6CG-21651-33752

3 vaccinations 10 coded responses 20 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 761 / TX
Registered: 2021-03-26

Relationship: Self
Race: White
Ethnicity: N/A

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-26
Registered in v-safe
2021-03-26
Dose 1 — Moderna
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Contusion, Headache, Tremor — Feeling: Fair · Site: Pain · Nausea

Free text: Friday night I had the chills saturdy morning chills and headache Sunday Monday Tuesday Wednesday I couldn't work I could barely stand I was shaking so bad I am back to work today but I feel much better My arm is still black-and-blue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site discolouration, Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Free text: My shot area is still black-and-blue little bit sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 7, dose 1
MedDRA: Impaired work ability, Malaise, Pain — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Nausea · Be unable to work

Free text: Went to work but did not stay felt sickand pain other wise ok

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-23
Dose 2 — Moderna
2021-04-23
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Balance disorder, Mobility decreased — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to work

Free text: Saturday At 4:00 a.m. I was in a lot of pain both of my knees my right hip in my shoulder I could not even move to get up to go to work It lasted all daySaturdy night it was hard to walk around my legs are kind of weekend wobbly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Impaired work ability, Mobility decreased, Muscular weakness — Feeling: Good · Site: Pain · Headache, Joint pains · Be unable to work

Free text: Why no standing and walking around my legs feel kind of weak still so I didn't go to work today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain · Headache, Joint pains

Free text: I forgot to say ever since I had my 1st shot my nose keeps running Not bad but I never had running noses before

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Good · Site: Pain · Chills, Headache, Joint pains · Be unable to work

Free text: Joins in my knees are really hurting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 7, dose 2
MedDRA: Muscular weakness — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Free text: My legs still feel a little weak my knees joint

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-21
Survey response — day 28, dose 2
MedDRA: Muscle spasms, Paraesthesia — Feeling: Good

Free text: My hands are cramping like pins and needles in my feet feels like somebody stabbing me Not sure if this is related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-23
Survey response — 3 months, dose 2
MedDRA: Hyperventilation, Medical counselling, Rhinorrhoea — Feeling: Fair

Free text: I still get a runny nose and everyone's in a while a double breath I also told my family doctor the same thing

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-18
Dose 3 — Moderna
Co-administered: Shingles
2022-04-25
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Moderna
2	2021-04-23	Moderna
3	2022-01-18	Moderna	Shingles

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-31

Systemic reaction (other): Friday night I had the chills saturdy morning chills and headache Sunday Monday Tuesday Wednesday I couldn't work I could barely stand I was shaking so bad I am back to work today but I feel much better My arm is still black-and-blue

2021-04-01

Systemic reaction (other): My shot area is still black-and-blue little bit sore

Release 6 — day 7, dose 1

2021-04-02

Systemic reaction (other): Went to work but did not stay felt sickand pain other wise ok

Release 7 — days 1–6 daily, dose 2

2021-04-25

Systemic reaction (other): Saturday At 4:00 a.m. I was in a lot of pain both of my knees my right hip in my shoulder I could not even move to get up to go to work It lasted all daySaturdy night it was hard to walk around my legs are kind of weekend wobbly

2021-04-26

Systemic reaction (other): Why no standing and walking around my legs feel kind of weak still so I didn't go to work today

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): I forgot to say ever since I had my 1st shot my nose keeps running Not bad but I never had running noses before

2021-04-29

Systemic reaction (other): Joins in my knees are really hurting

Release 8 — day 7, dose 2

2021-04-30

Systemic reaction (other): My legs still feel a little weak my knees joint

Release 8 — day 28, dose 2

2021-05-21

Symptoms: My hands are cramping like pins and needles in my feet feels like somebody stabbing me Not sure if this is related

Release 9 — 3 months, dose 2

2021-07-23

Symptoms: I still get a runny nose and everyone's in a while a double breath I also told my family doctor the same thing

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	Dyspnoea	○	·	○
SD	Hyperventilation	✓	·	✓
SD	Medical counselling	✓	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Rhinorrhoea	✓	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Impaired work ability	✓	✓	✓
SRO	Injection site discolouration	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Tremor	✓	✓	✓

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