Z3E-46013-29211

2 vaccinations 16 coded responses 26 check-ins 16 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 730 / OK
Registered: 2021-01-22

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-22
Survey response — day 0, dose 1
MedDRA: Injected limb mobility decreased, Injection site discomfort, Injection site movement impairment, Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Sore at injection site limits raising arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Muscle pain Just at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma, Injection site pain, Pre-existing disease, Wheezing — Feeling: Fair · Site: Pain

Free text: Wheezing but I have asthma Pain is minimal at injection site today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Wheezing — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: Wheezing and cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Wheezing — Feeling: Fair

Free text: Wheezing and cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Wheezing — Feeling: Fair

Free text: Wheezing and coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Wheezing — Feeling: Fair

Free text: Some wheezing and coughing better today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — day 7, dose 1
MedDRA: Cough — Feeling: Good

Free text: Coughing better although it kept me up during the night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-19
Dose 2 — Moderna
2021-02-19
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Heart rate increased, Pain, Pre-existing disease, Procedural site reaction, Pyrexia — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Had high pulse when had fever 100-103/min Pain where had left upper lung lobectomy was more intense After fever broke feel better but have headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Wheezing — Feeling: Good · Headache

Free text: Wheezing some and coughing occasionally

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Good · Fatigue or tiredness

Free text: A little short of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Good · Headache

Free text: Still some shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — day 7, dose 2
Feeling: Good · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-19
Survey response — day 28, dose 2
MedDRA: Dyspnoea exertional — Feeling: Fair

Free text: Shortness of breath with exertion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-21
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Myalgia — Feeling: Good

Free text: Muscle and joint aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-20
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Myalgia — Feeling: Fair

Free text: Achy joints and muscles

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-20
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Joint swelling, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Ankle joint pain and knot on ankle and hand joint pain · Healthcare visit (other): Check up

MedDRA releases: 2024-11 · check-in free text available
2022-02-20
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-23
Call 1 — Left Voicemail
2022-02-25
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-19	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2022-02-20	Successful 2022-02-25	Does not wish to fill out VAERS report

Free text

Release 2 — day 0, dose 1

2021-01-22

Systemic reaction (other): Sore at injection site limits raising arm

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Muscle pain Just at injection site

2021-01-24

Systemic reaction (other): Wheezing but I have asthma Pain is minimal at injection site today

2021-01-25

Systemic reaction (other): Wheezing and cough

2021-01-26

Systemic reaction (other): Wheezing and cough

2021-01-27

Systemic reaction (other): Wheezing and coughing

2021-01-28

Systemic reaction (other): Some wheezing and coughing better today

Release 3 — day 7, dose 1

2021-01-29

Systemic reaction (other): Coughing better although it kept me up during the night

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): Had high pulse when had fever 100-103/min Pain where had left upper lung lobectomy was more intense After fever broke feel better but have headache

2021-02-23

Systemic reaction (other): Wheezing some and coughing occasionally

2021-02-24

Systemic reaction (other): A little short of breath

2021-02-25

Systemic reaction (other): Still some shortness of breath

Release 6 — day 28, dose 2

2021-03-19

Symptoms: Shortness of breath with exertion

Release 8 — 3 months, dose 2

2021-05-21

Symptoms: Muscle and joint aches

Release 9 — 6 months, dose 2

2021-08-20

Symptoms: Achy joints and muscles

Release 11 — 12 months, dose 2

2022-02-20

Symptoms: Ankle joint pain and knot on ankle and hand joint pain

Healthcare visit (other): Check up

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	Dyspnoea exertional	✓	✓	✓
SD	Joint swelling	·	·	✓
SD	Myalgia	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Injected limb mobility decreased	✓	·	✓
SRO	Injection site discomfort	○	✓	○
SRO	Injection site movement impairment	○	✓	○
SRO	Injection site pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Procedural site reaction	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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