3HD-33232-20879

2 vaccinations 11 coded responses 22 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 027 / MA
Registered: 2021-02-05

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

2021-02-04
Dose 1 — Moderna
2021-02-05
Registered in v-safe
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Free text: Itching (last night) on neck and chest with no rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Musculoskeletal stiffness — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Low back pain and stiffness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — day 7, dose 1
MedDRA: Back pain, Musculoskeletal stiffness — Feeling: Fair · Be unable to do your normal daily activities

Free text: low back pain and stiffness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 14, dose 1
MedDRA: Back pain, Injection site induration, Injection site swelling, Injection site warmth, Musculoskeletal stiffness — Feeling: Fair · Be unable to do your normal daily activities

Free text: the injection site was hard, swollen, warm for two days andmy low back was very stiff and sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-04
Dose 2 — Moderna
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Neuralgia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Short times of nerve pain shooting along ulnar nerve and feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Neuralgia, Pain in extremity — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: nerve pain in hands and feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Intermenstrual bleeding — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Menstrual bleeding - very abnormal timing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Neuralgia — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains · Be unable to do your normal daily activities

Free text: Nerve pain in my teeth and jaw. This is not a normal issue for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 7, dose 2
MedDRA: Rhinorrhoea, Sneezing — Feeling: Good

Free text: Runny nose and sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-15
Survey response — day 42, dose 2
MedDRA: Dermatitis contact — Feeling: Fair · Be unable to do your normal daily activities

Free text: Contact dermatitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-04
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-04	Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): Back pain

2021-02-06

Systemic reaction (other): Itching (last night) on neck and chest with no rash

2021-02-10

Systemic reaction (other): Low back pain and stiffness

Release 4 — day 7, dose 1

2021-02-11

Systemic reaction (other): low back pain and stiffness

Release 4 — day 14, dose 1

2021-02-18

Symptoms: the injection site was hard, swollen, warm for two days andmy low back was very stiff and sore

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Short times of nerve pain shooting along ulnar nerve and feet

2021-03-06

Systemic reaction (other): nerve pain in hands and feet

2021-03-07

Systemic reaction (other): Menstrual bleeding - very abnormal timing

2021-03-08

Systemic reaction (other): Nerve pain in my teeth and jaw. This is not a normal issue for me.

Release 5 — day 7, dose 2

2021-03-11

Systemic reaction (other): Runny nose and sneezing

Release 7 — day 42, dose 2

2021-04-15

Symptoms: Contact dermatitis

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	Back pain	✓	✓	✓
SD	Dermatitis contact	✓	✓	✓
SD	Injection site induration	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Intermenstrual bleeding	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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