695-58223-48137

2 vaccinations 12 coded responses 24 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 810 / CO
Registered: 2020-12-29

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Moderna
2020-12-29
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Injection site pain, Pain in extremity, Pain in jaw — Feeling: Good · Site: Swelling · Headache, Muscle or body aches

Free text: Jaw pain on left side, wrist pain gone from yesterday but arm is sore and tender at injection site .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in jaw — Feeling: Fair · Site: Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Jaw still hurting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in jaw — Feeling: Good · Muscle or body aches

Free text: Jaw still hurts but is tolerable

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Muscle or body aches

Free text: Still a little tired - but doing well

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches

Free text: Was sleeping when text came thru @1105 pm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Survey response — day 14, dose 1
MedDRA: Emergency care, Injection site pruritus, Injection site swelling, Injection site warmth, Myalgia, Pain in extremity, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Day 8 - injection site itchy and warm to touch all day.Day 9 - large welt on left arm at injection site - fills palm from side to side n raised about half inch or better. Arm was sore and muscle aches - told ER Director/Employee Health · Healthcare visit (other): ER when at WORK

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-19
Survey response — day 21, dose 1
MedDRA: Fatigue — Feeling: Fair

Free text: Tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Dose 2 — Moderna
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · Muscle or body aches

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site swelling, Injection site warmth — Feeling: Good · Site: Redness, Swelling · Muscle or body aches

Free text: Injection site is warm to touch and swollen as before

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Muscle or body aches

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Headache, Musculoskeletal stiffness, Myalgia — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Free text: Muscles ache - joints hurt - slight headache & stiff neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Myalgia, Pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Tired today - body n muscle aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Headache, Myalgia — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Just headache n muscle aches n really tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-15
Survey response — day 21, dose 2
MedDRA: Arthralgia, Chiropractic, Headache, Myalgia, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Headache Body aches Sore muscles n joints · Healthcare visit (other): Chiropractor for adjustment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-26
Call 1 — Left Voicemail
2021-03-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-25
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-25	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Jaw pain on left side, wrist pain gone from yesterday but arm is sore and tender at injection site .

2021-01-01

Systemic reaction (other): Jaw still hurting

2021-01-02

Systemic reaction (other): Jaw still hurts but is tolerable

2021-01-04

Systemic reaction (other): Still a little tired - but doing well

Release 1 — day 7, dose 1

2021-01-06

Systemic reaction (other): Was sleeping when text came thru @1105 pm

Release 1 — day 14, dose 1

2021-01-12

Symptoms: Day 8 - injection site itchy and warm to touch all day.Day 9 - large welt on left arm at injection site - fills palm from side to side n raised about half inch or better. Arm was sore and muscle aches - told ER Director/Employee Health

Healthcare visit (other): ER when at WORK

Release 2 — day 21, dose 1

2021-01-19

Symptoms: Tiredness

Release 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): Injection site is warm to touch and swollen as before

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Muscles ache - joints hurt - slight headache & stiff neck

2021-01-30

Systemic reaction (other): Tired today - body n muscle aches

2021-01-31

Systemic reaction (other): Just headache n muscle aches n really tired

Release 4 — day 21, dose 2

2021-02-15

Symptoms: Headache Body aches Sore muscles n joints

Healthcare visit (other): Chiropractor for adjustment

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	Chiropractic	✓	✓	✓
HCVO	Emergency care	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site reaction	○	○	○
SD	Injection site swelling	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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