3T6-18188-60848

3 vaccinations 7 coded responses 28 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 012 / MA
Registered: 2021-01-21

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

2021-01-21
Registered in v-safe
2021-01-21
Dose 1 — Moderna
2021-01-21
Survey response — day 0, dose 1
MedDRA: Paraesthesia — Feeling: Good · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tingling in face

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: Hypoaesthesia — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches

Free text: Mild facial numbness early in the day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Survey response — day 14, dose 1
MedDRA: Hypersensitivity, Pre-existing disease, Self-medication — Feeling: Good · Be unable to do your normal daily activities

Free text: Increased frequency and intensity of allergy symptoms of itching in ears/nose/throat requiring OTC medication

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

Adult check-in
2021-02-18
Dose 2 — Moderna
2021-02-18
Survey response — day 0, dose 2
MedDRA: Hypoaesthesia, Tinnitus — Feeling: Good · Site: Pain, Itching · Chills, Headache, Abdominal pain

Free text: Numbness in Left side of jaw,ringing in L ear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Fever · Fatigue or tiredness, Nausea

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache, Muscle or body aches, Nausea

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle twitching — Feeling: Good

Free text: Muscle twitching in injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 35, dose 2
MedDRA: Chills, Oropharyngeal pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: Chills, low fever x 4 hours with sore throat. This self resolved with no further issue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-19
Dose 3 — Moderna
2022-02-18
Survey response — 12 months, dose 2
MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional

Free text: Symptoms: Chronic/reactivated Epstein Barr Virus flare-ups · Healthcare visit (other): Follow up with primary care

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-21
Call 1 — Left Voicemail
2022-05-20
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-22
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-18	Moderna
3	2021-11-19	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-21

Systemic reaction (other): Tingling in face

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Mild facial numbness early in the day.

Release 3 — day 14, dose 1

2021-02-04

Symptoms: Increased frequency and intensity of allergy symptoms of itching in ears/nose/throat requiring OTC medication

Release 4 — day 0, dose 2

2021-02-18

Systemic reaction (other): Numbness in Left side of jaw,ringing in L ear

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): Muscle twitching in injection arm

Release 6 — day 35, dose 2

2021-03-25

Symptoms: Chills, low fever x 4 hours with sore throat. This self resolved with no further issue.

Release 11 — 12 months, dose 2

2022-02-18

Symptoms: Chronic/reactivated Epstein Barr Virus flare-ups

Healthcare visit (other): Follow up with primary care

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
HCVO	Office visit	·	·	✓
SD	Chills	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Muscle twitching	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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