesterday. Pain at a "6", fatigue, joint pain, feeling achy like a fever with normal temperature.

Release 10 — day 7, dose 3

2021-11-07

Systemic reaction (other): Symtoms seens to be lingering

Release 10 — day 14, dose 3

2021-11-12

Symptoms: I had disruptive side effects for a full week and a half. (So did my husband) it included fatigue, joint pain, muscle pain, and fuzzy thinking. Finally started feeling normal again two days ago. I kept working thru it, but felt like calling in sick cut off by CDC

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	Arthralgia	·	·	✓
SD	Brain fog	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling abnormal	·	·	✓
SD	Myalgia	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Arthralgia	·	·	✓
SRO	Back pain	·	·	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sinus headache	✓	✓	✓

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