6AG-29402-42736

3 vaccinations 12 coded responses 26 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 334 / FL
Registered: 2021-02-01

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-02-01
Registered in v-safe
2021-02-01
Dose 1 — Moderna
2021-02-01
Survey response — day 0, dose 1
MedDRA: Neck pain — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Some pain to left side of neck

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

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspepsia — Feeling: Good · Muscle or body aches

Free text: IndigestiÃ³n

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-22
Survey response — day 21, dose 1
MedDRA: Injection site erythema — Feeling: Good

Free text: The only different symptom was redness to the injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Dose 2 — Moderna
2021-03-01
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Neck pain, Pruritus — Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I had intermittent pain to the back of my neck and itching but no rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Neck pain — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Pain to lower back and at times to back of the neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in jaw — Feeling: Fair · Site: Redness · Joint pains, Muscle or body aches

Free text: I have intermittent severe pain to my lower left jaw not sure if its my gum, tooth or jaw. Severe when I get the pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Facial pain, Pain in jaw — Feeling: Good · Fatigue or tiredness

Free text: Pain to left side of face and lower left side of jaw

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Facial pain — Feeling: Good · Fatigue or tiredness

Free text: Mild pain to lower left side of face (cheek)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — day 7, dose 2
MedDRA: Facial pain — Feeling: Good · Fatigue or tiredness

Free text: Pain to lower left (cheek) side of face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — day 14, dose 2
MedDRA: Neck pain — Feeling: Good

Free text: The back of my neck continues to have intermittent pain. Feels like pins and needles.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-05
Survey response — day 35, dose 2
MedDRA: Burning sensation, Musculoskeletal discomfort — Feeling: Fair

Free text: Continue to have discomfort to the back of my neck (a burning sensation to the back of my neck) made an appointment to see my doctor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-01
Dose 3 — Moderna
2022-03-01
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-02
Survey response — 6 months, dose 3
MedDRA: Cough, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Since my second booster - I have had a hacking cough. · Healthcare visit (other): I have a telehealth visit scheduled for tomorrow.

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Moderna
2	2021-03-01	Moderna
3	2021-11-01	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-02-01

Systemic reaction (other): Some pain to left side of neck

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): IndigestiÃ³n

Release 4 — day 21, dose 1

2021-02-22

Symptoms: The only different symptom was redness to the injection site.

Release 4 — days 1–6 daily, dose 2

2021-03-02

Systemic reaction (other): I had intermittent pain to the back of my neck and itching but no rash

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Pain to lower back and at times to back of the neck

2021-03-04

Systemic reaction (other): I have intermittent severe pain to my lower left jaw not sure if its my gum, tooth or jaw. Severe when I get the pain.

2021-03-06

Systemic reaction (other): Pain to left side of face and lower left side of jaw

2021-03-07

Systemic reaction (other): Mild pain to lower left side of face (cheek)

Release 5 — day 7, dose 2

2021-03-08

Systemic reaction (other): Pain to lower left (cheek) side of face

Release 5 — day 14, dose 2

2021-03-15

Symptoms: The back of my neck continues to have intermittent pain. Feels like pins and needles.

Release 6 — day 35, dose 2

2021-04-05

Symptoms: Continue to have discomfort to the back of my neck (a burning sensation to the back of my neck) made an appointment to see my doctor.

Release 11 — 6 months, dose 3

2022-05-02

Symptoms: Since my second booster - I have had a hacking cough.

Healthcare visit (other): I have a telehealth visit scheduled for tomorrow.

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	Unevaluable event	·	·	✓
SD	Burning sensation	✓	✓	✓
SD	Cough	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Musculoskeletal discomfort	✓	✓	✓
SD	Neck pain	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Facial pain	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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