6PB-21671-05811

2 vaccinations 5 coded responses 18 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 451 / OH
Registered: 2021-02-28

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

2021-02-26
Dose 1 — Moderna
2021-02-28
Registered in v-safe
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: No. But got confirmation to use Tylenol 1000mg for pain. Prior health issues required me to not use NSAIDS and Tylenol. Recent DVT and on blood thinners. However when pain began it was severe/extreme.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-05
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Moderna
2021-03-26
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Chest discomfort, Dyspnoea, Myalgia — Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Free text: Bad muscle & joint pain late last night as well as tightness in lower chest/rib cage area some difficulty breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-11
Survey response — day 14, dose 2
MedDRA: Back pain, Chest discomfort, Dyspnoea, Loss of personal independence in daily activities, Office visit, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Symptoms: Trouble breathing with feeling of chest being compressed consistently and right bac pain mid lung area. · Healthcare visit (other): PCP office visit. Chest X-ray normal, ECG moral, O2 sats ok. Stress test ordered. Told not to return to work after 4/9 visit. Fast test for COVID result normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Report sent to call center — day 14, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-19
Survey response — day 21, dose 2
MedDRA: Cough, Fatigue, Myalgia, Pain in extremity — Feeling: Fair

Free text: Cough. Some fatigue. Some muscle soar Eds/pain in legs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 35, dose 2
MedDRA: Cough, Dyspnoea — Feeling: Fair

Free text: Cough, difficulty breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-03-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-26	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-01

Systemic reaction (other): No. But got confirmation to use Tylenol 1000mg for pain. Prior health issues required me to not use NSAIDS and Tylenol. Recent DVT and on blood thinners. However when pain began it was severe/extreme.

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): Bad muscle & joint pain late last night as well as tightness in lower chest/rib cage area some difficulty breathing

Release 7 — day 14, dose 2

2021-04-11

Symptoms: Trouble breathing with feeling of chest being compressed consistently and right bac pain mid lung area.

Healthcare visit (other): PCP office visit. Chest X-ray normal, ECG moral, O2 sats ok. Stress test ordered. Told not to return to work after 4/9 visit. Fast test for COVID result normal.

Release 7 — day 21, dose 2

2021-04-19

Symptoms: Cough. Some fatigue. Some muscle soar Eds/pain in legs.

Release 8 — day 35, dose 2

2021-04-30

Symptoms: Cough, difficulty breathing

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	Loss of personal independence in daily activities	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	SARS-CoV-2 test negative	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	No adverse event	✓	✓	✓

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