6AX-22104-85357

4 vaccinations 6 coded responses 30 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 275 / NC
Registered: 2021-02-14

Relationship: Self
Race: Black or African American
Ethnicity: N/A

Timeline

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

2021-02-13
Dose 1 — Moderna
2021-02-14
Registered in v-safe
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Nausea, Abdominal pain

Free text: Cramps in my right foot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-10
Dose 2 — Moderna
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-08
Survey response — day 28, dose 2
MedDRA: Asthenia, Pain — Feeling: Fair

Free text: After trimming hedges(7) raking up the leaves and bagging them. I am so sore and weak. I am taking hot showers, rubbing in Aspercreme, stretching and taking Tylenol.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 35, dose 2
MedDRA: Pain — Feeling: Fair

Free text: Still sore from yard work including hedge trimming.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 42, dose 2
MedDRA: Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: From trimming hedges to long caused me right lower back pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-27
Call 1 — Could Not Reach Participant
2022-03-03
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-10
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-08
Dose 3 — Moderna
Co-administered: Other
2022-04-29
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-07-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-09-08
Dose 4 — Moderna
2022-09-08
Survey response — day 0, dose 4
MedDRA: Herpes zoster, Oral herpes zoster — Feeling: Good

Free text: I got shingles in February 2022 in my mouth, had 3 tooth including my wisdom tooth, then it went to my left shoulder area.

MedDRA releases: 2024-11 · check-in free text available
2022-09-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-12
Survey response — days 1–6 daily, dose 4
MedDRA: Unevaluable event — Feeling: Good

Free text: Questions are for 04/08/2022 Booster shot.

MedDRA releases: 2024-11 · check-in free text available
2022-12-10
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-09
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-13	Moderna
2	2021-03-10	Moderna
3	2022-04-08	Moderna	Other
4	2022-09-08	Moderna	No

Call center

1 call center case

1 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-14

Systemic reaction (other): Cramps in my right foot

Release 7 — day 28, dose 2

2021-04-08

Symptoms: After trimming hedges(7) raking up the leaves and bagging them. I am so sore and weak. I am taking hot showers, rubbing in Aspercreme, stretching and taking Tylenol.

Release 7 — day 35, dose 2

2021-04-14

Symptoms: Still sore from yard work including hedge trimming.

Release 7 — day 42, dose 2

2021-04-21

Symptoms: From trimming hedges to long caused me right lower back pain.

Release 12 — day 0, dose 4

2022-09-08

Systemic reaction (other): I got shingles in February 2022 in my mouth, had 3 tooth including my wisdom tooth, then it went to my left shoulder area.

Release 12 — days 1–6 daily, dose 4

2022-09-12

Systemic reaction (other): Questions are for 04/08/2022 Booster shot.

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	Asthenia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Herpes zoster	·	·	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Oral herpes zoster	·	·	✓
SRO	Unevaluable event	·	·	✓

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