FVM-30738-87048

3 vaccinations 11 coded responses 37 check-ins 11 free-text entries 6 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 415 / KY
Registered: 2021-02-05

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-05
Registered in v-safe
2021-02-05
Dose 1 — Moderna
2021-02-05
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Good · Site: Pain

Free text: Leg cramp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: I think these symptoms are related to menstrual period, not the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-26
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-05
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-08
Dose 2 — Moderna
2021-03-08
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-15
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: I think these symptoms are due to menstrual period and not related to vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — day 14, dose 2
MedDRA: Arthralgia, Back pain, Headache, Hypertension, Myalgia — Feeling: Fair · 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: High BP, headache, muscle and joint pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Report sent to call center — day 14, 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)
2021-03-29
Survey response — day 21, dose 2
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Right side headache. (Pre-existing history of headaches)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-05
Survey response — day 28, dose 2
MedDRA: Headache, Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: High blood pressure; headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-15
Survey response — day 35, dose 2
MedDRA: Arthralgia, Myalgia, Pre-existing disease — Feeling: Good

Free text: Stomach problems (existing before vaccine). Muscle/joint pain on right side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-17
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-07
Survey response — 6 months, dose 2
MedDRA: Pregnancy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Pregnancy related nausea, vomiting, fatigue, etc.

MedDRA releases: 2024-11 · check-in free text available
2021-09-07
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-09-10
Call 1 — Left Voicemail
2021-11-08
Dose 3 — Moderna
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · Headache

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · Headache

Adult check-in
2021-11-15
Health check-in — day 7, dose 3
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-11-22
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-06
Survey response — day 28, dose 3
MedDRA: Cough, Dry throat, Productive cough, Respiratory tract infection viral, SARS-CoV-2 test negative, Throat irritation — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Respiratory virus (tested neg. for COVID). It started out as a dry scratchy throat/cough, then progressed deeper into my chest (rattling when I inhale, coughing fits). Then became a productive cough. After about 5 days this has started to improve.

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-07
Call 1 — Left Voicemail
2021-12-13
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-23
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-07
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-11
Survey response — 6 months, dose 3
MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea, Upper respiratory tract infection — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I currently have some kind of upper respiratory infection - sore throat, runny nose, and cough.

MedDRA releases: 2024-11 · check-in free text available
2022-11-08
Survey response — 12 months, dose 3
MedDRA: Respiratory syncytial virus infection, Respiratory tract infection — Feeling: Fair · Be unable to work or attend school, 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: Several respiratory infections including RSV.

MedDRA releases: 2024-11 · check-in free text available
2022-11-08
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-09
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-09
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-09
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Moderna
2	2021-03-08	Moderna
3	2021-11-08	Moderna	No

Call center

6 call center cases

6 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-06

Systemic reaction (other): Leg cramp

Release 4 — day 7, dose 1

2021-02-12

Systemic reaction (other): I think these symptoms are related to menstrual period, not the vaccine.

Release 5 — day 7, dose 2

2021-03-15

Systemic reaction (other): I think these symptoms are due to menstrual period and not related to vaccine.

Release 6 — day 14, dose 2

2021-03-22

Symptoms: High BP, headache, muscle and joint pain.

Release 6 — day 21, dose 2

2021-03-29

Symptoms: Right side headache. (Pre-existing history of headaches)

Release 6 — day 28, dose 2

2021-04-05

Symptoms: High blood pressure; headache.

Release 7 — day 35, dose 2

2021-04-15

Symptoms: Stomach problems (existing before vaccine). Muscle/joint pain on right side.

Release 9 — 6 months, dose 2

2021-09-07

Symptoms: Pregnancy related nausea, vomiting, fatigue, etc.

Release 10 — day 28, dose 3

2021-12-06

Symptoms: Respiratory virus (tested neg. for COVID). It started out as a dry scratchy throat/cough, then progressed deeper into my chest (rattling when I inhale, coughing fits). Then became a productive cough. After about 5 days this has started to improve.

Release 11 — 6 months, dose 3

2022-05-11

Symptoms: I currently have some kind of upper respiratory infection - sore throat, runny nose, and cough.

Release 12 — 12 months, dose 3

2022-11-08

Symptoms: Several respiratory infections including RSV.

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
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Cough	·	·	✓
SD	Dry throat	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pregnancy	·	·	✓
SD	Productive cough	·	·	✓
SD	Respiratory syncytial virus infection	·	·	✓
SD	Respiratory tract infection	·	·	✓
SD	Respiratory tract infection viral	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Throat irritation	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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