3C9-21845-08288

2 vaccinations 9 coded responses 18 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 080 / NJ
Registered: 2021-03-03

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

2021-03-03
Registered in v-safe
2021-03-03
Dose 1 — Moderna
2021-03-03
Survey response — day 0, dose 1
MedDRA: Heart rate increased — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Fast heartbeat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Muscle or body aches

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Survey response — day 14, dose 1
MedDRA: Arthralgia, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Right shoulder pain. · Healthcare visit (other): In person visit scheduled for next Tuesday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-24
Survey response — day 21, dose 1
MedDRA: Joint range of motion decreased, Myalgia, Office visit, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Shoulder, neck, upper back muscle soreness. Not able to tilt chin down or turn head without discomfort. · Healthcare visit (other): Went to my primary care doctor and was prescribed muscle relaxers.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-31
Dose 2 — Moderna
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Gingival pain, Oral pain, Paranasal sinus discomfort, Sinus pain, Toothache — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Teeth and gum pain, roof of mouth pain, extreme sensitivity to brushing my teeth, sinus pain and pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper, Back pain, Gingival pain, Oral pain — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Mouth and gum pain. Severe stomach and lower pack pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Rash, Self-medication — Feeling: Good · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Rash last night all over my arms and half my body. Went away with Benedryl.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-07
Survey response — day 7, dose 2
MedDRA: Arthralgia, Headache, Lymphadenopathy, Neck pain — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches

Free text: Shoulder and neck pain and swelling lymphnodes in neck causing headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 14, dose 2
MedDRA: Abdominal lymphadenopathy, Abdominal mass, Abdominal pain upper, Arthralgia, Headache, Muscle tightness, Neck pain, Tension, Tension headache — Feeling: Good

Free text: Neck and shoulder tightness and pain. Swollen round balls in lower abdomen maybe lymphnodes. Bad headaches neck and back of head tension. Belly pains.

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

Adult check-in
2021-05-05
Survey response — day 35, dose 2
MedDRA: Headache, Lymphadenopathy, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Swollen lymph node in neck going to get an ultrasound. Head pain on the same side. · Healthcare visit (other): In person dr visit and ultra sound

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-30
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-03-31	Moderna

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-03

Systemic reaction (other): Fast heartbeat

Release 5 — day 14, dose 1

2021-03-19

Symptoms: Right shoulder pain.

Healthcare visit (other): In person visit scheduled for next Tuesday

Release 6 — day 21, dose 1

2021-03-24

Symptoms: Shoulder, neck, upper back muscle soreness. Not able to tilt chin down or turn head without discomfort.

Healthcare visit (other): Went to my primary care doctor and was prescribed muscle relaxers.

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Teeth and gum pain, roof of mouth pain, extreme sensitivity to brushing my teeth, sinus pain and pressure

2021-04-02

Systemic reaction (other): Mouth and gum pain. Severe stomach and lower pack pain.

2021-04-03

Systemic reaction (other): Rash last night all over my arms and half my body. Went away with Benedryl.

Release 7 — day 7, dose 2

2021-04-07

Systemic reaction (other): Shoulder and neck pain and swelling lymphnodes in neck causing headaches

Release 7 — day 14, dose 2

2021-04-14

Symptoms: Neck and shoulder tightness and pain. Swollen round balls in lower abdomen maybe lymphnodes. Bad headaches neck and back of head tension. Belly pains.

Release 8 — day 35, dose 2

2021-05-05

Symptoms: Swollen lymph node in neck going to get an ultrasound. Head pain on the same side.

Healthcare visit (other): In person dr visit and ultra sound

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	Abdominal lymphadenopathy	○	✓	○
SD	Abdominal mass	✓	·	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Joint range of motion decreased	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Muscle tightness	✓	·	✓
SD	Myalgia	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Tension	✓	·	✓
SD	Tension headache	○	✓	○
SRO	Abdominal pain upper	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Gingival pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oral pain	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sinus pain	✓	✓	✓
SRO	Toothache	✓	✓	✓

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