4NR-23743-51457

2 vaccinations 13 coded responses 24 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 214 / MD
Registered: 2021-03-29

Relationship: Self
Race: Black or African American
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

2021-03-29
Registered in v-safe
2021-03-29
Dose 1 — Moderna
2021-03-29
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Wheezing — Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Wheezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Sneezing, Wheezing — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat, sneezung, wheezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Musculoskeletal chest pain, Oropharyngeal pain, Wheezing — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Sore throat, wheezing, tightness in chest, soreness in lower ribs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 7, dose 1
MedDRA: Chest pain, Dyspnoea, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Chest pains, shortness of breath, sore throat, congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 14, dose 1
MedDRA: Back pain, Chest discomfort, Ear pain, Fatigue, Oropharyngeal pain, Palpitations, Paraesthesia, Peripheral swelling, Productive cough, Respiratory tract congestion, Wheezing — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sore throat congestion pain in upper back fatigue when walk or work ear ache tingling throughout body swollening extremities productive coughs tighness in chest wheezing palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 21, dose 1
MedDRA: Ear pain, Oropharyngeal pain, Pain in extremity, Peripheral swelling — Feeling: Poor · Be unable to do your normal daily activities

Free text: My throat is still sore, ears still hurt, and now my legs are aching and swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Dose 2 — Moderna
2021-04-26
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Throat irritation — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Scratchy throat

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

Adult check-in
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Urticaria — Feeling: Poor · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Hives on face chest arms stomach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Chills, Joint pains, Muscle or body aches, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity, Tinnitus — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Foot and leg pain ears ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-05-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-09
Survey response — day 42, dose 2
MedDRA: Hot flush, Joint swelling, Pain in extremity, Paraesthesia, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Swelling feet, ankles and legs. Pain well sleeping especially in legs, an all over tingling feeling throughout my body and hot flashes that feel like fevers.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-26
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Peripheral swelling, Pre-existing disease, Rheumatoid factor increased — Feeling: Good · Be unable to do your normal daily activities

Free text: Swelling in my legs RA LEVELS ELEVATED AFTER SHOT

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-26
Survey response — 12 months, dose 2
MedDRA: Barrett's oesophagus, Intervertebral disc degeneration, Systemic lupus erythematosus — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Lupus, Barretts Esophagus, degenerative discs in lower back and neck

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-29	Moderna
2	2021-04-26	Moderna

Free text

Release 6 — day 0, dose 1

2021-03-29

Systemic reaction (other): Dizzy

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Wheezing

2021-04-03

Systemic reaction (other): Sore throat, sneezung, wheezing

2021-04-04

Systemic reaction (other): Sore throat, wheezing, tightness in chest, soreness in lower ribs

Release 7 — day 7, dose 1

2021-04-06

Systemic reaction (other): Chest pains, shortness of breath, sore throat, congestion

Release 7 — day 14, dose 1

2021-04-14

Symptoms: Sore throat congestion pain in upper back fatigue when walk or work ear ache tingling throughout body swollening extremities productive coughs tighness in chest wheezing palpitations

Release 7 — day 21, dose 1

2021-04-19

Symptoms: My throat is still sore, ears still hurt, and now my legs are aching and swollen

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Scratchy throat

2021-04-30

Systemic reaction (other): Hives on face chest arms stomach

2021-05-02

Systemic reaction (other): Foot and leg pain ears ringing

Release 9 — day 42, dose 2

2021-06-09

Symptoms: Swelling feet, ankles and legs. Pain well sleeping especially in legs, an all over tingling feeling throughout my body and hot flashes that feel like fevers.

Release 9 — 3 months, dose 2

2021-07-26

Symptoms: Swelling in my legs RA LEVELS ELEVATED AFTER SHOT

Release 11 — 12 months, dose 2

2022-04-26

Symptoms: Lupus, Barretts Esophagus, degenerative discs in lower back and neck

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	Barrett's oesophagus	·	·	✓
SD	Chest discomfort	✓	✓	✓
SD	Condition aggravated	✓	·	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hot flush	✓	✓	✓
SD	Intervertebral disc degeneration	·	·	✓
SD	Joint swelling	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Productive cough	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rheumatoid factor increased	✓	·	✓
SD	Systemic lupus erythematosus	·	·	✓
SD	Wheezing	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Musculoskeletal chest pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Throat irritation	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Urticaria	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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