53C-60673-52427

2 vaccinations 7 coded responses 14 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 956 / CA
Registered: 2021-03-09

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

2021-02-05
Dose 1 — Moderna
2021-03-09
Registered in v-safe
2021-03-09
Dose 2 — Moderna
2021-03-09
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · 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

Adult check-in
2021-03-10
Report sent to call center — days 1–6 daily, 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)
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Grumpy/agitated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Grumpy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Irritability — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Grumpy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 7, dose 2
MedDRA: Insomnia — Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Couldnt sleep since 3 AM.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 14, dose 2
MedDRA: Self-medication, Telemedicine, Urticaria — 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: Hives on my vaccination arm, on my opposite forearm, on my vaccination side of my body upper leg, on my back and bottom. It came and went off and on for three days. Benadryl helped some. A video appt with Doctor confirmed it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-30
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-06
Survey response — day 28, dose 2
MedDRA: Pain in extremity, Pruritus — Feeling: Fair

Free text: My right arm is itchy and sore. My right leg aches. I feel agitated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-20
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-09-07
Survey response — 6 months, dose 2
MedDRA: Injected limb mobility decreased — Feeling: Fair · 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: My right arm where I had the injection is causing trouble. Im having difficulty lifting my arm. This has been going on for a couple of weeks and happened early on after my injection first happened.

MedDRA releases: 2024-11 · check-in free text available
2021-09-07
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

1 call case(s)
2021-09-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Moderna
2	2021-03-09	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Grumpy/agitated

2021-03-13

Systemic reaction (other): Grumpy

2021-03-15

Systemic reaction (other): Grumpy

Release 5 — day 7, dose 2

2021-03-16

Systemic reaction (other): Couldnt sleep since 3 AM.

Release 6 — day 14, dose 2

2021-03-23

Symptoms: Hives on my vaccination arm, on my opposite forearm, on my vaccination side of my body upper leg, on my back and bottom. It came and went off and on for three days. Benadryl helped some. A video appt with Doctor confirmed it.

Release 7 — day 28, dose 2

2021-04-06

Symptoms: My right arm is itchy and sore. My right leg aches. I feel agitated.

Release 9 — 6 months, dose 2

2021-09-07

Symptoms: My right arm where I had the injection is causing trouble. Im having difficulty lifting my arm. This has been going on for a couple of weeks and happened early on after my injection first happened.

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	Injected limb mobility decreased	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Telemedicine	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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