6EA-14348-28854

3 vaccinations 8 coded responses 32 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 776 / TX
Registered: 2021-01-06

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-01-06
Registered in v-safe
2021-01-06
Dose 1 — Moderna
2021-01-06
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Soreness in shot area. Just an upper achy arm since shot was given

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: Arm achiness alowly going away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-03
Dose 2 — Moderna
2021-02-03
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal pain — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Achiness across both shoulder blades

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Fatigue, Pain in extremity — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Achiness across shoulders and arm still sore plus still tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-08-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Moderna
2021-10-29
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Flank pain, Pain in extremity — Feeling: Fair · Muscle or body aches

Free text: Achiness in arm and sore side.

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity — Feeling: Good · Site: Swelling · Muscle or body aches

Free text: Achiness in upper arm

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness · Muscle or body aches

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Injection site erythema, Peripheral swelling — Feeling: Good · Site: Swelling · Muscle or body aches

Free text: Shoulder still achy. Bump from shot still on arm. Also a big red spot is 1 inch below where shot was given.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site bruising, Injection site erythema — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: I just have the red spot and bruise at shot location

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-03	Moderna
3	2021-10-29	Moderna	No

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): Soreness in shot area. Just an upper achy arm since shot was given

2021-01-09

Systemic reaction (other): Arm achiness alowly going away.

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): Achiness across both shoulder blades

2021-02-05

Systemic reaction (other): Achiness across shoulders and arm still sore plus still tired

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Achiness in arm and sore side.

2021-10-31

Systemic reaction (other): Achiness in upper arm

2021-11-02

Systemic reaction (other): Shoulder still achy. Bump from shot still on arm. Also a big red spot is 1 inch below where shot was given.

2021-11-03

Systemic reaction (other): I just have the red spot and bruise at shot location

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
SRO	Arthralgia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Flank pain	·	·	✓
SRO	Injection site bruising	·	·	✓
SRO	Injection site erythema	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Musculoskeletal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	·	·	✓

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