Q5C-14217-49923

3 vaccinations 10 coded responses 26 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 933 / CA
Registered: 2021-08-19

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

Registered dependents

Q39-24452-19632 Child or adolescent in my care · Female · 2022-01-22

Timeline

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

2021-07-21
Dose 1 — Moderna
2021-08-18
Dose 2 — Moderna
2021-08-19
Registered in v-safe
2021-08-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-08-20
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site swelling, Injection site urticaria — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches

Free text: Small welt-like bump, about 1 Â½" from injection site

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-08-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Joint pains

Adult check-in
2021-08-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache

Adult check-in
2021-08-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-09-02
Survey response — day 14, dose 2
MedDRA: Muscle strain, Myalgia, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Body aches & muscle pain/pulled muscle

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-08
Survey response — day 21, dose 2
MedDRA: Arthralgia, Bone pain, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pain, muscle pain, feels like my bones hurt

MedDRA releases: 2024-11 · check-in free text available
2021-09-15
Survey response — day 28, dose 2
MedDRA: Arthralgia, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Terrible muscle and joint pain

MedDRA releases: 2024-11 · check-in free text available
2021-09-22
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-10-01
Survey response — day 42, dose 2
MedDRA: Myalgia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Muscle pain. Neck, shoulder, elbow, wrist. All right side. · Healthcare visit (other): X-ray

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-17
Survey response — 3 months, dose 2
MedDRA: Skin infection, Skin irritation — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Some type of skin irritation/infection in my underarm area.

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-18
Call 1 — Could Not Reach Participant
2021-11-24
Call 2 — Left Voicemail
2022-01-22
Dose 3 — Moderna
2022-01-22
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-01-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-01-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-01-25
Survey response — days 1–6 daily, dose 3
MedDRA: Office visit — Feeling: Good · Site: Pain · Headache, Muscle or body aches · Get care from a doctor or other healthcare professional

Free text: Chiropractor

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-01-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2022-01-27
Call 1 — Could Not Reach Participant
2022-01-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-01-29
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2022-02-02
Call 2 — Left Voicemail
2022-02-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-14
Survey response — day 21, dose 3
MedDRA: Headache, Neck pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache. Neck aches.

MedDRA releases: 2024-11 · check-in free text available
2022-02-21
Survey response — day 28, dose 3
MedDRA: Headache, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair

Free text: Sore throat, congestion, nasal drainage, headache.

MedDRA releases: 2024-11 · check-in free text available
2022-02-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-24
Survey response — 3 months, dose 3
MedDRA: Biopsy skin abnormal, Erythema, Skin disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Biopsy that showed abnormality, skin issues. Reddened hands.

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-21	Moderna	No
2	2021-08-18	Moderna	No
3	2022-01-22	Moderna	No

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 2

2021-08-20

Systemic reaction (other): Small welt-like bump, about 1 Â½" from injection site

Release 9 — day 14, dose 2

2021-09-02

Symptoms: Body aches & muscle pain/pulled muscle

Release 9 — day 21, dose 2

2021-09-08

Symptoms: Joint pain, muscle pain, feels like my bones hurt

Release 9 — day 28, dose 2

2021-09-15

Symptoms: Terrible muscle and joint pain

Release 9 — day 42, dose 2

2021-10-01

Symptoms: Muscle pain. Neck, shoulder, elbow, wrist. All right side.

Healthcare visit (other): X-ray

Release 10 — 3 months, dose 2

2021-11-17

Symptoms: Some type of skin irritation/infection in my underarm area.

Release 11 — days 1–6 daily, dose 3

2022-01-25

Healthcare visit (other): Chiropractor

Release 11 — day 21, dose 3

2022-02-14

Symptoms: Headache. Neck aches.

Release 11 — day 28, dose 3

2022-02-21

Symptoms: Sore throat, congestion, nasal drainage, headache.

Release 11 — 3 months, dose 3

2022-04-24

Symptoms: Biopsy that showed abnormality, skin issues. Reddened hands.

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	Arthralgia	·	·	✓
SD	Biopsy skin abnormal	·	·	✓
SD	Bone pain	·	·	✓
SD	Erythema	·	·	✓
SD	Headache	·	·	✓
SD	Muscle strain	✓	·	✓
SD	Myalgia	✓	·	✓
SD	Neck pain	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Skin disorder	·	·	✓
SD	Skin infection	·	·	✓
SD	Skin irritation	·	·	✓
SRO	Injection site swelling	✓	·	✓
SRO	Injection site urticaria	✓	·	✓

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