4TN-15046-45511

2 vaccinations 12 coded responses 24 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 346 / FL
Registered: 2021-02-20

Relationship: Self
Race: White
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

2021-02-19
Dose 1 — Moderna
2021-02-20
Registered in v-safe
2021-02-20
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Injection site induration, Insomnia, Mobility decreased, Nausea, Pain in extremity — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Excruciating pain in arm/loss of mobility a sense at 5:15 p.m. January 19th. Stayed up until 5:00 and 15:00 a.m. this morning I'm moving the arm but painless excruciating to the point of causing nausea and headache area around injection site hard as a rock with size of my hand. Some of the hardness has reduced slightly today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site induration, Pain, Pain in extremity — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: On the large area that felt like a rock where the injection was given has gotten a little bit smaller but I still cannot lift my arm up without pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Farm has improved most of the area that was hard as a rock has softened can now raise it up more

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness

Free text: My arm has its mobility back now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 1
MedDRA: Emotional disorder — Feeling: Fair · Fatigue or tiredness

Free text: Unexpectedly emotional

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-19
Dose 2 — Moderna
2021-03-19
Health check-in — day 0, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Headache, Tinnitus — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Symptoms showed up last night. Arm not as bad as last time but very tired with headache and headache also has a ringing sound faintly I can hear when laying down

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Just still have that faint ringing sound ring that is mostly noticeable when I lay down to rest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The ringing sound in my brain is still there

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The ringing sound is now noticiable throughout the day whenever I am sitting down relaxing or laying down to rest. I hope it goes away soon

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The ringing in my head is still there. I have an appointment with my doctor on Monday to see what she thinks it is

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The ringing sound is still there and wears on me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 7, dose 2
MedDRA: Tinnitus — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ringing sound is still bothering me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-09
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-17
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-23
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-01
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-19
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-03-19
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-19	Moderna
2	2021-03-19	Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-20

Systemic reaction (other): Excruciating pain in arm/loss of mobility a sense at 5:15 p.m. January 19th. Stayed up until 5:00 and 15:00 a.m. this morning I'm moving the arm but painless excruciating to the point of causing nausea and headache area around injection site hard as a rock with size of my hand. Some of the hardness has reduced slightly today.

2021-02-21

Systemic reaction (other): On the large area that felt like a rock where the injection was given has gotten a little bit smaller but I still cannot lift my arm up without pain.

2021-02-22

Systemic reaction (other): Farm has improved most of the area that was hard as a rock has softened can now raise it up more

2021-02-23

Systemic reaction (other): My arm has its mobility back now

2021-02-24

Systemic reaction (other): Unexpectedly emotional

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Symptoms showed up last night. Arm not as bad as last time but very tired with headache and headache also has a ringing sound faintly I can hear when laying down

2021-03-21

Systemic reaction (other): Just still have that faint ringing sound ring that is mostly noticeable when I lay down to rest

2021-03-22

Systemic reaction (other): The ringing sound in my brain is still there

2021-03-23

Systemic reaction (other): The ringing sound is now noticiable throughout the day whenever I am sitting down relaxing or laying down to rest. I hope it goes away soon

2021-03-24

Systemic reaction (other): The ringing in my head is still there. I have an appointment with my doctor on Monday to see what she thinks it is

2021-03-25

Systemic reaction (other): The ringing sound is still there and wears on me

Release 6 — day 7, dose 2

2021-03-26

Systemic reaction (other): Ringing sound is still bothering me

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
SRO	Emotional disorder	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site induration	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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