3S9-33842-23578

2 vaccinations 9 coded responses 23 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 079 / NJ
Registered: 2021-01-19

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

2021-01-19
Registered in v-safe
2021-01-19
Dose 1 — Moderna
2021-01-19
Survey response — day 0, dose 1
MedDRA: Headache, Neck pain, Pyrexia, Sinus pain — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Muscle or body aches

Free text: No fever, but felt feverous. Very slight sinus discomfort. Mild headache.neck a little sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot, Lymph node pain, Neck pain, Pruritus — Feeling: Good

Free text: On day of injection and day after lymph nodes on neck itchy, sore. Neck hot. Forehead normal. Neck achy and sore. All those symptoms completely resolved.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Oral herpes — Feeling: Good · Headache

Free text: Fever blister on lip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-26
Survey response — day 7, dose 1
MedDRA: Hypoaesthesia oral, Oral herpes, Sleep disorder — Feeling: Good

Free text: Fever blister to left lower lip. About 12 to 14 hours after shot I woke up with left lower lip numb. 3 days later I got fever blister to that area and still have the fever blister.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — day 14, dose 1
MedDRA: Oral herpes — Feeling: Good

Free text: I had one fever blister and then I got 3 more fever blisters, but they are improving and are small

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

Adult check-in
2021-02-16
Dose 2 — Moderna
2021-02-16
Survey response — day 0, dose 2
MedDRA: Musculoskeletal discomfort — Feeling: Good · Headache

Free text: My neck is uncomfortable.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Chills — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Free text: Rigor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Headache

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-02-23
Survey response — day 7, dose 2
MedDRA: Feeling cold — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I feel so very cold, no shivering or shaking

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-17
Survey response — 6 months, dose 2
MedDRA: Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Hypertension

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-17
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-13
Call 1 — Left Voicemail
2022-02-16
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Moderna
2	2021-02-16	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-19

Systemic reaction (other): No fever, but felt feverous. Very slight sinus discomfort. Mild headache.neck a little sore.

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): On day of injection and day after lymph nodes on neck itchy, sore. Neck hot. Forehead normal. Neck achy and sore. All those symptoms completely resolved.

2021-01-23

Systemic reaction (other): Fever blister on lip

Release 2 — day 7, dose 1

2021-01-26

Systemic reaction (other): Fever blister to left lower lip. About 12 to 14 hours after shot I woke up with left lower lip numb. 3 days later I got fever blister to that area and still have the fever blister.

Release 3 — day 14, dose 1

2021-02-02

Symptoms: I had one fever blister and then I got 3 more fever blisters, but they are improving and are small

Release 4 — day 0, dose 2

2021-02-16

Systemic reaction (other): My neck is uncomfortable.

Release 4 — days 1–6 daily, dose 2

2021-02-17

Systemic reaction (other): Rigor

Release 4 — day 7, dose 2

2021-02-23

Systemic reaction (other): I feel so very cold, no shivering or shaking

Release 9 — 6 months, dose 2

2021-08-17

Symptoms: Hypertension

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	Hypertension	✓	·	✓
SD	Oral herpes	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Musculoskeletal discomfort	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oral herpes	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Sinus pain	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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