4H2-29149-93390

2 vaccinations 7 coded responses 25 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 073 / NJ
Registered: 2021-02-12

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

Timeline

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

2021-02-11
Dose 1 — Moderna
2021-02-12
Registered in v-safe
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Survey response — day 7, dose 1
MedDRA: Dry skin, Pruritus — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Patches of itchy, dry skin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-11
Dose 2 — Moderna
2021-03-11
Survey response — day 0, dose 2
MedDRA: Flushing, Immediate post-injection reaction — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: Feeling flush within a 2 minutes of the injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature decreased, Paraesthesia, Pelvic pain, Skin warm, Tenderness — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Pelvic pain, tingling fingers, body temperature was very low 94.6-95.1 but skin felt very hot and tender to the touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-01
Survey response — day 21, dose 2
MedDRA: Asthma, Headache, Migraine, Nausea — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: I had a migraine that started last Wednesday and persisted till about Tuesday on and off with headaches and nausea in between. I've also been having asthma attacks for the last few days. I havent done anything different and have been home.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-17
Survey response — day 35, dose 2
MedDRA: Arthralgia, Asthma, Neuralgia, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Joint pain is persistent mostly in my back, hips, and legs. It also feels like nerve pain througout my legs. Asthma attacks occur more frequently than normal. Typically I have mild infrequent asthma.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-14
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Dizziness, Nausea — Feeling: Good · Be unable to do your normal daily activities

Free text: Joint pain, nausea, dizziness & light headedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-16
Survey response — 12 months, dose 2
MedDRA: Asthma, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Increased asthma.

MedDRA releases: 2024-11 · check-in free text available
2022-03-16
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-17
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Moderna
2	2021-03-11	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — day 7, dose 1

2021-02-20

Systemic reaction (other): Patches of itchy, dry skin

Release 5 — day 0, dose 2

2021-03-11

Systemic reaction (other): Feeling flush within a 2 minutes of the injection.

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Pelvic pain, tingling fingers, body temperature was very low 94.6-95.1 but skin felt very hot and tender to the touch

Release 6 — day 21, dose 2

2021-04-01

Symptoms: I had a migraine that started last Wednesday and persisted till about Tuesday on and off with headaches and nausea in between. I've also been having asthma attacks for the last few days. I havent done anything different and have been home.

Release 7 — day 35, dose 2

2021-04-17

Symptoms: Joint pain is persistent mostly in my back, hips, and legs. It also feels like nerve pain througout my legs. Asthma attacks occur more frequently than normal. Typically I have mild infrequent asthma.

Release 9 — 3 months, dose 2

2021-06-14

Symptoms: Joint pain, nausea, dizziness & light headedness

Release 11 — 12 months, dose 2

2022-03-16

Symptoms: Increased asthma.

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	Arthralgia	✓	✓	✓
SD	Asthma	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Neuralgia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Body temperature decreased	✓	✓	✓
SRO	Dry skin	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pelvic pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Skin warm	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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