6TV-61754-75258

2 vaccinations 10 coded responses 22 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 473 / IN
Registered: 2021-03-02

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
2021-03-02
Registered in v-safe
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Neck pain — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Lymph nodes sore in arm pit and neck on same side as shot

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

Free text: Glands sore in armpit and jaw of same side as shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 7, dose 1
MedDRA: Axillary pain, Dizziness, Ear congestion, Pain in jaw — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Tender under armpit and right jaw line.... ear congestion right side, mild intermittent dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-19
Survey response — day 21, dose 1
MedDRA: Dry eye, Ear congestion, Oropharyngeal pain — Feeling: Fair

Free text: Ear congestion, sore throat, dry eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Dose 2 — Moderna
2021-03-26
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Top of feet and leg cramps last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-16
Survey response — day 21, dose 2
MedDRA: Cough, Discharge, Nasal congestion, Pre-existing disease — Feeling: Fair

Free text: Allergies- tree pollenStuffy nose, cough due to drainage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-30
Survey response — day 35, dose 2
MedDRA: Asthma, Cough, Paranasal sinus hypersecretion — Feeling: Fair

Free text: Cough, sinus drainageAsthma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 42, dose 2
MedDRA: Ear congestion — Feeling: Good

Free text: Ear congestion, asthma symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-26
Survey response — 6 months, dose 2
MedDRA: Heart rate increased, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Increased heart rate · Healthcare visit (other): Calling dr to test thyroid

MedDRA releases: 2024-11 · check-in free text available
2021-09-26
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-30
Call 1 — Left Voicemail
2022-03-26
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Muscle spasms — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Left Ankle pain and muscle cramps

MedDRA releases: 2024-11 · check-in free text available
2022-03-26
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-28
Call 1 — Left Voicemail

Vaccinations

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

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Lymph nodes sore in arm pit and neck on same side as shot

2021-03-04

Systemic reaction (other): Glands sore in armpit and jaw of same side as shot.

Release 5 — day 7, dose 1

2021-03-05

Systemic reaction (other): Tender under armpit and right jaw line.... ear congestion right side, mild intermittent dizziness

Release 6 — day 21, dose 1

2021-03-19

Symptoms: Ear congestion, sore throat, dry eyes

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Top of feet and leg cramps last night

Release 7 — day 21, dose 2

2021-04-16

Symptoms: Allergies- tree pollenStuffy nose, cough due to drainage

Release 8 — day 35, dose 2

2021-04-30

Symptoms: Cough, sinus drainageAsthma

Release 8 — day 42, dose 2

2021-05-07

Symptoms: Ear congestion, asthma symptoms

Release 9 — 6 months, dose 2

2021-09-26

Symptoms: Increased heart rate

Healthcare visit (other): Calling dr to test thyroid

Release 11 — 12 months, dose 2

2022-03-26

Symptoms: Left Ankle pain and muscle cramps

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	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Asthma	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Discharge	✓	✓	✓
SD	Dry eye	✓	✓	✓
SD	Ear congestion	✓	✓	✓
SD	Heart rate increased	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Paranasal sinus hypersecretion	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear congestion	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓

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