3WQ-38576-58684

2 vaccinations 7 coded responses 21 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 900 / CA
Registered: 2021-02-10

Relationship: Self
Race: Other
Ethnicity: 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

2021-02-10
Registered in v-safe
2021-02-10
Dose 1 — Moderna
2021-02-10
Survey response — day 0, dose 1
MedDRA: Chills — Feeling: Good · Chills

Free text: Chills on left thigh that lasted about an hour but not painful nor uncomfortable(same side as vaccine area -left)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain lower, Injection site induration, Injection site pain, Muscle tightness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Cramps on abdominal/ovaries. Muscles feel tense. Pain and feels hard on injection area (left arm)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Chills — Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Chills only on left leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Chills — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Chills on and off on left leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-03
Survey response — day 21, dose 1
MedDRA: Pruritus — Feeling: Fair

Free text: Not sure if its related to the vaccine but I have been feeling extremely itchy on my breast area for the past weeks and recently since yesterday my scalp has been extremely itchy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Dose 2 — Moderna
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-19
Survey response — day 35, dose 2
MedDRA: Arthralgia, Pain in extremity — Feeling: Fair

Free text: Not sure if related to vaccine but my calves and ankles have been hurting/feeling sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 42, dose 2
MedDRA: Arthralgia, Chills, Fatigue, Pain in extremity, Stress — Feeling: Fair

Free text: Not sure if its vaccine related or due to personal stress or having to move out of my home so physically I've been tired. My knees and legs hurt a lot everyday. I had minor chills on my left leg for a minute or two.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-10	Moderna
2	2021-03-12	Moderna

Free text

Release 4 — day 0, dose 1

2021-02-10

Systemic reaction (other): Chills on left thigh that lasted about an hour but not painful nor uncomfortable(same side as vaccine area -left)

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): Cramps on abdominal/ovaries. Muscles feel tense. Pain and feels hard on injection area (left arm)

2021-02-15

Systemic reaction (other): Chills only on left leg

2021-02-16

Systemic reaction (other): Chills on and off on left leg

Release 4 — day 21, dose 1

2021-03-03

Symptoms: Not sure if its related to the vaccine but I have been feeling extremely itchy on my breast area for the past weeks and recently since yesterday my scalp has been extremely itchy.

Release 7 — day 35, dose 2

2021-04-19

Symptoms: Not sure if related to vaccine but my calves and ankles have been hurting/feeling sore.

Release 8 — day 42, dose 2

2021-04-27

Symptoms: Not sure if its vaccine related or due to personal stress or having to move out of my home so physically I've been tired. My knees and legs hurt a lot everyday. I had minor chills on my left leg for a minute or two.

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	Chills	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Stress	✓	✓	✓
SRO	Abdominal pain lower	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Injection site induration	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Muscle tightness	✓	✓	✓

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