3NE-99210-94150

2 vaccinations 11 coded responses 25 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 282 / NC
Registered: 2021-03-14

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Registered dependents

2NT-15590-59451 Child or adolescent in my care · Male · 2021-06-30

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-14
Registered in v-safe
2021-03-14
Dose 1 — Moderna
2021-03-14
Survey response — day 0, dose 1
MedDRA: Paraesthesia, Rhinorrhoea — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Free text: Tingling feeling, from head to toe. Running nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain, Swelling

Free text: Feeling tingling left side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Chills, Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Joint pains

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Survey response — day 7, dose 1
MedDRA: Rhinorrhoea, Sneezing — Feeling: Good

Free text: Sneezing, running nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-11
Dose 2 — Moderna
2021-04-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Muscle spasms — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Backache/ left side leg cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Back pain — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Backache, both shoulder very sore

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: Arthralgia, Paraesthesia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Both shoulder feel sore and pin sensation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-04-25
Survey response — day 14, dose 2
MedDRA: Arthralgia, Asthenia, Burning sensation, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue feeling, have no energy. Both shoulder have the pinch and burning feeling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — day 21, dose 2
MedDRA: Arthralgia, Burning sensation, Fatigue, Nerve compression — Feeling: Fair

Free text: Both shoulder feel sore and nerve pinch Fatigue continue Burning sensation both arm especially the left

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — day 28, dose 2
MedDRA: Headache, Nerve compression — Feeling: Fair

Free text: Headache Nerve pinch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-12
Survey response — 3 months, dose 2
MedDRA: Neurological symptom — Feeling: Good

Free text: My both shoulder nerve is getting worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-12
Survey response — 6 months, dose 2
MedDRA: Influenza — Feeling: Poor · Be unable to work or attend school

Free text: Bad flu

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-14	Moderna
2	2021-04-11	Moderna

Free text

Release 5 — day 0, dose 1

2021-03-14

Systemic reaction (other): Tingling feeling, from head to toe. Running nose

Release 5 — days 1–6 daily, dose 1

2021-03-15

Systemic reaction (other): Feeling tingling left side.

Release 6 — day 7, dose 1

2021-03-21

Systemic reaction (other): Sneezing, running nose

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Backache/ left side leg cramps

2021-04-16

Systemic reaction (other): Backache, both shoulder very sore

2021-04-17

Systemic reaction (other): Both shoulder feel sore and pin sensation

Release 7 — day 14, dose 2

2021-04-25

Symptoms: Fatigue feeling, have no energy. Both shoulder have the pinch and burning feeling.

Release 8 — day 21, dose 2

2021-05-02

Symptoms: Both shoulder feel sore and nerve pinch Fatigue continue Burning sensation both arm especially the left

Release 8 — day 28, dose 2

2021-05-09

Symptoms: Headache Nerve pinch

Release 9 — 3 months, dose 2

2021-07-12

Symptoms: My both shoulder nerve is getting worse

Release 10 — 6 months, dose 2

2021-10-12

Symptoms: Bad flu

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	Asthenia	✓	✓	✓
SD	Burning sensation	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Influenza	·	·	✓
SD	Nerve compression	✓	✓	✓
SD	Neurological symptom	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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