Y9Y-46617-19266

5 vaccinations 9 coded responses 38 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 602 / IL
Registered: 2021-02-02

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

2021-01-25
Dose 1 — Moderna
2021-02-02
Registered in v-safe
2021-02-02
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-08
Survey response — day 14, dose 1
MedDRA: Musculoskeletal stiffness, Myalgia, Pain, Paraesthesia, Pruritus, Rash erythematous — Feeling: Fair · Be unable to do your normal daily activities

Free text: Soreness, stiffness still on arm. Arm still with red rash. Stll some aching muscles. Itching in my old chickenpox scars. Tingling in my old viral lymphoma scars. I am retired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — day 21, dose 1
MedDRA: Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscular aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — day 28, dose 1
MedDRA: Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still very sore arm. Body aches still. Sure hope second shot is not worse or I will be bed ridden.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Dose 2 — Moderna
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Diarrhea

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

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Joint pains, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Survey response — day 7, dose 2
MedDRA: Self-medication — Feeling: Good · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Took Aleve

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — day 14, dose 2
MedDRA: Pain in extremity — Feeling: Good

Free text: Still aches in both arms. Never gone away. Other aches ate better or gone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
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
Survey response — 3 months, dose 2
MedDRA: Gastric disorder, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: GI bowel issues for a month. Resolved now. · Healthcare visit (other): In office visit plus lab ttests

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-03
Dose 3 — Moderna
2022-02-24
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-13
Dose 4 — Moderna
2022-04-27
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-04
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-12
Call 1 — Left Voicemail
2022-05-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-25
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-13
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-19
Dose 5 — Moderna
2022-10-20
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-10-21
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2022-10-22
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Redness, Swelling · Diarrhea

Adult check-in
2022-10-23
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2022-10-24
Survey response — days 1–6 daily, dose 5
MedDRA: Gastrointestinal sounds abnormal — Feeling: Good · Site: Pain, Swelling

Free text: Still minor lower GI rumblings

MedDRA releases: 2024-11 · check-in free text available
2022-10-25
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-26
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-11-02
Survey response — day 14, dose 5
MedDRA: Gastrointestinal disorder — Feeling: Good

Free text: After 1 day of being ok, lower GI problem resumed.

MedDRA releases: 2024-11 · check-in free text available
2022-11-09
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-16
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-23
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-30
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-18
Survey response — 3 months, dose 5
MedDRA: Gastrointestinal disorder, Rhinorrhoea — Feeling: Fair

MedDRA releases: 2024-11
2023-04-19
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Moderna
2	2021-02-24	Moderna
3	2021-11-03	Moderna	No
4	2022-04-13	Moderna	No
5	2022-10-19	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-26	Unsuccessful

Free text

Release 3 — day 14, dose 1

2021-02-08

Symptoms: Soreness, stiffness still on arm. Arm still with red rash. Stll some aching muscles. Itching in my old chickenpox scars. Tingling in my old viral lymphoma scars. I am retired.

Release 4 — day 21, dose 1

2021-02-15

Symptoms: Muscular aches

Release 4 — day 28, dose 1

2021-02-22

Symptoms: Still very sore arm. Body aches still. Sure hope second shot is not worse or I will be bed ridden.

Release 5 — day 7, dose 2

2021-03-03

Systemic reaction (other): Took Aleve

Release 5 — day 14, dose 2

2021-03-10

Symptoms: Still aches in both arms. Never gone away. Other aches ate better or gone.

Release 8 — 3 months, dose 2

2021-05-26

Symptoms: GI bowel issues for a month. Resolved now.

Healthcare visit (other): In office visit plus lab ttests

Release 12 — days 1–6 daily, dose 5

2022-10-24

Systemic reaction (other): Still minor lower GI rumblings

Release 12 — day 14, dose 5

2022-11-02

Symptoms: After 1 day of being ok, lower GI problem resumed.

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	Gastric disorder	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SRO	Gastrointestinal sounds abnormal	·	·	✓
SRO	Self-medication	✓	✓	✓

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