6EM-29563-71172

2 vaccinations 11 coded responses 17 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 346 / FL
Registered: 2021-02-12

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2021-02-11
Dose 1 — Moderna
2021-02-12
Registered in v-safe
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Lacrimation increased, Ocular hyperaemia, Thermal burns of eye — Feeling: Good · Site: Swelling · Joint pains, Fatigue or tiredness

Free text: My eyes were red last night 7:15 my eyes were watering a lit and slight burning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Pain in my calf and leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity, Peripheral swelling — Feeling: Good · Muscle or body aches

Free text: Slight pain in calf and a little swollen And just a slight in easenes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Lip discolouration — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Didnt let u you up know that on wensday I notice my lips inside were dark red like blood clots still dark red

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Hypertension — Feeling: Fair · Headache, Joint pains, Muscle or body aches

Free text: Just not feeling my self yet/feeling maybe a little anxiety/blood pressure a little high

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 7, dose 1
MedDRA: Headache, Myalgia — Feeling: Good · Headache, Muscle or body aches

Free text: Headaches on the morning left back muscle pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — day 14, dose 1
MedDRA: Fall, Medical counselling, Pain in extremity — Feeling: Fair · 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: My muscle in my back hurt arm but I also fell on my left butt so that more of a problem other then that Im ok · Healthcare visit (other): Ask my doctor to send me for a x ray

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-11
Dose 2 — Moderna
2021-03-18
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-01
Survey response — day 21, dose 2
MedDRA: Headache, Hypoaesthesia — Feeling: Good

Free text: Slight head aches and Lille nimness on my tight side by my ear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 28, dose 2
MedDRA: Headache, Sinus headache, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Just having headache more often don't know if it's sinus · Healthcare visit (other): Have doctors appointments

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-22
Survey response — day 42, dose 2
MedDRA: Headache, Muscle spasms, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Spasm to my head and slight headachesO Ive my eyes · Healthcare visit (other): With my family doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-10
Survey response — 3 months, dose 2
MedDRA: Chest discomfort, Lip discolouration, Muscle tightness, Oral discomfort — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: My lips have purple spot since my first vaccination · Healthcare visit (other): Doctor appointments with the cardiologist was having some type of discomfort tightness around my neck and chest on the left side he gave me a medication and Im feeling a lot better but ny lips still looking weird

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-21
Call 1 — Left Voicemail
2021-09-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Moderna
2	2021-03-11	Moderna

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-12

Systemic reaction (other): My eyes were red last night 7:15 my eyes were watering a lit and slight burning

2021-02-14

Systemic reaction (other): Pain in my calf and leg

2021-02-15

Systemic reaction (other): Slight pain in calf and a little swollen And just a slight in easenes

2021-02-16

Systemic reaction (other): Didnt let u you up know that on wensday I notice my lips inside were dark red like blood clots still dark red

2021-02-17

Systemic reaction (other): Just not feeling my self yet/feeling maybe a little anxiety/blood pressure a little high

Release 4 — day 7, dose 1

2021-02-18

Systemic reaction (other): Headaches on the morning left back muscle pain

Release 4 — day 14, dose 1

2021-02-25

Symptoms: My muscle in my back hurt arm but I also fell on my left butt so that more of a problem other then that Im ok

Healthcare visit (other): Ask my doctor to send me for a x ray

Release 6 — day 21, dose 2

2021-04-01

Symptoms: Slight head aches and Lille nimness on my tight side by my ear

Release 7 — day 28, dose 2

2021-04-08

Symptoms: Just having headache more often don't know if it's sinus

Healthcare visit (other): Have doctors appointments

Release 7 — day 42, dose 2

2021-04-22

Symptoms: Spasm to my head and slight headachesO Ive my eyes

Healthcare visit (other): With my family doctor

Release 9 — 3 months, dose 2

2021-06-10

Symptoms: My lips have purple spot since my first vaccination

Healthcare visit (other): Doctor appointments with the cardiologist was having some type of discomfort tightness around my neck and chest on the left side he gave me a medication and Im feeling a lot better but ny lips still looking weird

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	Chest discomfort	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Muscle tightness	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Oral discomfort	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Fall	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Lip discolouration	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Sinus headache	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Lacrimation increased	✓	✓	✓
SRO	Lip discolouration	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Thermal burns of eye	✓	✓	✓

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