65R-30181-99795

2 vaccinations 7 coded responses 24 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 774 / TX
Registered: 2021-01-23

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

2021-01-23
Registered in v-safe
2021-01-23
Dose 1 — Moderna
2021-01-23
Survey response — day 0, dose 1
MedDRA: Feeling hot — Feeling: Fair

Free text: Got extremely hot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Survey response — day 14, dose 1
MedDRA: Muscle spasms — Feeling: Good

Free text: The upper arm where the injection was given started cramping when in motion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-20
Dose 2 — Moderna
2021-02-20
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Be unable to do your normal daily activities

Free text: Severe upper arm cramping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-02-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-20
Survey response — day 28, dose 2
MedDRA: Injection site pain, Injection site reaction — Feeling: Good

Free text: Continuing to have painful spasms at the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-03
Survey response — day 42, dose 2
MedDRA: Injection site reaction, Mobility decreased, Muscle spasms — Feeling: Good

Free text: More frequent muscle spasms at injection site. When it occurs, cannot use arm until it subsides. Occurs when arm is idle or in use. Lasts for seconds to several minutes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Survey response — 3 months, dose 2
MedDRA: Injection site pain, Injection site reaction, Mobility decreased, Muscle spasms, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: The injection arm mussel pain has worsened and the spasms are more frequent. Cannot use arm when this happens. · Healthcare visit (other): Primary care physician

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-21
Survey response — 6 months, dose 2
MedDRA: Pulmonary mass — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Several small nodules in lower lobe of left lung

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-21
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-26
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Moderna
2	2021-02-20	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-23

Systemic reaction (other): Got extremely hot

Release 3 — day 14, dose 1

2021-02-06

Symptoms: The upper arm where the injection was given started cramping when in motion

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): Severe upper arm cramping

Release 6 — day 28, dose 2

2021-03-20

Symptoms: Continuing to have painful spasms at the injection site

Release 6 — day 42, dose 2

2021-04-03

Symptoms: More frequent muscle spasms at injection site. When it occurs, cannot use arm until it subsides. Occurs when arm is idle or in use. Lasts for seconds to several minutes.

Release 8 — 3 months, dose 2

2021-05-22

Symptoms: The injection arm mussel pain has worsened and the spasms are more frequent. Cannot use arm when this happens.

Healthcare visit (other): Primary care physician

Release 9 — 6 months, dose 2

2021-08-21

Symptoms: Several small nodules in lower lobe of left lung

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	Injection site pain	✓	✓	✓
SD	Injection site reaction	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Pulmonary mass	✓	·	✓
SRO	Feeling hot	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓

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