4WC-14827-83757

3 vaccinations 10 coded responses 28 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 280 / NC
Registered: 2021-03-01

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

2021-02-28
Dose 1 — Moderna
2021-03-01
Registered in v-safe
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Free text: Legs aches briefly when I was out in the cold.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — day 14, dose 1
Feeling: Good

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

Adult check-in
2021-03-28
Dose 2 — Moderna
2021-03-28
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia, Peripheral swelling — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Left hand - mild finger swelling - side the shot was given.After 1st shot, I had tingling in those fingers on day 1

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Feeling abnormal — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness/fogginess

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Feeling abnormal — Feeling: Good · Muscle or body aches

Free text: Dizziness/fogginess

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

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-21
Dose 3 — Moderna
2021-11-21
Survey response — day 0, dose 3
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tingling and numbness is fingers of both hands but more in shot hand.

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Survey response — days 1–6 daily, dose 3
MedDRA: Paraesthesia — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tingling fingers

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-24
Survey response — days 1–6 daily, dose 3
MedDRA: Asthma, Cough, Lower respiratory tract congestion — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Asthma - bronchial congestion and severe coughing

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Survey response — days 1–6 daily, dose 3
MedDRA: Asthma, Chest discomfort, Cough, Respiratory tract congestion — Feeling: Good

Free text: Asthma- congested cough and tight chest

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-28
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-02
Survey response — day 42, dose 3
MedDRA: Asthma, Bronchitis, Cough, Lower respiratory tract infection, Office visit, Pre-existing disease — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional

Free text: Symptoms: Had bronchitis - chest cold and cough from 12/13- 12/20. Still have a bit of a cough but have slight asthma, so it could be that. · Healthcare visit (other): Minute clinic and narturopath

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Report sent to call center — day 42, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-06
Call 1 — Could Not Reach Participant
2022-01-11
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-28	Moderna
2	2021-03-28	Moderna
3	2021-11-21	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-02

Systemic reaction (other): Legs aches briefly when I was out in the cold.

Release 6 — day 0, dose 2

2021-03-28

Systemic reaction (other): Dizziness

Release 6 — days 1–6 daily, dose 2

2021-03-29

Systemic reaction (other): Left hand - mild finger swelling - side the shot was given.After 1st shot, I had tingling in those fingers on day 1

2021-03-31

Systemic reaction (other): Dizziness/fogginess

2021-04-01

Systemic reaction (other): Dizziness/fogginess

Release 10 — day 0, dose 3

2021-11-21

Systemic reaction (other): Tingling and numbness is fingers of both hands but more in shot hand.

Release 10 — days 1–6 daily, dose 3

2021-11-22

Systemic reaction (other): Tingling fingers

2021-11-24

Systemic reaction (other): Asthma - bronchial congestion and severe coughing

2021-11-25

Systemic reaction (other): Asthma- congested cough and tight chest

Release 10 — day 42, dose 3

2022-01-02

Symptoms: Had bronchitis - chest cold and cough from 12/13- 12/20. Still have a bit of a cough but have slight asthma, so it could be that.

Healthcare visit (other): Minute clinic and narturopath

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	Asthma	·	·	✓
SD	Bronchitis	·	·	✓
SD	Cough	·	·	✓
SD	Lower respiratory tract infection	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Asthma	·	·	✓
SRO	Chest discomfort	·	·	✓
SRO	Cough	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hypoaesthesia	·	·	✓
SRO	Lower respiratory tract congestion	·	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Respiratory tract congestion	·	·	✓

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