69F-25440-91794

3 vaccinations 11 coded responses 39 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 826 / WY
Registered: 2021-03-23

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

2021-03-22
Dose 1 — Moderna
2021-03-23
Registered in v-safe
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Myalgia, Pre-existing disease — Feeling: Good · Site: Redness

Free text: I always have joint and muscle pain because I am a breast cancer survivor and take an aromatase inhibitor plus atorvastatin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-19
Dose 2 — Moderna
2021-04-19
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-24
Survey response — day 35, dose 2
MedDRA: Cough, Eye pruritus, Rhinorrhoea — Feeling: Good

Free text: Cough, runny nose, itching eyes...from my allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Survey response — day 42, dose 2
MedDRA: Seasonal allergy — Feeling: Good

Free text: Seasonal allergies...cottonwood trees and pollen!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-19
Survey response — 3 months, dose 2
MedDRA: Nephrolithiasis, Pre-existing disease — Feeling: Good

Free text: I am having surgery on the 22nd to remove a 2cm. Stone from my kidney! Only other problem is my seasonal allergies.

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Survey response — 6 months, dose 2
MedDRA: Eye laser surgery, Office visit, Renal stone removal — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Kidney stone surgery and corrective laser eye surgery · Healthcare visit (other): Outpatient visits

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-21
Call 1 — Left Voicemail
2021-11-14
Dose 3 — Moderna
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-16
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tiredness

Free text: Slight sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Survey response — days 1–6 daily, dose 3
MedDRA: Sinus congestion — Feeling: Good · Muscle or body aches

Free text: Slight sinus congestion

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-19
Survey response — days 1–6 daily, dose 3
MedDRA: Sinus congestion — Feeling: Good · Muscle or body aches

Free text: Slight sinus congestion

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Survey response — days 1–6 daily, dose 3
MedDRA: Sinus congestion — Feeling: Good · Muscle or body aches

Free text: Still have some sinus congestion but not too bad

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-28
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-05
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-12
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-19
Survey response — day 35, dose 3
MedDRA: Sinus congestion — Feeling: Good

Free text: Sinus congestion from the wind!!

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-13
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-15
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-14
Survey response — 12 months, dose 3
MedDRA: Office visit, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Possible colitis · Healthcare visit (other): Gastroenterologist

MedDRA releases: 2024-11 · check-in free text available
2022-11-14
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-15
Call 2 — Left Voicemail
2022-11-15
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Moderna
2	2021-04-19	Moderna
3	2021-11-14	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): I always have joint and muscle pain because I am a breast cancer survivor and take an aromatase inhibitor plus atorvastatin

Release 8 — day 35, dose 2

2021-05-24

Symptoms: Cough, runny nose, itching eyes...from my allergies

Release 8 — day 42, dose 2

2021-05-31

Symptoms: Seasonal allergies...cottonwood trees and pollen!

Release 9 — 3 months, dose 2

2021-07-19

Symptoms: I am having surgery on the 22nd to remove a 2cm. Stone from my kidney! Only other problem is my seasonal allergies.

Release 10 — 6 months, dose 2

2021-10-18

Symptoms: Kidney stone surgery and corrective laser eye surgery

Healthcare visit (other): Outpatient visits

Release 10 — days 1–6 daily, dose 3

2021-11-16

Systemic reaction (other): Slight sore throat

2021-11-17

Systemic reaction (other): Slight sinus congestion

2021-11-19

Systemic reaction (other): Slight sinus congestion

2021-11-20

Systemic reaction (other): Still have some sinus congestion but not too bad

Release 10 — day 35, dose 3

2021-12-19

Symptoms: Sinus congestion from the wind!!

Release 12 — 12 months, dose 3

2022-11-14

Symptoms: Possible colitis

Healthcare visit (other): Gastroenterologist

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	Cough	✓	✓	✓
SD	Eye laser surgery	·	·	✓
SD	Eye pruritus	✓	✓	✓
SD	Nephrolithiasis	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Renal stone removal	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Seasonal allergy	✓	✓	✓
SD	Sinus congestion	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sinus congestion	·	·	✓

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