44G-23596-71711

3 vaccinations 7 coded responses 32 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 947 / CA
Registered: 2021-01-20

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

2021-01-13
Dose 1 — Moderna
2021-01-20
Registered in v-safe
2021-02-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-10
Dose 2 — Moderna
2021-02-10
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal chest pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Shooting pains in ribs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Oropharyngeal pain, Rhinitis — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Free text: Lack of appetite, sore throat, new rhinitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Nasal congestion severe, sore throat mild,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Survey response — day 14, dose 2
MedDRA: Epistaxis, Nasal congestion — Feeling: Good

Free text: Persistent nasal congestion with some nosebleeds

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-26
Survey response — day 42, dose 2
MedDRA: Epistaxis, Nasal congestion — Feeling: Good

Free text: Nasal congestion and nosebleeds, likely from my N-95

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-11
Survey response — 6 months, dose 2
MedDRA: Hypersensitivity, Inflammation, Pre-existing disease, Pruritus — Feeling: Good

Free text: All bug bites get very activated since the vaccines. They get inflammed and last longer with more itching.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-26
Dose 3 — Moderna
2021-11-26
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-03
Health check-in — day 7, dose 3
Feeling: Fair · Headache

Adult check-in
2021-12-10
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-24
Survey response — day 28, dose 3
MedDRA: Acupuncture, Hypoaesthesia, Neuralgia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Intermittent nerve pain in left arm with numbness in fingers · Healthcare visit (other): Acupuncture, Frequency Specific Microcurrent

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Report sent to call center — day 28, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-27
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-26
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-26
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-10	Moderna
3	2021-11-26	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Shooting pains in ribs

2021-02-12

Systemic reaction (other): Lack of appetite, sore throat, new rhinitis

2021-02-13

Systemic reaction (other): Nasal congestion severe, sore throat mild,

Release 4 — day 14, dose 2

2021-02-26

Symptoms: Persistent nasal congestion with some nosebleeds

Release 6 — day 42, dose 2

2021-03-26

Symptoms: Nasal congestion and nosebleeds, likely from my N-95

Release 9 — 6 months, dose 2

2021-08-11

Symptoms: All bug bites get very activated since the vaccines. They get inflammed and last longer with more itching.

Release 10 — day 28, dose 3

2021-12-24

Symptoms: Intermittent nerve pain in left arm with numbness in fingers

Healthcare visit (other): Acupuncture, Frequency Specific Microcurrent

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	Acupuncture	·	·	✓
SD	Epistaxis	✓	✓	✓
SD	Hypersensitivity	✓	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Inflammation	✓	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Neuralgia	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Pruritus	✓	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Musculoskeletal chest pain	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Rhinitis	✓	✓	✓

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