47E-32891-81259

2 vaccinations 10 coded responses 24 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 921 / CA
Registered: 2020-12-30

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Neuralgia — Feeling: Good · Site: Pain, Swelling

Free text: Striking nerve pain in neck and outer shin on several occasions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain, Neuralgia, Pain, Pain in extremity — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Shooting nerve pains on occasion in neck, fingers, legs/feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: 6 small pink bumps, appearing 1-2/day over last 3-4 days on injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Survey response — day 14, dose 1
MedDRA: Headache — Feeling: Fair

Free text: Daily headaches- mild

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

Adult check-in
2021-01-27
Dose 2 — Moderna
2021-01-27
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Neuralgia, Pain — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Shooting nerve pain back of neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Headache

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache

Free text: Dizziness

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

Adult check-in
2021-02-03
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-24
Survey response — day 28, dose 2
MedDRA: Ageusia, Anosmia, Dizziness, Ear pain, Headache, Hypoacusis, Oropharyngeal pain, Sensation of foreign body, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ear pain, painful lump in throat, loss of taste and smell, headache, difficult hearing/rumbling in ears, extreme dizziness- all started 6 days ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 35, dose 2
MedDRA: Dizziness, Neck pain, Oropharyngeal pain, Sensation of foreign body, Vertigo — Feeling: Fair

Free text: Sore throat, lump in throat, right neck muscle pain (same muscle that was having nerve shocks 12 hours after 1st vaccine), dizziness/vertigo.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 42, dose 2
MedDRA: Ear discomfort, Ear swelling, Hypoacusis, Oropharyngeal pain, Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sore throat, vertigo, ear pressure, difficulty hearing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-01
Survey response — 3 months, dose 2
MedDRA: Dysphonia, Myalgia, Neck pain, Neuralgia — Feeling: Fair

Free text: Striking nerve pains in one muscle of neck (posterior right) with both vaccines. Same muscle chronically stiff with chronic hoarseness since 2/18/21. CT scan negative.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-12-20
Call 1 — Could Not Reach Participant
2021-12-28
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-27	Moderna

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 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Striking nerve pain in neck and outer shin on several occasions

2021-01-01

Systemic reaction (other): Shooting nerve pains on occasion in neck, fingers, legs/feet

2021-01-03

Systemic reaction (other): 6 small pink bumps, appearing 1-2/day over last 3-4 days on injection arm

Release 2 — day 14, dose 1

2021-01-15

Symptoms: Daily headaches- mild

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Shooting nerve pain back of neck

2021-02-01

Systemic reaction (other): Dizziness

Release 4 — day 28, dose 2

2021-02-24

Symptoms: Ear pain, painful lump in throat, loss of taste and smell, headache, difficult hearing/rumbling in ears, extreme dizziness- all started 6 days ago

Release 5 — day 35, dose 2

2021-03-03

Symptoms: Sore throat, lump in throat, right neck muscle pain (same muscle that was having nerve shocks 12 hours after 1st vaccine), dizziness/vertigo.

Release 5 — day 42, dose 2

2021-03-12

Symptoms: Sore throat, vertigo, ear pressure, difficulty hearing

Release 8 — 3 months, dose 2

2021-05-01

Symptoms: Striking nerve pains in one muscle of neck (posterior right) with both vaccines. Same muscle chronically stiff with chronic hoarseness since 2/18/21. CT scan negative.

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	Ageusia	✓	✓	✓
SD	Anosmia	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dysphonia	✓	✓	✓
SD	Ear discomfort	·	·	✓
SD	Ear pain	✓	✓	✓
SD	Ear swelling	✓	✓	○
SD	Headache	✓	✓	✓
SD	Hypoacusis	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Neuralgia	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Sensation of foreign body	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Rash	✓	✓	✓

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