4MY-28849-14714

2 vaccinations 13 coded responses 25 check-ins 13 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 330 / FL
Registered: 2020-12-30

Relationship: Self
Race: N/A
Ethnicity: N/A

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
Survey response — day 0, dose 1
MedDRA: Musculoskeletal stiffness, Pain, Pre-existing disease — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: I do have history of migraines so headaches are common. Neck stiffness/achiness on side of injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Hot flush — Feeling: Good · Site: Pain · Fever · Chills, Headache

Free text: Hot flashes

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

Adult check-in
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Nausea, Pre-existing disease — Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I have migraines so headache and nausea are common. Also did sleep well so fatigue is common.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Nausea

Adult check-in
2021-01-06
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-13
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pruritus, Injection site rash, Office visit, Paraesthesia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Severe raised red rash with itching and tingling on arm, around injection site. · Healthcare visit (other): Visit to my doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-27
Dose 2 — Moderna
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Bone pain, Hot flush — Feeling: Poor · Site: Pain · Fever · Chills, 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: Hot flashes, bone pain, back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Chest pain, Cough, Dyspnoea, Hot flush — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Backache, hot flashes, chest pain, shortness of breath with activity, mild cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dyspnoea — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Shortness of breath at time, with mild tickly cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Site: Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Feeling out of breath (as if anxious)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain — Feeling: Good · Site: Itching · Joint pains, Fatigue or tiredness

Free text: Chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — day 7, dose 2
MedDRA: Anxiety, Nervousness — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: Anxiety/nervousness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — day 14, dose 2
MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sharp pains in joints (knees and thumbs) and continued fatigue. I had problems with one knee but now its constant and the other one hurts and I sometimes limp. Cant open bottles at times due to pain in thumb joint. Hx tendonitis but again, cons

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-01
Call 1 — Left Voicemail
2021-03-03
Survey response — day 35, dose 2
MedDRA: Sunburn — Feeling: Fair

Free text: Severe sunburn after being mostly in the shade for several hours. I dont usually burn this much in such a short space of time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Call successful
Completed over the phone
2021-03-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-27
Survey response — 12 months, dose 2
MedDRA: Body temperature increased, COVID-19, Chest pain, Chills, Diarrhoea, Headache, Lethargy, Nausea, Neck pain, Pain in extremity — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Excruciating neck pain. COVID positive: nausea, diarrhea, headache, aches in lower legs and fingers, 99-3 temp, chills, chest pain, lethargy.

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-28
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

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

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-30

Systemic reaction (other): I do have history of migraines so headaches are common. Neck stiffness/achiness on side of injection.

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): Hot flashes

2021-01-04

Systemic reaction (other): I have migraines so headache and nausea are common. Also did sleep well so fatigue is common.

Release 1 — day 14, dose 1

2021-01-13

Symptoms: Severe raised red rash with itching and tingling on arm, around injection site.

Healthcare visit (other): Visit to my doctor

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Hot flashes, bone pain, back pain

2021-01-29

Systemic reaction (other): Backache, hot flashes, chest pain, shortness of breath with activity, mild cough

2021-01-30

Systemic reaction (other): Shortness of breath at time, with mild tickly cough

2021-02-01

Systemic reaction (other): Feeling out of breath (as if anxious)

2021-02-02

Systemic reaction (other): Chest pain

Release 3 — day 7, dose 2

2021-02-03

Systemic reaction (other): Anxiety/nervousness

Release 4 — day 14, dose 2

2021-02-10

Symptoms: Sharp pains in joints (knees and thumbs) and continued fatigue. I had problems with one knee but now its constant and the other one hurts and I sometimes limp. Cant open bottles at times due to pain in thumb joint. Hx tendonitis but again, cons

Release 4 — day 35, dose 2

2021-03-03

Symptoms: Severe sunburn after being mostly in the shade for several hours. I dont usually burn this much in such a short space of time.

Release 11 — 12 months, dose 2

2022-01-27

Symptoms: Excruciating neck pain. COVID positive: nausea, diarrhea, headache, aches in lower legs and fingers, 99-3 temp, chills, chest pain, lethargy.

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	Office visit	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Body temperature increased	·	·	✓
SD	Chest pain	·	·	✓
SD	Chills	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Headache	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Lethargy	·	·	✓
SD	Nausea	·	·	✓
SD	Neck pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Sunburn	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Bone pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Neck pain	○	○	○
SRO	Nervousness	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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