66B-10890-43089

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 954 / CA
Registered: 2021-02-08

Relationship: Self
Race: Other
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-08
Registered in v-safe
2021-02-08
Dose 1 — Moderna
2021-02-08
Survey response — day 0, dose 1
MedDRA: Nasal discomfort, Paranasal sinus discomfort — Feeling: Good · Fatigue or tiredness

Free text: Slight sinus discomfort

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

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

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

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-15
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-08
Dose 2 — Moderna
2021-03-08
Survey response — day 0, dose 2
MedDRA: Peripheral coldness — Feeling: Good · Site: Swelling · Chills

Free text: Especially cold hands and feet in the beginning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Headache

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion — Feeling: Good · Chills

Free text: Sinus congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills

Adult check-in
2021-03-15
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-29
Survey response — day 21, dose 2
MedDRA: Arthralgia, Back pain, Chills — Feeling: Good

Free text: Occasional Chills, joint and back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — day 28, dose 2
MedDRA: Chills — Feeling: Fair

Free text: Reoccurring chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-20
Survey response — day 42, dose 2
MedDRA: Chills — Feeling: Good

Free text: Occasional chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-06
Survey response — 6 months, dose 2
MedDRA: Mouth breathing, Nasal congestion — Feeling: Good

Free text: Nocturnal nasal congestion causing me to breath through my mouth.Remedied by sitting up, walking around, drinking water to clear nasal passages.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-03-08
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Hypoacusis, Myalgia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Challenges with hearing in my left ear. Joint / muscle soreness in my right thigh and buttocks, especially at night

MedDRA releases: 2024-11 · check-in free text available
2022-03-08
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-11
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-08	Moderna
2	2021-03-08	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-02-08

Systemic reaction (other): Slight sinus discomfort

Release 5 — day 0, dose 2

2021-03-08

Systemic reaction (other): Especially cold hands and feet in the beginning.

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Sinus congestion

Release 6 — day 21, dose 2

2021-03-29

Symptoms: Occasional Chills, joint and back pain

Release 6 — day 28, dose 2

2021-04-05

Symptoms: Reoccurring chills

Release 7 — day 42, dose 2

2021-04-20

Symptoms: Occasional chills

Release 9 — 6 months, dose 2

2021-09-06

Symptoms: Nocturnal nasal congestion causing me to breath through my mouth.Remedied by sitting up, walking around, drinking water to clear nasal passages.

Release 11 — 12 months, dose 2

2022-03-08

Symptoms: Challenges with hearing in my left ear. Joint / muscle soreness in my right thigh and buttocks, especially at night

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	Back pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Hypoacusis	·	·	✓
SD	Mouth breathing	✓	·	✓
SD	Myalgia	·	·	✓
SD	Nasal congestion	✓	·	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Nasal discomfort	✓	✓	○
SRO	Paranasal sinus discomfort	·	·	✓
SRO	Peripheral coldness	✓	✓	✓

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