4F8-32409-73768

2 vaccinations 8 coded responses 24 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 349 / FL
Registered: 2021-03-01

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-01
Registered in v-safe
2021-03-01
Dose 1 — Moderna
2021-03-01
Survey response — day 0, dose 1
MedDRA: Immediate post-injection reaction, Paraesthesia — Feeling: Good

Free text: Tingling fingertips right after shot on the injection arm only. Normal glucose reaction for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Site: Pain

Free text: Itching last night, most of my body.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain

Free text: Swollen lymph nodes near collar bone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — day 7, dose 1
MedDRA: Hyperhidrosis — Feeling: Good · Fever · Muscle or body aches

Free text: Odd sweats short duration at random times when I should be nice and cool.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — day 14, dose 1
MedDRA: Back pain, Condition aggravated, Intervertebral disc degeneration, Limb discomfort, Nerve injury, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nerve problems in my neck near the collar bone and upper back pain. Increase in my usual leg problems that occur as a result of degenerating discs in my back. The pain has been heightened since about 3 days after the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-29
Dose 2 — Moderna
2021-03-29
Health check-in — day 0, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Lacrimation increased, Nasal congestion — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Stuffy sinuses and watery eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus, Rhinorrhoea — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Itchy runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site induration, Injection site pain, Pruritus, Self-medication — Feeling: Good · Site: Itching

Free text: Last night the shot site was very painful and hard. I took Advil and put heat on the arm and it felt better just itchy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-29
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Moderna
2	2021-03-29	Moderna

Free text

Release 4 — day 0, dose 1

2021-03-01

Systemic reaction (other): Tingling fingertips right after shot on the injection arm only. Normal glucose reaction for me.

Release 4 — days 1–6 daily, dose 1

2021-03-02

Systemic reaction (other): Itching last night, most of my body.

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Swollen lymph nodes near collar bone

Release 5 — day 7, dose 1

2021-03-08

Systemic reaction (other): Odd sweats short duration at random times when I should be nice and cool.

Release 5 — day 14, dose 1

2021-03-15

Symptoms: Nerve problems in my neck near the collar bone and upper back pain. Increase in my usual leg problems that occur as a result of degenerating discs in my back. The pain has been heightened since about 3 days after the vaccine.

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): Stuffy sinuses and watery eyes

2021-03-31

Systemic reaction (other): Itchy runny nose

2021-04-02

Systemic reaction (other): Last night the shot site was very painful and hard. I took Advil and put heat on the arm and it felt better just itchy.

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	Back pain	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Intervertebral disc degeneration	✓	✓	✓
SD	Limb discomfort	✓	✓	✓
SD	Nerve injury	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Injection site induration	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lacrimation increased	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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