4SN-31831-10184

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 930 / CA
Registered: 2021-01-18

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

2021-01-18
Registered in v-safe
2021-01-18
Dose 1 — Moderna
2021-01-18
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Good

Free text: Ive been having pain/burning on left side of chest..feels like my rib or lung for 3 days. Not sure why

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-01
Survey response — day 14, dose 1
MedDRA: Chest pain, Fatigue, Laboratory test, Lymphadenopathy, Pain in extremity, Rash, Rash erythematous, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: 7 days after vaccine I developed a red rash like streak on my shoulder, my whole left arm became sore again, my lymph node above my clavicle became swollen and still is swollen. I had pain over my chest area. Ive been extremely tired and fatigued. · Healthcare visit (other): Received an ekg and will be getting a chest x-ray

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-08
Survey response — day 21, dose 1
MedDRA: Back pain, Chills, Diarrhoea, Pain, Pyrexia — Feeling: Fair

Free text: Ive had diarrhea and horrible body aches and chills with low grade fever. This only lasted a few hours. My back also hurts where my kidneys are.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Dose 2 — Moderna
2021-02-15
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Feeling abnormal — Feeling: Fair

Free text: Feeling fog brain and light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Initial insomnia — Feeling: Good · Fatigue or tiredness

Free text: Trouble sleeping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety — Feeling: Fair · Abdominal pain

Free text: Anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-29
Survey response — day 42, dose 2
MedDRA: Dyspnoea — Feeling: Fair

Free text: I recently started waking up gasping for air and feeling like Im not breathing during sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-11
Call 1 — Left Voicemail
2021-08-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-15
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-18	Moderna
2	2021-02-15	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Ive been having pain/burning on left side of chest..feels like my rib or lung for 3 days. Not sure why

Release 3 — day 14, dose 1

2021-02-01

Symptoms: 7 days after vaccine I developed a red rash like streak on my shoulder, my whole left arm became sore again, my lymph node above my clavicle became swollen and still is swollen. I had pain over my chest area. Ive been extremely tired and fatigued.

Healthcare visit (other): Received an ekg and will be getting a chest x-ray

Release 3 — day 21, dose 1

2021-02-08

Symptoms: Ive had diarrhea and horrible body aches and chills with low grade fever. This only lasted a few hours. My back also hurts where my kidneys are.

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): Lower back pain

2021-02-19

Systemic reaction (other): Feeling fog brain and light headed

2021-02-20

Systemic reaction (other): Trouble sleeping

2021-02-21

Systemic reaction (other): Anxiety

Release 6 — day 42, dose 2

2021-03-29

Symptoms: I recently started waking up gasping for air and feeling like Im not breathing during sleep.

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	Laboratory test	✓	✓	○
HCVO	Unevaluable event	·	·	✓
SD	Back pain	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	·	·	✓
SD	Rash erythematous	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Initial insomnia	✓	✓	✓

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