6E7-96159-63474

4 vaccinations 8 coded responses 38 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 857 / AZ
Registered: 2021-01-30

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

2021-01-30
Registered in v-safe
2021-01-30
Dose 1 — Moderna
2021-01-30
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Eczema, Pre-existing disease — Feeling: Good

Free text: Eczema flare up

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 · None

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

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Survey response — day 14, dose 1
MedDRA: Eczema — Feeling: Fair

Free text: Eczema flare has been difficult to get under control

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — day 21, dose 1
MedDRA: Eczema, Pain — Feeling: Fair

Free text: Eczema, aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Dose 2 — Moderna
2021-02-27
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Eczema — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Eczema flare

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Nausea, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Fair · Site: Itching · Rash, not including the immediate area around the injection site

Free text: Itching

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: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-06
Health check-in — day 7, dose 2
Feeling: Good · Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-30
Survey response — 3 months, dose 2
MedDRA: Loss of personal independence in daily activities, Myalgia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Debilitating muscle aches bilaterally. Elevated inflammatory markers, elevated Rh quant, started after 2nd dose which I thought was related to exercise. Intensified by 6 wks out to where I could not drive.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-02
Survey response — 6 months, dose 2
MedDRA: Myalgia, Office visit, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: PMR and/or another autoimmune disease. Severe muscle aches, shoulder, neck, hips, thighs. My PCP said to report this. · Healthcare visit (other): PCP in person visit

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

no matching call case
2021-10-07
Dose 3 — Moderna
2021-10-28
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-05
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-11
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-18
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-08
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-30
Dose 4 — Moderna
2022-04-08
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-15
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-04-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-27
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-04
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-05-12
Call 1 — Left Voicemail
2022-06-30
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-09-28
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-03-30
Survey response — 12 months, dose 4
MedDRA: Inappropriate antidiuretic hormone secretion, Pneumonia, Spinal operation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

MedDRA releases: 2024-11
2023-03-30
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2023-03-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-31
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	2021-01-30	Moderna
2	2021-02-27	Moderna
3	2021-10-07	Moderna	No
4	2022-03-30	Moderna	No

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

1 check-in flagged for a call with no call center case on record

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): Eczema flare up

Release 4 — day 14, dose 1

2021-02-15

Symptoms: Eczema flare has been difficult to get under control

Release 4 — day 21, dose 1

2021-02-20

Symptoms: Eczema, aches

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): Eczema flare

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Itching

Release 8 — 3 months, dose 2

2021-05-30

Symptoms: Debilitating muscle aches bilaterally. Elevated inflammatory markers, elevated Rh quant, started after 2nd dose which I thought was related to exercise. Intensified by 6 wks out to where I could not drive.

Release 9 — 6 months, dose 2

2021-09-02

Symptoms: PMR and/or another autoimmune disease. Severe muscle aches, shoulder, neck, hips, thighs. My PCP said to report this.

Healthcare visit (other): PCP in person visit

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	Eczema	✓	✓	✓
SD	Inappropriate antidiuretic hormone secretion	·	·	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pneumonia	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Spinal operation	·	·	✓
SRO	Eczema	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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