2DQ-18361-05974

2 vaccinations 8 coded responses 16 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 926 / CA
Registered: 2021-03-08

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

2021-02-18
Dose 1 — Moderna
2021-03-08
Registered in v-safe
2021-03-11
Survey response — day 21, dose 1
MedDRA: Arthralgia, Medical counselling, Periarthritis, Physiotherapy — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Frozen shoulder started 2 weeks after the injection. I am doing PT exercises to help resolve the pain. · Healthcare visit (other): In person consultation with my prior physical therapist and phone consultation with my Orthopedic surgeons office.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-17
Dose 2 — Moderna
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Prickly sensation on my head face and waist. A little dizzy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Palpitations — Feeling: Good · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work

Free text: 2 am woke up with pulse racing, 98 beats per minute without any exercise. Did not feel like eating.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Nausea — Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Ate breakfast at 8 am, felt nausea noon, laid down and slept to 8pm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Hypersomnia — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Went to bed at 1pm on Mar 20, got up Mar 21 at 6am (went to the bathroom once during that time) slept 17 hours!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Nausea, Diarrhea

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-03-24
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-31
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-07
Survey response — day 21, dose 2
MedDRA: Paraesthesia, Rash, Rosacea — Feeling: Good

Free text: Facial outbreak of Rosasia on cheeks, nose, forehead. Prickly sensation on my face, scalp, neck, shoulders and upper back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-18
Survey response — 3 months, dose 2
MedDRA: Periarthritis — Feeling: Good

Free text: Frozen shoulder continues bothering me otherwise I have not noticed any other problems,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-15
Survey response — 6 months, dose 2
MedDRA: Muscular weakness, Office visit, Periarthritis, Rash — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Facial rash on my cheeks that I have never experienced previously. This is very disconcerting. I am still experiencing frozen shoulder issues and weakness in my left arm which is the shoulder where injection was administered. · Healthcare visit (other): Doctor Appointment

MedDRA releases: 2024-11 · check-in free text available
2021-09-15
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-16
Call 1 — Left Voicemail
2022-03-19
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-18	Moderna
2	2021-03-17	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — day 21, dose 1

2021-03-11

Symptoms: Frozen shoulder started 2 weeks after the injection. I am doing PT exercises to help resolve the pain.

Healthcare visit (other): In person consultation with my prior physical therapist and phone consultation with my Orthopedic surgeons office.

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): Prickly sensation on my head face and waist. A little dizzy.

Release 6 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): 2 am woke up with pulse racing, 98 beats per minute without any exercise. Did not feel like eating.

2021-03-20

Systemic reaction (other): Ate breakfast at 8 am, felt nausea noon, laid down and slept to 8pm

2021-03-21

Systemic reaction (other): Went to bed at 1pm on Mar 20, got up Mar 21 at 6am (went to the bathroom once during that time) slept 17 hours!!

Release 7 — day 21, dose 2

2021-04-07

Symptoms: Facial outbreak of Rosasia on cheeks, nose, forehead. Prickly sensation on my face, scalp, neck, shoulders and upper back.

Release 9 — 3 months, dose 2

2021-06-18

Symptoms: Frozen shoulder continues bothering me otherwise I have not noticed any other problems,

Release 9 — 6 months, dose 2

2021-09-15

Symptoms: Facial rash on my cheeks that I have never experienced previously. This is very disconcerting. I am still experiencing frozen shoulder issues and weakness in my left arm which is the shoulder where injection was administered.

Healthcare visit (other): Doctor Appointment

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	Medical counselling	✓	✓	✓
HCVO	Office visit	·	·	✓
HCVO	Physiotherapy	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Muscular weakness	·	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Periarthritis	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rosacea	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Palpitations	✓	✓	✓

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