54K-16840-09302

2 vaccinations 9 coded responses 14 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 199 / DE
Registered: 2021-04-14

Relationship: Self
Race: N/A
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-23
Dose 1 — Moderna
2021-04-14
Registered in v-safe
2021-04-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-16
Dose 2 — Moderna
2021-04-16
Survey response — day 0, dose 2
MedDRA: Lymphadenopathy, Office visit, Paraesthesia — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Face tingling, swollen lymph nodes · Healthcare visit (other): In person with PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 0, 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)
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches

Free text: Slight dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Abnormal dreams, Dizziness — Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Mild dizziness, vivid dreams during sleep over the past 3 nights

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Abnormal dreams — Feeling: Good · Site: Itching

Free text: Vivid dreams

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Abnormal dreams — Feeling: Good · Headache

Free text: Vivid dreams

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 7, dose 2
MedDRA: Abnormal dreams — Feeling: Good · Fatigue or tiredness

Free text: Vivid dreams

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 21, dose 2
MedDRA: Nerve compression, Sciatica — Feeling: Good · Be unable to do your normal daily activities

Free text: Pinched nerve and sciatica

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-28
Survey response — day 42, dose 2
MedDRA: Muscle spasms — Feeling: Good · Be unable to do your normal daily activities

Free text: Muscle spasms in left leg. May be related to another medicine I started recently.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-15
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Epistaxis, Office visit, Paranasal sinus inflammation, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Periodic nose bleed from one nostril. Inflamed sinuses. Worsening of pre-existing left arm numbness and tingling. · Healthcare visit (other): In-person visit with Primary Care doctor

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-19
Call 1 — Left Voicemail
2022-04-18
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Moderna
2	2021-04-16	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — day 0, dose 2

2021-04-16

Systemic reaction (other): Face tingling, swollen lymph nodes

Healthcare visit (other): In person with PCP

Release 7 — days 1–6 daily, dose 2

2021-04-18

Systemic reaction (other): Slight dizziness

2021-04-19

Systemic reaction (other): Mild dizziness, vivid dreams during sleep over the past 3 nights

2021-04-20

Systemic reaction (other): Vivid dreams

2021-04-21

Systemic reaction (other): Vivid dreams

Release 7 — day 7, dose 2

2021-04-23

Systemic reaction (other): Vivid dreams

Release 8 — day 21, dose 2

2021-05-07

Symptoms: Pinched nerve and sciatica

Release 8 — day 42, dose 2

2021-05-28

Symptoms: Muscle spasms in left leg. May be related to another medicine I started recently.

Release 10 — 6 months, dose 2

2021-10-15

Symptoms: Periodic nose bleed from one nostril. Inflamed sinuses. Worsening of pre-existing left arm numbness and tingling.

Healthcare visit (other): In-person visit with Primary Care doctor

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	Condition aggravated	·	·	✓
SD	Epistaxis	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Nerve compression	✓	✓	✓
SD	Paranasal sinus inflammation	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Sciatica	✓	✓	✓
SRO	Abnormal dreams	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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