39N-26456-23695

5 vaccinations 13 coded responses 50 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 880 / NM
Registered: 2020-12-30

Relationship: Self
Race: White
Ethnicity: 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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Health check-in — day 0, dose 1
Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Fair · Site: Pain

Free text: Muscle ache in arm of injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Survey response — day 14, dose 1
MedDRA: Fatigue — Feeling: Fair

Free text: Tiredness. Not to the level of fatigue but I feel as if I am more tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-27
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-01-29
Dose 2 — Moderna
2021-01-29
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-30
Survey response — 6 months, dose 2
MedDRA: Lymphadenopathy, Mammogram abnormal — Feeling: Good

Free text: Had a routine mammo and two of the lymph nodes on the same side as the arm I received my vaccine are slightly enlarged. Will get more information when I visit the dr in december

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-08
Dose 3 — Moderna
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-11-15
Survey response — day 7, dose 3
MedDRA: Pain in extremity — Feeling: Good

Free text: The day after my feet hurt and hurt at random times. It's weird

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Survey response — day 14, dose 3
MedDRA: Fatigue — Feeling: Good

Free text: Random bouts of fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-13
Survey response — day 35, dose 3
MedDRA: Fatigue, Reaction to previous exposure to any vaccine — Feeling: Good

Free text: I've only noticed bouts of fatigue, similar to the way I felt after my 2nd dose.

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-07
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-09
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-07-28
Dose 4 — Moderna
2022-10-28
Dose 5 — Moderna
2022-10-28
Survey response — day 0, dose 5
MedDRA: Paraesthesia — Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness

Free text: In my arm of injection site (left) my entire arm feels tingly

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Survey response — days 1–6 daily, dose 5
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My left arm still feels tingly. From injection site to my pinky. Not as bad as yesterday but still noticeably there

MedDRA releases: 2024-11 · check-in free text available
2022-10-30
Survey response — days 1–6 daily, dose 5
MedDRA: Paraesthesia — Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness

Free text: Although better, still have tingling in my arm

MedDRA releases: 2024-11 · check-in free text available
2022-10-31
Survey response — days 1–6 daily, dose 5
MedDRA: Injection site paraesthesia, Paraesthesia — Feeling: Good · Headache, Fatigue or tiredness

Free text: Tingly sensation from injection site down to left pinky. Better than it was yesterday, but still feel it

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Survey response — days 1–6 daily, dose 5
MedDRA: Injection site paraesthesia — Feeling: Good · Headache, Fatigue or tiredness

Free text: Mild tingling in left arm where I received injection

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-11-03
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-11-04
Health check-in — day 7, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-11-11
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-25
Survey response — day 28, dose 5
MedDRA: Hypoaesthesia, Injection site hypoaesthesia — Feeling: Fair

Free text: Still feeling the numbness from the site of injection to my pinkie. Not as pronounced as initially but still noticeable

MedDRA releases: 2024-11 · check-in free text available
2022-12-02
Survey response — day 35, dose 5
MedDRA: Hypoaesthesia, Injection site hypoaesthesia — Feeling: Fair

Free text: Still slight numbness in my left arm from injection site, along the side to my pinky. It's not as bad but still noticeable

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-27
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-28
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-29	Moderna
3	2021-11-08	Moderna	No
4	2022-07-28	Moderna	No
5	2022-10-28	Moderna	No

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): Muscle ache in arm of injection site

Release 1 — day 14, dose 1

2021-01-13

Symptoms: Tiredness. Not to the level of fatigue but I feel as if I am more tired.

Release 9 — 6 months, dose 2

2021-07-30

Symptoms: Had a routine mammo and two of the lymph nodes on the same side as the arm I received my vaccine are slightly enlarged. Will get more information when I visit the dr in december

Release 10 — day 7, dose 3

2021-11-15

Systemic reaction (other): The day after my feet hurt and hurt at random times. It's weird

Release 10 — day 14, dose 3

2021-11-22

Symptoms: Random bouts of fatigue

Release 10 — day 35, dose 3

2021-12-13

Symptoms: I've only noticed bouts of fatigue, similar to the way I felt after my 2nd dose.

Release 12 — day 0, dose 5

2022-10-28

Systemic reaction (other): In my arm of injection site (left) my entire arm feels tingly

Release 12 — days 1–6 daily, dose 5

2022-10-29

Systemic reaction (other): My left arm still feels tingly. From injection site to my pinky. Not as bad as yesterday but still noticeably there

2022-10-30

Systemic reaction (other): Although better, still have tingling in my arm

2022-10-31

Systemic reaction (other): Tingly sensation from injection site down to left pinky. Better than it was yesterday, but still feel it

2022-11-01

Systemic reaction (other): Mild tingling in left arm where I received injection

Release 12 — day 28, dose 5

2022-11-25

Symptoms: Still feeling the numbness from the site of injection to my pinkie. Not as pronounced as initially but still noticeable

Release 12 — day 35, dose 5

2022-12-02

Symptoms: Still slight numbness in my left arm from injection site, along the side to my pinky. It's not as bad but still noticeable

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	Fatigue	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Injection site hypoaesthesia	·	·	✓
SD	Lymphadenopathy	✓	·	✓
SD	Mammogram abnormal	✓	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site paraesthesia	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Paraesthesia	·	·	✓

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