4SP-30216-93654

2 vaccinations 8 coded responses 26 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 657 / MO
Registered: 2021-02-25

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

2021-02-25
Registered in v-safe
2021-02-25
Dose 1 — Moderna
2021-02-25
Survey response — day 0, dose 1
MedDRA: Paraesthesia oral, Swollen tongue — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Free text: My tongue may have swelled a little? My lips were a little tingly for an hour.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Facial spasm, Muscle spasms — Feeling: Good · Headache, Fatigue or tiredness

Free text: I have muscle spasms in my face, mostly right side mouth and cheek since getting the injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle twitching — Feeling: Good · Headache

Free text: Still having muscle twitches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 7, dose 1
MedDRA: Tic — Feeling: Good · Headache

Free text: Facial tics

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 14, dose 1
MedDRA: Diarrhoea, Pyrexia, Vomiting — Feeling: Fair · Be unable to work

Free text: Diarrhea set in Sunday evening and will not stop. It was accompanied by a low fever and throwing up on Monday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-25
Dose 2 — Moderna
2021-03-25
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Diarrhea

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches

Free text: This pain may be re other conditions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains

Adult check-in
2021-04-01
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-24
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2021-09-23
Survey response — 6 months, dose 2
MedDRA: Adverse drug reaction, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Rheumatologist put me in Humira and I have started experiencing a reaction to the drug. Have been taken off Humira and will receive a different biologic soon. · Healthcare visit (other): Will see rheumatologist on Monday

MedDRA releases: 2024-11 · check-in free text available
2021-09-23
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-27
Call 1 — Left Voicemail
2022-03-25
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Moderna
2	2021-03-25	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-25

Systemic reaction (other): My tongue may have swelled a little? My lips were a little tingly for an hour.

Release 4 — days 1–6 daily, dose 1

2021-03-02

Systemic reaction (other): I have muscle spasms in my face, mostly right side mouth and cheek since getting the injection.

2021-03-03

Systemic reaction (other): Still having muscle twitches

Release 5 — day 7, dose 1

2021-03-04

Systemic reaction (other): Facial tics

Release 5 — day 14, dose 1

2021-03-11

Symptoms: Diarrhea set in Sunday evening and will not stop. It was accompanied by a low fever and throwing up on Monday.

Release 6 — days 1–6 daily, dose 2

2021-03-26

Systemic reaction (other): Dizziness

2021-03-30

Systemic reaction (other): This pain may be re other conditions

Release 9 — 6 months, dose 2

2021-09-23

Symptoms: Rheumatologist put me in Humira and I have started experiencing a reaction to the drug. Have been taken off Humira and will receive a different biologic soon.

Healthcare visit (other): Will see rheumatologist on Monday

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	Unevaluable event	·	·	✓
SD	Adverse drug reaction	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Facial spasm	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Muscle twitching	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Swollen tongue	✓	✓	✓
SRO	Tic	✓	✓	✓

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