38P-18644-58393

3 vaccinations 13 coded responses 32 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 908 / CA
Registered: 2021-04-19

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-04-08
Dose 1 — Moderna
2021-04-19
Registered in v-safe
2021-04-19
Survey response — day 7, dose 1
MedDRA: Injection site rash — Feeling: Fair · Site: Pain, Swelling · Headache

Free text: 10 days after vaccine I developed a rash at the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 14, dose 1
MedDRA: Injection site rash, Urticaria — Feeling: Good

Free text: I still have the raised welt-hive/rash at the injection site. It should be known that I have existing urticaria issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-06
Dose 2 — Moderna
2021-05-06
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: I have cold urticaria. I occasionally get hives

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site rash — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Rash/welt at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site reaction, Injection site swelling, Urticaria — Feeling: Fair · Site: Pain, Redness, Swelling, Itching

Free text: Big welt at injection site. Whole upper arm swelled up last nite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · Headache

Adult check-in
2021-05-13
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-05-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-19
Dose 3 — Moderna
2022-01-21
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-01-22
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site erythema, Injection site swelling, Injection site urticaria — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Injection site is swollen red hive. Huge

MedDRA releases: 2024-11 · check-in free text available
2022-01-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2022-01-24
Survey response — days 1–6 daily, dose 3
MedDRA: SARS-CoV-2 test positive — Feeling: Poor · Site: Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I tested positive for covid this morning

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Survey response — days 1–6 daily, dose 3
MedDRA: Malaise, SARS-CoV-2 test positive — Feeling: Poor · Site: Swelling, Itching · Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: I have tested positive and have symptoms of covid

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Health check-in — day 7, dose 3
Feeling: Fair · Site: Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-02-02
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-02-09
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-16
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-23
Survey response — day 35, dose 3
MedDRA: Dyskinesia, Headache, Muscle spasms, Tremor, Vertigo — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, Muscle spasms, tremors and jerking, vertigo

MedDRA releases: 2024-11 · check-in free text available
2022-03-02
Survey response — day 42, dose 3
MedDRA: Arthralgia, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: Leg cramp/spasm knee pain Just a new symptom. Not necessarily from vax

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Survey response — 3 months, dose 3
MedDRA: Brain fog, Headache, Muscle spasms, Muscle twitching, Tremor, Vertigo — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle spasms, hands shaking-severe, twitches, brain fog, vertigo, headaches. All new. Had MRI last week. No results yet

MedDRA releases: 2024-11 · check-in free text available
2022-07-21
Survey response — 6 months, dose 3
MedDRA: COVID-19, Muscle spasms, Muscle tightness, Post-acute COVID-19 syndrome — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Diagnosed with Long-Term Covid. Muscle spasms in my legs. Tightening and now not releasing. For last question. I believe my new symptoms are from my Covid infection. Not the vax

MedDRA releases: 2024-11 · check-in free text available
2023-01-20
Survey response — 12 months, dose 3
MedDRA: Muscle spasms, Musculoskeletal stiffness, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Moderna
2	2021-05-06	Moderna
3	2022-01-19	Moderna	No

Free text

Release 7 — day 7, dose 1

2021-04-19

Systemic reaction (other): 10 days after vaccine I developed a rash at the injection site

Release 7 — day 14, dose 1

2021-04-23

Symptoms: I still have the raised welt-hive/rash at the injection site. It should be known that I have existing urticaria issues

Release 8 — days 1–6 daily, dose 2

2021-05-07

Systemic reaction (other): I have cold urticaria. I occasionally get hives

2021-05-08

Systemic reaction (other): Rash/welt at injection site

2021-05-10

Systemic reaction (other): Big welt at injection site. Whole upper arm swelled up last nite

Release 11 — days 1–6 daily, dose 3

2022-01-22

Systemic reaction (other): Injection site is swollen red hive. Huge

2022-01-24

Systemic reaction (other): I tested positive for covid this morning

2022-01-25

Systemic reaction (other): I have tested positive and have symptoms of covid

Release 11 — day 35, dose 3

2022-02-23

Symptoms: Headache, Muscle spasms, tremors and jerking, vertigo

Release 11 — day 42, dose 3

2022-03-02

Symptoms: Leg cramp/spasm knee pain Just a new symptom. Not necessarily from vax

Release 11 — 3 months, dose 3

2022-04-20

Symptoms: Muscle spasms, hands shaking-severe, twitches, brain fog, vertigo, headaches. All new. Had MRI last week. No results yet

Release 12 — 6 months, dose 3

2022-07-21

Symptoms: Diagnosed with Long-Term Covid. Muscle spasms in my legs. Tightening and now not releasing. For last question. I believe my new symptoms are from my Covid infection. Not the vax

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	Arthralgia	·	·	✓
SD	Brain fog	·	·	✓
SD	COVID-19	·	·	✓
SD	Dyskinesia	·	·	✓
SD	Headache	·	·	✓
SD	Injection site rash	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Muscle tightness	·	·	✓
SD	Muscle twitching	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Post-acute COVID-19 syndrome	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Tremor	·	·	✓
SD	Urticaria	✓	✓	✓
SD	Vertigo	·	·	✓
SRO	Injection site erythema	·	·	✓
SRO	Injection site rash	✓	✓	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Injection site urticaria	·	·	✓
SRO	Malaise	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	SARS-CoV-2 test positive	·	·	✓
SRO	Urticaria	✓	✓	✓

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