56N-19186-90349

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 208 / MD
Registered: 2021-03-30

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

2021-03-30
Registered in v-safe
2021-03-30
Dose 1 — Moderna
2021-03-30
Survey response — day 0, dose 1
MedDRA: Dysgeusia, Neck pain — Feeling: Fair · Site: Pain, Swelling

Free text: Neck pain on the side of the vaccine and a metallic taste in my mouth for a couple hours after the vaccine.

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: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Survey response — day 14, dose 1
MedDRA: Fatigue, Oropharyngeal pain, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Woke with a sore throat, tiredness and some body aches .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-26
Dose 2 — Moderna
2021-04-26
Survey response — day 0, dose 2
MedDRA: Chest pain, Neck pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Nausea, Diarrhea

Free text: Neck and chest pains. The pain started in my left collarbone then travelled down about 4 inches and slightly to the left of center It mostly went away and came and went twice more so far and then the neck pain started. The nurse observed me for extra time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Lymph node pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I forgot to report specific lymph node pain the last few days and still have pain in my armpits.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Still sore in the armpit area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-05-03
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-10
Survey response — day 14, dose 2
MedDRA: Cough, Upper-airway cough syndrome — Feeling: Good

Free text: I have have developed a cough with a severe throat tickle that causes me to cough more

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-07
Survey response — day 42, dose 2
MedDRA: Gastrointestinal tract irritation — Feeling: Good

Free text: GI irritability but I dont think its got anything to do with the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-28
Survey response — 12 months, dose 2
MedDRA: Appendicectomy — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: I had to have an appendectomy in mid March. Quite sure it wasn't caused by the vaccine but it was a health condition.

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-05-02
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Moderna
2	2021-04-26	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-30

Systemic reaction (other): Neck pain on the side of the vaccine and a metallic taste in my mouth for a couple hours after the vaccine.

Release 7 — day 14, dose 1

2021-04-13

Symptoms: Woke with a sore throat, tiredness and some body aches .

Release 8 — day 0, dose 2

2021-04-26

Systemic reaction (other): Neck and chest pains. The pain started in my left collarbone then travelled down about 4 inches and slightly to the left of center It mostly went away and came and went twice more so far and then the neck pain started. The nurse observed me for extra time.

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Neck pain

2021-04-29

Systemic reaction (other): I forgot to report specific lymph node pain the last few days and still have pain in my armpits.

2021-04-30

Systemic reaction (other): Still sore in the armpit area

Release 8 — day 14, dose 2

2021-05-10

Symptoms: I have have developed a cough with a severe throat tickle that causes me to cough more

Release 8 — day 42, dose 2

2021-06-07

Symptoms: GI irritability but I dont think its got anything to do with the vaccine.

Release 11 — 12 months, dose 2

2022-04-28

Symptoms: I had to have an appendectomy in mid March. Quite sure it wasn't caused by the vaccine but it was a health condition.

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	Appendicectomy	·	·	✓
SD	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal tract irritation	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Neck pain	✓	✓	✓

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