364-22778-86256

2 vaccinations 9 coded responses 15 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 230 / VA
Registered: 2021-03-11

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

Timeline

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

2021-03-10
Dose 1 — Moderna
2021-03-11
Registered in v-safe
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Good · Site: Pain

Free text: I had a very bad cramp of my leg about 2 clock in this morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Joint pains

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Neck mass, Pain, Pre-existing disease — Feeling: Fair · Site: Pain

Free text: I just realized right side of my neck wich I had tonsillectomy surgery scar area pup out lump and a little sore.that was 43 years ago surgery.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Nausea

Free text: Feel no appetite after get shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-03-25
Survey response — day 14, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair

Free text: I still feel my cervical lymph node extend to back of ear faintly pain .( I take back words about I had surgery tonsillectomy right side of my neck 45 years ago,I thought that was cervical lymph nodes surgery),sorry about

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 21, dose 1
MedDRA: Dysphagia, Eructation — Feeling: Good

Free text: Feel have a little problem with swallow and had some burping some time this couple days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Dose 2 — Moderna
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Survey response — day 21, dose 2
MedDRA: Menstruation delayed — Feeling: Good

Free text: My period expected 11days. Still did not coming yet! I am not pregnant.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 28, dose 2
MedDRA: Pain in extremity, Peripheral swelling, Swelling face — Feeling: Poor · Be unable to do your normal daily activities

Free text: About After two weeks second shot , my hands pop out some bumps inches and painful , by the time my face ,arm and legs had some bumps also now , I will see my family doctor next Tuesday!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-08
Survey response — 3 months, dose 2
MedDRA: Abdominal pain, Emergency care — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: My abdomen pain been about 1week, now I am in the ER hospital, waiting Dr checking on me .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-13
Call 1 — Could Not Reach Participant
2021-07-16
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-08	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): No

2021-03-12

Systemic reaction (other): I had a very bad cramp of my leg about 2 clock in this morning.

2021-03-15

Systemic reaction (other): I just realized right side of my neck wich I had tonsillectomy surgery scar area pup out lump and a little sore.that was 43 years ago surgery.

2021-03-16

Systemic reaction (other): Feel no appetite after get shot

Release 6 — day 14, dose 1

2021-03-25

Symptoms: I still feel my cervical lymph node extend to back of ear faintly pain .( I take back words about I had surgery tonsillectomy right side of my neck 45 years ago,I thought that was cervical lymph nodes surgery),sorry about

Release 6 — day 21, dose 1

2021-04-01

Symptoms: Feel have a little problem with swallow and had some burping some time this couple days.

Release 8 — day 21, dose 2

2021-04-29

Symptoms: My period expected 11days. Still did not coming yet! I am not pregnant.

Release 8 — day 28, dose 2

2021-05-06

Symptoms: About After two weeks second shot , my hands pop out some bumps inches and painful , by the time my face ,arm and legs had some bumps also now , I will see my family doctor next Tuesday!

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: My abdomen pain been about 1week, now I am in the ER hospital, waiting Dr checking on me .

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
SD	Abdominal pain	✓	✓	✓
SD	Dysphagia	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Eructation	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Menstruation delayed	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Swelling face	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Neck mass	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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