6SA-14936-41453

2 vaccinations 11 coded responses 16 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 222 / VA
Registered: 2021-02-23

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-23
Registered in v-safe
2021-02-23
Dose 1 — Moderna
2021-02-23
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: Burning sensation — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Free text: Burning in my back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Poor · Fever · Headache, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: back ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: intermittent sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Survey response — day 7, dose 1
MedDRA: Burning sensation — Feeling: Fair · Muscle or body aches

Free text: Burning sensation in back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — day 14, dose 1
MedDRA: Rash, Skin burning sensation, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: rash, burning sensation in my back · Healthcare visit (other): I have made an appointment with a dermatologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-18
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-23
Dose 2 — Moderna
2021-03-30
Survey response — day 7, dose 2
MedDRA: Hyperhidrosis, Office visit — Feeling: Fair · Muscle or body aches, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): sweating · Healthcare visit (other): in person doctor's visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-06
Survey response — day 14, dose 2
MedDRA: Back pain, Dyspnoea, Fatigue, Hyperhidrosis, Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Back pain is worse. Rash is spreading. Also experiencing mild shortness of breath and mild sweating. Feeling tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 21, dose 2
MedDRA: Hyperhidrosis, Pain, Rash — Feeling: Fair

Free text: sweatingbody ache spreading rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 28, dose 2
MedDRA: Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: body aches5

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-04
Survey response — day 42, dose 2
MedDRA: Back pain, Nasal congestion, Skin burning sensation — Feeling: Fair · Be unable to do your normal daily activities

Free text: back aches, burning sensation on my skin, stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-11-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-23	Moderna
2	2021-03-23	Moderna

Call center

2 call center cases

2 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

2021-02-25

Systemic reaction (other): Burning in my back

2021-02-26

Systemic reaction (other): runny nose

2021-02-27

Systemic reaction (other): back ache

2021-02-28

Systemic reaction (other): intermittent sweating

Release 4 — day 7, dose 1

2021-03-02

Systemic reaction (other): Burning sensation in back

Release 5 — day 14, dose 1

2021-03-09

Symptoms: rash, burning sensation in my back

Healthcare visit (other): I have made an appointment with a dermatologist

Release 6 — day 7, dose 2

2021-03-30

Systemic reaction (other): sweating

Healthcare visit (other): in person doctor's visit

Release 7 — day 14, dose 2

2021-04-06

Symptoms: Back pain is worse. Rash is spreading. Also experiencing mild shortness of breath and mild sweating. Feeling tired.

Release 7 — day 21, dose 2

2021-04-13

Symptoms: sweatingbody ache spreading rash

Release 7 — day 28, dose 2

2021-04-22

Symptoms: body aches5

Release 8 — day 42, dose 2

2021-05-04

Symptoms: back aches, burning sensation on my skin, stuffy nose

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	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Skin burning sensation	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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