2LK-93061-70626

2 vaccinations 12 coded responses 21 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 109 / NY
Registered: 2021-01-05

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

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Moderna
2021-01-05
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness, Paranasal sinus discomfort, Sinus pain — Feeling: Poor · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: Neck stiffness, sinus pressure/pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Headache

Free text: Dizziness, stiff neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea exertional — Feeling: Good

Free text: Pronounced shortness of breath when doing mild exercise

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

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-02
Dose 2 — Moderna
2021-02-02
Survey response — day 0, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Site: Itching · Headache

Free text: Tingling in feet, hands and forearms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Paraesthesia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Tingling in extremedies, loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia, Paraesthesia — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Free text: Tingling in extremedies, metallic taste in mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia, Paraesthesia — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Nausea, Rash, not including the immediate area around the injection site

Free text: Tingling in extremedies, metallic taste in mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-11
Survey response — day 7, dose 2
MedDRA: Dyspnoea — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Short of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — day 14, dose 2
MedDRA: Drug hypersensitivity, Pruritus, Urticaria — Feeling: Good

Free text: Sudden allergic reaction to advil (hives, extreme itching)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-04
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Bone pain, Rash — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Allergy to NSAIDs, worsening rash on hands, joint and bone pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-03
Survey response — 6 months, dose 2
MedDRA: Drug hypersensitivity, Office visit, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Recurring rash on hands, forearms and face.Allergic reaction to NSAIDs · Healthcare visit (other): Allergist in person visit

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-03
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-05
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-02	Moderna

Call center

2 call center cases

1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-06

Systemic reaction (other): Neck stiffness, sinus pressure/pain

2021-01-08

Systemic reaction (other): Dizziness, stiff neck

2021-01-10

Systemic reaction (other): Pronounced shortness of breath when doing mild exercise

2021-01-11

Systemic reaction (other): Shortness of breath

Release 3 — day 0, dose 2

2021-02-02

Systemic reaction (other): Tingling in feet, hands and forearms

Release 3 — days 1–6 daily, dose 2

2021-02-03

Systemic reaction (other): Tingling in extremedies, loss of appetite

2021-02-04

Systemic reaction (other): Tingling in extremedies, metallic taste in mouth

2021-02-05

Systemic reaction (other): Tingling in extremedies, metallic taste in mouth

Release 4 — day 7, dose 2

2021-02-11

Systemic reaction (other): Short of breath

Release 4 — day 14, dose 2

2021-02-16

Symptoms: Sudden allergic reaction to advil (hives, extreme itching)

Release 8 — 3 months, dose 2

2021-05-04

Symptoms: Allergy to NSAIDs, worsening rash on hands, joint and bone pain

Release 9 — 6 months, dose 2

2021-08-03

Symptoms: Recurring rash on hands, forearms and face.Allergic reaction to NSAIDs

Healthcare visit (other): Allergist in person visit

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	Bone pain	✓	✓	✓
SD	Drug hypersensitivity	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Dyspnoea exertional	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Sinus pain	✓	✓	✓

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