6WV-19792-03145

5 vaccinations 8 coded responses 51 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 660 / KS
Registered: 2021-01-28

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

2021-01-27
Dose 1 — Moderna
2021-01-28
Registered in v-safe
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Joint pains

Free text: I have arthritis in my knees so that probably explains the pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Arthritis, Pre-existing disease — Feeling: Good · Joint pains · Be unable to do your normal daily activities

Free text: As I said yesterday, I have arthritis in my knees and they are painful today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — day 7, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-02-10
Survey response — day 14, dose 1
MedDRA: Headache, Pain — Feeling: Fair

Free text: Headache, body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-24
Dose 2 — Moderna
2021-02-24
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-03-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-17
Survey response — day 21, dose 2
MedDRA: Myalgia, Pain — Feeling: Fair

Free text: Muscle aches all over my body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-25
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Achy joints · Healthcare visit (other): Visit to my primary physician

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-31
Call 1 — Left Voicemail
2021-10-26
Dose 3 — Moderna
2021-10-26
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Chills, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal pain upper, Self-medication — Feeling: Fair · Headache, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Upper Abdominal pain could be acid reflux. Took some liquid antacid just now.

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Abdominal pain

Free text: Could be acid reflux.

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-16
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-23
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-02
Survey response — day 35, dose 3
MedDRA: Asthenia, Cough, Headache, Oropharyngeal pain, Pain, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headache, sore throat, coughing, aches, no energy. I had a Covid pcr test because of my symptoms and it was negative for Covid

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-25
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-11
Dose 4 — Moderna
2022-04-18
Health check-in — day 7, dose 4
Feeling: Fair · Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-04-25
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-02
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-09
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-16
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-23
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-11
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-22
Dose 5 — Moderna
2022-10-10
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-13
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-03
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-24
Health check-in — 3 months, dose 5
Feeling: Good · 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: Was sick with headache, nasal congestion, coughing for about 10 days. Negative Covid tests. Dr thought it was a sinus infection. Took antibiotics. Much better

Adult check-in · check-in free text available
2022-12-24
Call case (no matching report) — Unsuccessful
2022-12-27
Call 2 — Left Voicemail
2022-12-27
Call 1 — Left Voicemail
2023-03-23
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Moderna
2	2021-02-24	Moderna
3	2021-10-26	Moderna	No
4	2022-04-11	Moderna	No
5	2022-09-22	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): I have arthritis in my knees so that probably explains the pain.

2021-02-02

Systemic reaction (other): As I said yesterday, I have arthritis in my knees and they are painful today.

Release 4 — day 14, dose 1

2021-02-10

Symptoms: Headache, body aches

Release 5 — day 21, dose 2

2021-03-17

Symptoms: Muscle aches all over my body

Release 9 — 6 months, dose 2

2021-08-25

Symptoms: Achy joints

Healthcare visit (other): Visit to my primary physician

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Upper Abdominal pain could be acid reflux. Took some liquid antacid just now.

2021-11-01

Systemic reaction (other): Could be acid reflux.

Release 10 — day 35, dose 3

2021-12-02

Symptoms: Headache, sore throat, coughing, aches, no energy. I had a Covid pcr test because of my symptoms and it was negative for Covid

Release 12 — 3 months, dose 5

2022-12-24

Symptoms: Was sick with headache, nasal congestion, coughing for about 10 days. Negative Covid tests. Dr thought it was a sinus infection. Took antibiotics. Much better

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	✓	·	✓
SD	Arthralgia	✓	·	✓
SD	Asthenia	·	·	✓
SD	Cough	·	·	✓
SD	Headache	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Abdominal pain upper	·	·	✓
SRO	Arthritis	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Self-medication	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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