3Y7-16242-69844

2 vaccinations 5 coded responses 24 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 788 / TX
Registered: 2021-01-01

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

2020-12-31
Dose 1 — Moderna
2021-01-01
Registered in v-safe
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Immediate post-injection reaction, Neck pain, Pain in extremity — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to work

Free text: Moderate pain control in opposite shoulder as injection site and in neck which started about 30 minutes after the injection. That pain has subsided today and pain is localized to the injected arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Survey response — day 14, dose 1
MedDRA: Discomfort, Erythema, Injection site swelling, Pruritus — Feeling: Good

Free text: Itching, redness, swelling at injection siteReturn of soreness at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — day 21, dose 1
MedDRA: Rash — Feeling: Good

Free text: Rash on both hands but it has since cleared up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Dose 2 — Moderna
2021-01-28
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea

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

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-02-04
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-11
Survey response — day 14, dose 2
MedDRA: Nausea, Pruritus, Urticaria, Vomiting — Feeling: Good · Be unable to work

Free text: Nausea and vomiting, patches of itching and hives on my neck off and all all week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-28
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Brain fog, Dyspnoea, Headache, Myalgia, Urticaria — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Following the booster: severe hives, difficulty breathing/shortness of breath, headaches, brain fog, joint and muscle pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-01-31
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna
2	2021-01-28	Moderna

Call center

2 call center cases

1 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): Moderate pain control in opposite shoulder as injection site and in neck which started about 30 minutes after the injection. That pain has subsided today and pain is localized to the injected arm

Release 2 — day 14, dose 1

2021-01-14

Symptoms: Itching, redness, swelling at injection siteReturn of soreness at injection site

Release 2 — day 21, dose 1

2021-01-21

Symptoms: Rash on both hands but it has since cleared up

Release 4 — day 14, dose 2

2021-02-11

Symptoms: Nausea and vomiting, patches of itching and hives on my neck off and all all week

Release 11 — 12 months, dose 2

2022-01-28

Symptoms: Following the booster: severe hives, difficulty breathing/shortness of breath, headaches, brain fog, joint and muscle pain

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	Brain fog	·	·	✓
SD	Discomfort	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Erythema	✓	✓	✓
SD	Headache	·	·	✓
SD	Injection site swelling	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Urticaria	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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