4RN-20078-43833

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 011 / MA
Registered: 2020-12-31

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

2020-12-27
Dose 1 — Moderna
2020-12-31
Registered in v-safe
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-24
Dose 2 — Moderna
2021-01-24
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold, Pruritus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Dry Retching, my leg bones, my back, arms feel cold a up to my neck, my forehead feels like it is in a vice.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness exertional, Dizziness postural, Dyspnoea, Pallor, Pulse abnormal — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Short of breath, dizziness while standing and walking , faint pulse and pale hands after walking short distance in my house feel better sitting on couch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Dyspnoea, Fatigue, Heart rate increased — Feeling: Fair · Fatigue or tiredness · Be unable to work

Free text: Still feel a little tired doing easy household chores and out of breath wile bending down, walking up stairs and standing up from squatting position. Heart rates increased to 92 after standing up from squatting and 102 after walking up cellar stairs light headed ness with both activities.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Dyspnoea, Impaired work ability, Office visit, Pallor, Tachycardia — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Dizziness Short of breath and tachycardia with walking up stairs , bending down , standing up from a squatting position. I tried to work today as I work remotely from home while typing an email I became dizzy, hands got pale felt like I was going to pass out had to stop working and lay down. · Healthcare visit (other): Primary Care Physician I called the Office today with the sx they had me come in same day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations — Feeling: Good · Fatigue or tiredness · Be unable to work

Free text: Just a little Poke feeling in my heart walking up 3 steps into my house but sat diet right away did not get dizzy nor short of breath thus time

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: Dyspnoea — Feeling: Good · Fatigue or tiredness

Free text: Still a little short of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-28
Survey response — day 35, dose 2
MedDRA: Office visit, Swelling — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Swelling in my left neck clavicle area and upper chest on my left side. The vaccine was given in my left arm. · Healthcare visit (other): In person Primary Care Office Visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-07
Survey response — day 42, dose 2
MedDRA: Bone swelling, Swelling — Feeling: Good

Free text: Continued swelling in my left clavicle area and left upper chest. Vaccine was given I. My left arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-07
Call 1 — Left Voicemail
2021-07-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-24
Survey response — 12 months, dose 2
MedDRA: Neck mass, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I still have the mass on the left side of my neck which appeared right after my second Moderna vac. · Healthcare visit (other): PCP visit and an Ultrasound of neck mass

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-27	Moderna
2	2021-01-24	Moderna

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-25

Systemic reaction (other): Dry Retching, my leg bones, my back, arms feel cold a up to my neck, my forehead feels like it is in a vice.

2021-01-26

Systemic reaction (other): Short of breath, dizziness while standing and walking , faint pulse and pale hands after walking short distance in my house feel better sitting on couch

2021-01-27

Systemic reaction (other): Still feel a little tired doing easy household chores and out of breath wile bending down, walking up stairs and standing up from squatting position. Heart rates increased to 92 after standing up from squatting and 102 after walking up cellar stairs light headed ness with both activities.

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Dizziness Short of breath and tachycardia with walking up stairs , bending down , standing up from a squatting position. I tried to work today as I work remotely from home while typing an email I became dizzy, hands got pale felt like I was going to pass out had to stop working and lay down.

Healthcare visit (other): Primary Care Physician I called the Office today with the sx they had me come in same day.

2021-01-29

Systemic reaction (other): Just a little Poke feeling in my heart walking up 3 steps into my house but sat diet right away did not get dizzy nor short of breath thus time

2021-01-30

Systemic reaction (other): Still a little short of breath

Release 4 — day 35, dose 2

2021-02-28

Symptoms: Swelling in my left neck clavicle area and upper chest on my left side. The vaccine was given in my left arm.

Healthcare visit (other): In person Primary Care Office Visit

Release 5 — day 42, dose 2

2021-03-07

Symptoms: Continued swelling in my left clavicle area and left upper chest. Vaccine was given I. My left arm

Release 11 — 12 months, dose 2

2022-01-24

Symptoms: I still have the mass on the left side of my neck which appeared right after my second Moderna vac.

Healthcare visit (other): PCP visit and an Ultrasound of neck mass

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	Neck mass	·	·	✓
HCVO	Office visit	✓	✓	✓
SD	Bone swelling	✓	✓	✓
SD	Neck mass	·	·	✓
SD	Swelling	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dizziness exertional	✓	✓	✓
SRO	Dizziness postural	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Impaired work ability	✓	✓	✓
SRO	Pallor	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Pulse abnormal	✓	✓	✓
SRO	Tachycardia	✓	✓	✓

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