3DR-18597-93567

2 vaccinations 8 coded responses 16 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 750 / TX
Registered: 2021-03-08

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

2021-03-08
Registered in v-safe
2021-03-08
Dose 1 — Moderna
2021-03-08
Survey response — day 0, dose 1
MedDRA: Fatigue, Hypoaesthesia — Feeling: Good · Site: Pain

Free text: My arm got numb staring from mine fingers to the entire arm, feeling better now, little bit tired

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

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Self-medication — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Free text: I been taking Tylenol and Advil to help with symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Dyspnoea — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness, Abdominal pain

Free text: Chest pain short of breath both not bad

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-15
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Abdominal pain

Adult check-in
2021-03-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-12
Dose 2 — Moderna
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Pain right side of my abdomen more intense

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain, Back pain — Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Lower back pain right side abdomen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Peripheral swelling, Swelling — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Under my right arm (vaccine side) swelling hurts bad pain lower back pain swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 7, dose 2
MedDRA: Axillary pain, Fatigue, Malaise, Nasopharyngitis, Oedema peripheral — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Free text: Pain and swelling under my arm, feeling tired and cold symptoms or look like it not feeling good today and yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-14
Survey response — 3 months, dose 2
MedDRA: Abdominal pain upper, Angina pectoris, Chest discomfort, Chest pain, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Heart pain, tight chest, congestion, stomach pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-08	Moderna
2	2021-04-12	Moderna

Free text

Release 5 — day 0, dose 1

2021-03-08

Systemic reaction (other): My arm got numb staring from mine fingers to the entire arm, feeling better now, little bit tired

Release 5 — days 1–6 daily, dose 1

2021-03-10

Systemic reaction (other): I been taking Tylenol and Advil to help with symptoms

2021-03-11

Systemic reaction (other): Chest pain short of breath both not bad

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Pain right side of my abdomen more intense

2021-04-15

Systemic reaction (other): Lower back pain right side abdomen

2021-04-17

Systemic reaction (other): Under my right arm (vaccine side) swelling hurts bad pain lower back pain swelling

Release 7 — day 7, dose 2

2021-04-20

Systemic reaction (other): Pain and swelling under my arm, feeling tired and cold symptoms or look like it not feeling good today and yesterday

Release 9 — 3 months, dose 2

2021-07-14

Symptoms: Heart pain, tight chest, congestion, stomach pain

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 upper	✓	✓	✓
SD	Angina pectoris	·	·	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	○
SD	Respiratory tract congestion	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Swelling	✓	✓	✓

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