435-29625-34187

4 vaccinations 11 coded responses 32 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 554 / MN
Registered: 2021-03-23

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

2021-03-23
Registered in v-safe
2021-03-23
Dose 1 — Moderna
2021-03-23
Survey response — day 0, dose 1
MedDRA: Injection site pain, Injection site swelling, Pain, Pyrexia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: My normal temp is 97.3 so I have a slight fever. My arm of injection is swollen twice its size above the elbow. It hurts when touched or moved

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Neck hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work

Free text: Sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Survey response — day 14, dose 1
MedDRA: Chills, Diarrhoea, Headache — Feeling: Fair · Be unable to work

Free text: Chills and diarrhea that lasted all weekend. Headache intermittently

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 21, dose 1
MedDRA: Diarrhoea, Hyperhidrosis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Diarrhea, sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Report sent to call center — day 21, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-20
Dose 2 — Moderna
2021-04-20
Health check-in — day 0, dose 2
Feeling: Fair · Site: Swelling · Chills, Headache, Nausea, Diarrhea

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Joint pains, Muscle or body aches, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Chills, Joint pains, Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Joint pains, Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Muscle or body aches

Adult check-in
2021-04-27
Health check-in — day 7, dose 2
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-05-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 21, dose 2
MedDRA: Fatigue, Headache, Hyperhidrosis, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headache, runny nose, sweating, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-20
Survey response — 3 months, dose 2
MedDRA: Diarrhoea, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarrhea and low fever

MedDRA releases: 2024-11 · check-in free text available
2021-09-24
Dose 3 — Moderna
2021-10-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-07
Survey response — day 42, dose 3
MedDRA: Muscle rupture, Night sweats, Rotator cuff syndrome — 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

Free text: Torn bicep and rotator cuff. Night sweats

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Report sent to call center — day 42, dose 3
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 · 1 call case(s)
2021-11-09
Call 1 — Left Voicemail
2021-12-26
Survey response — 3 months, dose 3
MedDRA: Influenza like illness — 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 · Telehealth, virtual health, or email health consultation

Free text: Had what is assumed flu

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-27
Call 1 — Left Voicemail
2022-09-09
Dose 4 — Moderna
2022-09-09
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-09-10
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain, Pain, Pain in extremity — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat, pain in arm that got shot when I move it at all.

MedDRA releases: 2024-11 · check-in free text available
2022-09-11
Survey response — days 1–6 daily, dose 4
MedDRA: Headache, Neck pain — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Headache and neck ache

MedDRA releases: 2024-11 · check-in free text available
2022-09-18
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Moderna
2	2021-04-20	Moderna
3	2021-09-24	Moderna	No
4	2022-09-09	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-23

Systemic reaction (other): My normal temp is 97.3 so I have a slight fever. My arm of injection is swollen twice its size above the elbow. It hurts when touched or moved

Release 6 — days 1–6 daily, dose 1

2021-03-25

Systemic reaction (other): Neck hurts

2021-03-26

Systemic reaction (other): Sweating

Release 7 — day 14, dose 1

2021-04-06

Symptoms: Chills and diarrhea that lasted all weekend. Headache intermittently

Release 7 — day 21, dose 1

2021-04-13

Symptoms: Diarrhea, sweating

Release 8 — day 21, dose 2

2021-05-11

Symptoms: Headache, runny nose, sweating, fatigue

Release 9 — 3 months, dose 2

2021-07-20

Symptoms: Diarrhea and low fever

Release 10 — day 42, dose 3

2021-11-07

Symptoms: Torn bicep and rotator cuff. Night sweats

Release 10 — 3 months, dose 3

2021-12-26

Symptoms: Had what is assumed flu

Release 12 — days 1–6 daily, dose 4

2022-09-10

Systemic reaction (other): Sore throat, pain in arm that got shot when I move it at all.

2022-09-11

Systemic reaction (other): Headache and neck ache

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	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Influenza like illness	·	·	✓
SD	Muscle rupture	·	·	✓
SD	Night sweats	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Rotator cuff syndrome	·	·	✓
SRO	Headache	·	·	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Pyrexia	✓	✓	✓

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