3SF-53379-39766

2 vaccinations 12 coded responses 24 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 070 / NJ
Registered: 2021-03-17

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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Moderna
2021-03-17
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Chills, Muscle or body aches · Be unable to work

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Free text: My left arm is soar. Otherwise I am good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Insomnia, Pain in extremity, Throat irritation — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: I had a hard time sleeping. Pain in left arm and right knee. Dirtiness of throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good · Site: Pain

Free text: I feel much better today. A little soar

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: A little dizzy and light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Back pain — Feeling: Good · Site: Pain · Joint pains

Free text: Back pain and knee pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Night sweats — Feeling: Good · Site: Pain · Chills, Joint pains

Free text: Night sweats. Knee pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 7, dose 1
MedDRA: Arthralgia, Back pain, Hyperhidrosis, Night sweats — Feeling: Good · Site: Pain · Joint pains

Free text: Knee pain back pain night sweats and day sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Light headed and sometimes dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling · Headache, Joint pains

Free text: Slightly light headed and dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Pain in extremity, Somnolence — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Tired sleepy pain in arm intermittent

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-05
Survey response — day 21, dose 2
MedDRA: Headache, Night sweats, Pain in extremity — Feeling: Good

Free text: My symptoms are intermittent My arm hurt a lot yesterday and Night sweats. Otherwise I am good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-19
Survey response — day 35, dose 2
MedDRA: Chills, Pain in extremity — Feeling: Good

Free text: I had chills in the morning yesterday but no fever and arm hurts a little today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-14
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): My left arm is soar. Otherwise I am good

Release 6 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): I had a hard time sleeping. Pain in left arm and right knee. Dirtiness of throat

2021-03-20

Systemic reaction (other): I feel much better today. A little soar

2021-03-21

Systemic reaction (other): A little dizzy and light headed

2021-03-22

Systemic reaction (other): Back pain and knee pain

2021-03-23

Systemic reaction (other): Night sweats. Knee pain

Release 6 — day 7, dose 1

2021-03-24

Systemic reaction (other): Knee pain back pain night sweats and day sweats

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Light headed and sometimes dizzy

2021-04-18

Systemic reaction (other): Slightly light headed and dizzy

2021-04-19

Systemic reaction (other): Tired sleepy pain in arm intermittent

Release 8 — day 21, dose 2

2021-05-05

Symptoms: My symptoms are intermittent My arm hurt a lot yesterday and Night sweats. Otherwise I am good

Release 8 — day 35, dose 2

2021-05-19

Symptoms: I had chills in the morning yesterday but no fever and arm hurts a little today

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	Chills	✓	✓	✓
SD	Headache	✓	✓	○
SD	Night sweats	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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