4V9-20238-84368

3 vaccinations 17 coded responses 37 check-ins 17 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 787 / TX
Registered: 2021-03-05

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-05
Registered in v-safe
2021-03-05
Dose 1 — Moderna
2021-03-05
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — day 7, dose 1
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-19
Survey response — day 14, dose 1
MedDRA: Hypoaesthesia, Hypoaesthesia oral, Skin burning sensation — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Intense burning all over skin and numbness around mouth and in limbs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 14, dose 1
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)
2021-03-26
Survey response — day 21, dose 1
MedDRA: Burning sensation, Muscle tightness, Nausea — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Burning sensations all over body, muscle tightness and tension in neck, jaw, head, and extremities, nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-05
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation, Hot flush — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Free text: Hot flashes, burning sensations throughout body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation, Hot flush, Muscle tightness — Feeling: Fair · Site: Pain, Itching · Joint pains, Fatigue or tiredness

Free text: Burning sensation all over body, hot flashes, mudcle tension in face and neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches, Abdominal pain

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Abdominal pain

Free text: Burning sensation across shoulders and body, ear ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation, Paraesthesia oral — Feeling: Good · Headache

Free text: Tingling in mouth and lips, burning sensation throughout body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 7, dose 2
MedDRA: Headache, Neck pain — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Mild pain in neck and head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-05
Survey response — day 21, dose 2
MedDRA: Back pain, Burning sensation, Headache — Feeling: Fair

Free text: Upper back and mid back pain, cocentrated on left side, dull headaches all over head, burning sensation on head and throughout body.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-19
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-26
Survey response — day 42, dose 2
MedDRA: Abdominal pain upper, Back pain, Dyspepsia, Hypertension, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: High blood pressure, stomach pain and burning, back pain, pain in leg muscles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pain and frequent headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-15
Survey response — 6 months, dose 2
MedDRA: Amenorrhoea, Arthralgia, Hypertension, Tachycardia — Feeling: Fair

Free text: High blood pressure, tachycardia, joint pain, no menstrual period

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Dose 3 — Moderna
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-12-16
Health check-in — day 7, dose 3
Feeling: Fair · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-12-23
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-30
Survey response — day 21, dose 3
MedDRA: Fatigue, Somnolence — Feeling: Good

Free text: Very fatigued and sleepy

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Survey response — day 28, dose 3
MedDRA: Arthralgia, Headache, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle and joint pain, headaches

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Survey response — day 35, dose 3
MedDRA: Arthralgia, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue and joint pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Survey response — day 42, dose 3
MedDRA: Palpitations — Feeling: Good

Free text: Heart palpitations

MedDRA releases: 2024-11 · check-in free text available
2022-03-08
Call 1 — Left Voicemail
2022-03-10
Health check-in — 3 months, dose 3
Feeling: Poor

Adult check-in
2022-06-09
Survey response — 6 months, dose 3
MedDRA: Chest pain, Dyspepsia, Gastrointestinal disorder, Heart rate increased, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Digestive issues, burning sensations in chest and stomach, increaesed heart rate · Healthcare visit (other): Dr office visit

MedDRA releases: 2024-11 · check-in free text available
2022-06-09
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-10
Call 1 — Left Voicemail
2022-06-10
Call 2 — Left Voicemail
2022-06-10
Call 1 — Left Voicemail
2022-12-09
Survey response — 12 months, dose 3
MedDRA: Arthralgia, Fatigue, Gastrointestinal disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Aches and pains in joints, dugestive issues, fatigue

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-14	Moderna
3	2021-12-09	Moderna	No

Call center

3 call center cases

3 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-19

Symptoms: Intense burning all over skin and numbness around mouth and in limbs

Release 6 — day 21, dose 1

2021-03-26

Symptoms: Burning sensations all over body, muscle tightness and tension in neck, jaw, head, and extremities, nausea

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): Hot flashes, burning sensations throughout body

2021-04-17

Systemic reaction (other): Burning sensation all over body, hot flashes, mudcle tension in face and neck

2021-04-19

Systemic reaction (other): Burning sensation across shoulders and body, ear ringing

2021-04-20

Systemic reaction (other): Tingling in mouth and lips, burning sensation throughout body

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): Mild pain in neck and head

Release 8 — day 21, dose 2

2021-05-05

Symptoms: Upper back and mid back pain, cocentrated on left side, dull headaches all over head, burning sensation on head and throughout body.

Release 8 — day 42, dose 2

2021-05-26

Symptoms: High blood pressure, stomach pain and burning, back pain, pain in leg muscles

Release 9 — 3 months, dose 2

2021-07-14

Symptoms: Joint pain and frequent headaches

Release 10 — 6 months, dose 2

2021-10-15

Symptoms: High blood pressure, tachycardia, joint pain, no menstrual period

Release 10 — day 21, dose 3

2021-12-30

Symptoms: Very fatigued and sleepy

Release 10 — day 28, dose 3

2022-01-06

Symptoms: Muscle and joint pain, headaches

Release 10 — day 35, dose 3

2022-01-13

Symptoms: Fatigue and joint pain

Release 10 — day 42, dose 3

2022-01-20

Symptoms: Heart palpitations

Release 11 — 6 months, dose 3

2022-06-09

Symptoms: Digestive issues, burning sensations in chest and stomach, increaesed heart rate

Healthcare visit (other): Dr office visit

Release 12 — 12 months, dose 3

2022-12-09

Symptoms: Aches and pains in joints, dugestive issues, fatigue

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	Office visit	·	·	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Amenorrhoea	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Burning sensation	✓	✓	✓
SD	Chest pain	·	·	✓
SD	Dyspepsia	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	·	·	✓
SD	Hypertension	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Hypoaesthesia oral	✓	✓	✓
SD	Muscle tightness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Skin burning sensation	✓	✓	✓
SD	Somnolence	·	·	✓
SD	Tachycardia	·	·	✓
SRO	Burning sensation	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓

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