3GT-32924-63352

2 vaccinations 10 coded responses 21 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 006 / PR
Registered: 2021-03-25

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-23
Dose 1 — Moderna
2021-03-25
Registered in v-safe
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Abdominal pain

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Dyspnoea — Feeling: Fair · Muscle or body aches

Free text: Cough and difficult breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Survey response — day 14, dose 1
MedDRA: Cough, Musculoskeletal chest pain — Feeling: Fair

Free text: My ribs hurt when I cough.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 21, dose 1
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Good

Free text: Runny nose and sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Dose 2 — Moderna
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Chills, Hypersomnia, Influenza like illness, Mobility decreased, Pain, Pyrexia — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Today I feel pain in my armpit. The day after the vaccine I had flu like symptoms: chills, feverish, body aches, couldnt move my arm, and slept all day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Survey response — day 14, dose 2
MedDRA: Hypoaesthesia — Feeling: Good

Free text: Numbness in arms and legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 21, dose 2
MedDRA: Cough — Feeling: Good

Free text: Persistent cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-24
Survey response — day 35, dose 2
MedDRA: Cough — Feeling: Good

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-19
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Condition aggravated, Fatigue, Nocturnal dyspnoea, Pain in extremity, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Pain in my left elbow, and left leg! Exhausted. Trouble breathing at night. Intense vaginal bleeding that was gone two years ago returned after vaccination.

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Survey response — 6 months, dose 2
MedDRA: Carbohydrate antigen 125 increased, Hypertension, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Severe skin allergies, high blood pressure, very high CA-125

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-22
Call 1 — Left Voicemail
2022-04-19
Survey response — 12 months, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Moderna
2	2021-04-19	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-27

Systemic reaction (other): Cough and difficult breathing

Release 7 — day 14, dose 1

2021-04-06

Symptoms: My ribs hurt when I cough.

Release 7 — day 21, dose 1

2021-04-13

Symptoms: Runny nose and sore throat

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Today I feel pain in my armpit. The day after the vaccine I had flu like symptoms: chills, feverish, body aches, couldnt move my arm, and slept all day.

Release 8 — day 14, dose 2

2021-05-03

Symptoms: Numbness in arms and legs

Release 8 — day 21, dose 2

2021-05-12

Symptoms: Persistent cough

Release 8 — day 35, dose 2

2021-05-24

Symptoms: Coughing

Release 9 — 3 months, dose 2

2021-07-19

Symptoms: Pain in my left elbow, and left leg! Exhausted. Trouble breathing at night. Intense vaginal bleeding that was gone two years ago returned after vaccination.

Release 10 — 6 months, dose 2

2021-10-20

Symptoms: Severe skin allergies, high blood pressure, very high CA-125

Release 11 — 12 months, dose 2

2022-04-19

Symptoms: Sore throat

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	Carbohydrate antigen 125 increased	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Hypertension	·	·	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Musculoskeletal chest pain	✓	✓	✓
SD	Nocturnal dyspnoea	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Influenza like illness	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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