52N-94322-06170

3 vaccinations 15 coded responses 26 check-ins 15 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 194 / PA
Registered: 2021-04-08

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2021-04-07
Dose 1 — Moderna
2021-04-08
Registered in v-safe
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Vaccination site swelling — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Free text: Big bump on the place of the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain — Feeling: Good · Site: Pain, Swelling

Free text: Neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Nervousness — Feeling: Good

Free text: Nervousness (since yesterday)

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

Free text: Nervousness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Fair · Site: Swelling · Joint pains, Fatigue or tiredness

Free text: Extremely tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — day 7, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-04-22
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-28
Survey response — day 21, dose 1
MedDRA: Asthenia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lack of energy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Dose 2 — Moderna
2021-05-05
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Since first dose my nervous system is been affected

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Gingival pain, Toothache — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Gum and tooth lain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-11
Survey response — days 1–6 daily, dose 2
MedDRA: Gingival pain — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Free text: Severe pain in top part of the gum bones

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 7, dose 2
MedDRA: Gingival pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Gum pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — day 21, dose 2
MedDRA: Fatigue, Hyperaesthesia teeth — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Extremely tired and tooth sensitiveFeeling exhausted not may self

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — day 21, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-05
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Dizziness, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities

Free text: Dizziness, wrists and ankles pain, fingers and toes pain as well

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-03
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Nasopharyngitis, Office visit, Sinusitis — 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: Symptoms: Recurrent colds and sinus infection plus constantly joints paint in the last three months · Healthcare visit (other): Doctor' office visit and reumathology

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-04
Call 1 — Left Voicemail
2021-11-04
Call 1 — Left Voicemail
2021-12-07
Dose 3 — Moderna
2022-05-05
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-07
Survey response — 6 months, dose 3
MedDRA: Cough, Dysphonia, Nasopharyngitis — Feeling: Good

Free text: Few colds coughs specially and hoarse

MedDRA releases: 2024-11 · check-in free text available
2022-12-07
Survey response — 12 months, dose 3
MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pain toes and finger pain

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Moderna
2	2021-05-05	Moderna
3	2021-12-07	Moderna	No

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): Big bump on the place of the vaccine

2021-04-09

Systemic reaction (other): Neck pain

2021-04-10

Systemic reaction (other): Nervousness (since yesterday)

2021-04-11

Systemic reaction (other): Nervousness

2021-04-12

Systemic reaction (other): Extremely tired

Release 8 — day 21, dose 1

2021-04-28

Symptoms: Lack of energy

Release 8 — day 0, dose 2

2021-05-05

Systemic reaction (other): Since first dose my nervous system is been affected

Release 8 — days 1–6 daily, dose 2

2021-05-07

Systemic reaction (other): Gum and tooth lain

2021-05-11

Systemic reaction (other): Severe pain in top part of the gum bones

Release 8 — day 7, dose 2

2021-05-12

Systemic reaction (other): Gum pain

Release 8 — day 21, dose 2

2021-05-26

Symptoms: Extremely tired and tooth sensitiveFeeling exhausted not may self

Release 9 — 3 months, dose 2

2021-08-05

Symptoms: Dizziness, wrists and ankles pain, fingers and toes pain as well

Release 10 — 6 months, dose 2

2021-11-03

Symptoms: Recurrent colds and sinus infection plus constantly joints paint in the last three months

Healthcare visit (other): Doctor' office visit and reumathology

Release 11 — 6 months, dose 3

2022-06-07

Symptoms: Few colds coughs specially and hoarse

Release 12 — 12 months, dose 3

2022-12-07

Symptoms: Joint pain toes and finger pain

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	Arthralgia	✓	·	✓
SD	Asthenia	✓	✓	✓
SD	Cough	·	·	✓
SD	Dizziness	✓	·	✓
SD	Dysphonia	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Hyperaesthesia teeth	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain in extremity	✓	·	✓
SD	Sinusitis	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Gingival pain	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Nervousness	✓	✓	✓
SRO	Toothache	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Vaccination site swelling	✓	✓	✓

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