4XW-12836-89551

2 vaccinations 11 coded responses 29 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 217 / MD
Registered: 2021-03-26

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

2021-03-26
Registered in v-safe
2021-03-29
Dose 1 — Moderna
2021-03-29
Survey response — day 0, dose 1
MedDRA: Hypoaesthesia — Feeling: Fair

Free text: Numbness in face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Malaise — Feeling: Fair · Site: Pain · Nausea · Be unable to do your normal daily activities

Free text: General malaise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

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

Adult check-in
2021-04-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-19
Survey response — day 21, dose 1
MedDRA: Hypoaesthesia, Lymphadenopathy — Feeling: Fair

Free text: Mild numbness in face and underarm lymph node a bit swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 28, dose 1
MedDRA: Epistaxis, Haemoptysis — Feeling: Fair

Free text: Nosebleeds today and spitting out blood clots but it stopped

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — day 35, dose 1
MedDRA: Epistaxis, Oropharyngeal pain — Feeling: Fair

Free text: Nose bleeds, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 42, dose 1
MedDRA: Balance disorder, Dizziness, Ear pain — Feeling: Poor · Be unable to work

Free text: My ear has been hurting. I have been very dizzy and have lost my balance.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Survey response — 3 months, dose 1
MedDRA: Dizziness, Headache, Vertigo — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Severe headaches, dizziness )vertigo)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Report sent to call center — 3 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-07
Call 1 — Left Voicemail
2021-08-17
Dose 2 — Moderna
2021-08-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Diarrhea

Adult check-in
2021-08-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-08-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-08-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-08-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-08-23
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising — Feeling: Good · Site: Redness, Swelling

Free text: Injection site turning black like a bruise

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-24
Survey response — day 7, dose 2
MedDRA: Contusion — Feeling: Good · Site: Redness, Swelling, Itching

Free text: Bruised

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
Survey response — day 14, dose 2
MedDRA: Injection site discolouration — Feeling: Good

Free text: The area of the injection site left upper arm has a dark discoloration which has spread and gotten darker than before

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-09-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-09-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-09-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-11-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-02-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-08-17
Survey response — 12 months, dose 2
MedDRA: Dizziness — Feeling: Fair

Free text: Dizziness

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-29	Moderna
2	2021-08-17	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-29

Systemic reaction (other): Numbness in face

Release 6 — days 1–6 daily, dose 1

2021-03-30

Systemic reaction (other): General malaise

Release 7 — day 21, dose 1

2021-04-19

Symptoms: Mild numbness in face and underarm lymph node a bit swollen

Release 8 — day 28, dose 1

2021-04-27

Symptoms: Nosebleeds today and spitting out blood clots but it stopped

Release 8 — day 35, dose 1

2021-05-03

Symptoms: Nose bleeds, sore throat

Release 8 — day 42, dose 1

2021-05-10

Symptoms: My ear has been hurting. I have been very dizzy and have lost my balance.

Release 9 — 3 months, dose 1

2021-06-28

Symptoms: Severe headaches, dizziness )vertigo)

Release 9 — days 1–6 daily, dose 2

2021-08-23

Systemic reaction (other): Injection site turning black like a bruise

Release 9 — day 7, dose 2

2021-08-24

Systemic reaction (other): Bruised

Release 9 — day 14, dose 2

2021-08-31

Symptoms: The area of the injection site left upper arm has a dark discoloration which has spread and gotten darker than before

Release 12 — 12 months, dose 2

2022-08-17

Symptoms: Dizziness

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
SD	Balance disorder	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Epistaxis	✓	✓	✓
SD	Haemoptysis	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Injection site discolouration	✓	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Contusion	✓	·	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Injection site bruising	✓	·	✓
SRO	Malaise	✓	✓	✓

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