4Z7-24157-59111

2 vaccinations 16 coded responses 23 check-ins 16 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 080 / NJ
Registered: 2021-04-14

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

2021-04-14
Registered in v-safe
2021-04-14
Dose 1 — Moderna
2021-04-14
Survey response — day 0, dose 1
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea

Free text: Tingling in my neck and arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Muscle cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-18
Survey response — days 1–6 daily, dose 1
MedDRA: Discomfort — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Feels like my blood pressure is high. I have pressure in my whole face. Overall just very uncomfortable.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-21
Health check-in — day 7, dose 1
Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-28
Survey response — day 14, dose 1
MedDRA: Bone pain, Migraine, Pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Migraines, body aches and bone pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 21, dose 1
MedDRA: Fatigue, Heavy menstrual bleeding, Migraine, Muscle twitching, Office visit — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Extreme fatigue, bone pain and muscle pain. Migraines, longer than normal period and muscle twitches around my mouth. · Healthcare visit (other): Family doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Report sent to call center — day 21, 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)
2021-05-11
Dose 2 — Moderna
2021-05-11
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-12
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia — Feeling: Poor · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Numbness in my arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Arm numbness down the injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Vaginal haemorrhage — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Vaginal bleeding, numbness in injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Vaginal haemorrhage — Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Vaginal bleeding- not period related. Arm numbness in injected arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Injection site bruising, Vaginal haemorrhage — Feeling: Poor · Site: Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Vaginal bleeding- not period related. Bruising at injection area. Numbness in arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — days 1–6 daily, dose 2
MedDRA: Vaginal haemorrhage — Feeling: Poor · Site: Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Vaginal bleeding- not period. Large Bruising around my injection. Arm numbness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — day 7, dose 2
MedDRA: Hypoaesthesia, Injection site bruising, Vaginal haemorrhage — Feeling: Poor · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Vaginal bleeding- not period. Bruising around injection. Arm numbness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — day 14, dose 2
MedDRA: Bone pain, Fatigue, Insomnia, Myalgia, Vaginal haemorrhage — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Extreme bone and muscle pain. Extreme fatigue. Daily vaginal bleeding unrelated to menstrual cycle. Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — day 21, dose 2
MedDRA: Nausea, Vomiting — Feeling: Poor · Be unable to work, 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: Nausea and vomiting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Report sent to call center — day 21, dose 2
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)
2021-06-16
Survey response — day 35, dose 2
MedDRA: Abdominal pain lower, Adnexa uteri pain, Bone pain, Condition aggravated, Migraine, Myalgia, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fibromyalgia flare. Intense muscle and bone pain. Sharp pain in lower abdomen/ovaries. Migraines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Survey response — day 42, dose 2
MedDRA: Breast pain, Breast swelling — Feeling: Poor · 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: Painful swollen breast on the same side as the injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-24
Call 1 — Could Not Reach Participant
2021-06-29
Call 2 — Left Voicemail
2021-06-29
Callback requested for
11:00AM ET
2021-11-11
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-14	Moderna
2	2021-05-11	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-14

Systemic reaction (other): Tingling in my neck and arm

Release 7 — days 1–6 daily, dose 1

2021-04-16

Systemic reaction (other): Muscle cramps

2021-04-18

Systemic reaction (other): Feels like my blood pressure is high. I have pressure in my whole face. Overall just very uncomfortable.

Release 8 — day 14, dose 1

2021-04-28

Symptoms: Migraines, body aches and bone pain

Release 8 — day 21, dose 1

2021-05-05

Symptoms: Extreme fatigue, bone pain and muscle pain. Migraines, longer than normal period and muscle twitches around my mouth.

Healthcare visit (other): Family doctor

Release 8 — days 1–6 daily, dose 2

2021-05-12

Systemic reaction (other): Numbness in my arm

2021-05-13

Systemic reaction (other): Arm numbness down the injection arm

2021-05-14

Systemic reaction (other): Vaginal bleeding, numbness in injection arm

2021-05-15

Systemic reaction (other): Vaginal bleeding- not period related. Arm numbness in injected arm

2021-05-16

Systemic reaction (other): Vaginal bleeding- not period related. Bruising at injection area. Numbness in arm

2021-05-17

Systemic reaction (other): Vaginal bleeding- not period. Large Bruising around my injection. Arm numbness.

Release 8 — day 7, dose 2

2021-05-18

Systemic reaction (other): Vaginal bleeding- not period. Bruising around injection. Arm numbness

Release 8 — day 14, dose 2

2021-05-25

Symptoms: Extreme bone and muscle pain. Extreme fatigue. Daily vaginal bleeding unrelated to menstrual cycle. Insomnia

Release 8 — day 21, dose 2

2021-06-03

Symptoms: Nausea and vomiting

Release 9 — day 35, dose 2

2021-06-16

Symptoms: Fibromyalgia flare. Intense muscle and bone pain. Sharp pain in lower abdomen/ovaries. Migraines

Release 9 — day 42, dose 2

2021-06-22

Symptoms: Painful swollen breast on the same side as the injection.

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 lower	✓	✓	✓
SD	Adnexa uteri pain	✓	✓	✓
SD	Bone pain	✓	✓	✓
SD	Breast pain	✓	✓	✓
SD	Breast swelling	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Muscle twitching	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Vaginal haemorrhage	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Vaginal haemorrhage	✓	✓	✓

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