6GB-25876-47505

2 vaccinations 9 coded responses 20 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 894 / NV
Registered: 2020-12-23

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

2020-12-23
Registered in v-safe
2020-12-23
Dose 1 — Moderna
2020-12-23
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Itching · Fever · None

Adult check-in
2020-12-27
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Myalgia, Pain in extremity — Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Free text: The severe pain only lasted for a few hours on the second day. The joint and muscle pain was all on my left side. Knee shoulder and calf.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-01-06
Survey response — day 14, dose 1
MedDRA: Pain in extremity, Pruritus — Feeling: Good

Free text: Arm pain and itching last only one day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-20
Dose 2 — Moderna
2021-01-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Free text: Joint pain is in my right shoulder. The arm I received my vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Not sure if I did something to my right shoulder or if its from the vaccine. But I woke up Saturday morning in pain and it has only gotten worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Calcinosis — Feeling: Poor · Joint pains, Muscle or body aches · Be unable to work, 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: Systemic reaction (other): Right shoulder pain · Healthcare visit (other): X-ray showed calcification in right shoulder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-29
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-10
Survey response — day 21, dose 2
MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Feeling very fatigued and having mild headaches off and on all day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — day 28, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Just fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-03
Survey response — day 42, dose 2
MedDRA: Fatigue, Headache — Feeling: Fair

Free text: Headaches and fatigue. Just not feeling like myself.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — 3 months, dose 2
MedDRA: Fatigue, SARS-CoV-2 test positive — Feeling: Fair · 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: Symptoms: Severe fatigue · Healthcare visit (other): Tested positive for Covid antigen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
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)
2021-05-25
Call 1 — Left Voicemail
2021-07-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-23	Moderna
2	2021-01-20	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-27

Systemic reaction (other): The severe pain only lasted for a few hours on the second day. The joint and muscle pain was all on my left side. Knee shoulder and calf.

Release 1 — day 14, dose 1

2021-01-06

Symptoms: Arm pain and itching last only one day

Release 2 — days 1–6 daily, dose 2

2021-01-23

Systemic reaction (other): Joint pain is in my right shoulder. The arm I received my vaccine.

2021-01-24

Systemic reaction (other): Not sure if I did something to my right shoulder or if its from the vaccine. But I woke up Saturday morning in pain and it has only gotten worse.

2021-01-25

Systemic reaction (other): Right shoulder pain

Healthcare visit (other): X-ray showed calcification in right shoulder

Release 4 — day 21, dose 2

2021-02-10

Symptoms: Feeling very fatigued and having mild headaches off and on all day.

Release 4 — day 28, dose 2

2021-02-17

Symptoms: Just fatigue

Release 4 — day 42, dose 2

2021-03-03

Symptoms: Headaches and fatigue. Just not feeling like myself.

Release 7 — 3 months, dose 2

2021-04-21

Symptoms: Severe fatigue

Healthcare visit (other): Tested positive for Covid antigen

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	Calcinosis	✓	✓	✓
HCVO	SARS-CoV-2 test positive	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pruritus	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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