45Y-98118-04810

3 vaccinations 12 coded responses 26 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 723 / AR
Registered: 2021-03-27

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

2021-03-27
Registered in v-safe
2021-03-27
Dose 1 — Moderna
2021-03-27
Survey response — day 0, dose 1
MedDRA: Chest discomfort, Flushing — Feeling: Good · Site: Pain · Joint pains

Free text: Tightness in chest for a little while and skin was flush.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Musculoskeletal pain, Neck pain, Spinal pain — Feeling: Fair · Site: Pain · Joint pains

Free text: Joint pain is only in my spine, neck to tailbone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Bone pain, Flushing — Feeling: Poor · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Face flush, back spine bones hurting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Poor · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have chronic Lyme,bartonells, (b)(6)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-23
Dose 2 — Moderna
2021-04-23
Health check-in — day 0, dose 2
Feeling: Good · Chills

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Spinal pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Spine pain from neck to tail bone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair · Site: Redness · Headache

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Headache

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Symptoms for 5 hours then started feeling better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-30
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — day 21, dose 2
MedDRA: Dry skin — Feeling: Good

Free text: Extremely dry skin, especially on my face.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — day 28, dose 2
MedDRA: Pancreatitis — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Pancreas inflamed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — day 28, dose 2
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)
2021-05-28
Survey response — day 35, dose 2
MedDRA: Hypertension, Pancreatitis — Feeling: Poor · Be unable to do your normal daily activities

Free text: High BP. Pancreas inflammation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — day 42, dose 2
MedDRA: Brain fog, Fall, Fatigue, Increased need for sleep — Feeling: Poor · Be unable to do your normal daily activities

Free text: Really fatigued cant get enough sleep. Foggy thinking. Fell once.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Dose 3 — Moderna
2021-07-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-21
Call 1 — Left Voicemail
2022-04-23
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Moderna
2	2021-04-23	Moderna
3	2021-07-01	Moderna	No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-27

Systemic reaction (other): Tightness in chest for a little while and skin was flush.

Release 6 — days 1–6 daily, dose 1

2021-03-28

Systemic reaction (other): Joint pain is only in my spine, neck to tailbone.

2021-03-30

Systemic reaction (other): Face flush, back spine bones hurting

2021-03-31

Systemic reaction (other): I have chronic Lyme,bartonells, (b)(6)

redacted (b)(6)

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Spine pain from neck to tail bone.

2021-04-25

Systemic reaction (other): No

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Dizzy

2021-04-28

Systemic reaction (other): Symptoms for 5 hours then started feeling better.

Release 8 — day 21, dose 2

2021-05-14

Symptoms: Extremely dry skin, especially on my face.

Release 8 — day 28, dose 2

2021-05-21

Symptoms: Pancreas inflamed

Release 8 — day 35, dose 2

2021-05-28

Symptoms: High BP. Pancreas inflammation

Release 8 — day 42, dose 2

2021-06-04

Symptoms: Really fatigued cant get enough sleep. Foggy thinking. Fell once.

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	Brain fog	✓	✓	✓
SD	Dry skin	✓	✓	✓
SD	Fall	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Increased need for sleep	✓	✓	✓
SD	Pancreatitis	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Arthralgia	✓	·	✓
SRO	Bone pain	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Musculoskeletal pain	○	✓	○
SRO	Neck pain	○	✓	○
SRO	No adverse event	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Spinal pain	✓	✓	✓

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