57R-28081-67494

2 vaccinations 12 coded responses 15 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 880 / NM
Registered: 2021-03-17

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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Moderna
2021-03-17
Survey response — day 0, dose 1
MedDRA: Muscle tightness, Respiratory tract congestion, Skin tightness — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tightness of neck and facial muscles for a few hours and a little feeling of congestion in my chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle tightness — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Tightness in facial muscles on right cheek

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle tightness — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Nausea

Free text: Facial muscle tightness right side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Ocular discomfort, Unevaluable event — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Numbness on right side of face; loss of facial tone right side, pressure around and in right eye · Healthcare visit (other): Called local doctor and left message

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Ocular discomfort — Feeling: Good · Site: Pain · Be unable to do your normal daily activities

Free text: Numbness on right side of face still, feel pressure around the right eye. Less responsive muscle tone on right side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Pain

Free text: Facial muscles on right side still

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 7, dose 1
MedDRA: Hypoaesthesia — Feeling: Good · Site: Pain

Free text: Still some numbness on right side of face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Muscle contractions involuntary, Paraesthesia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Free text: Pain in chest upper right area; facial tingling/muscle contractions on right side of body, collarbone higher on right side due to this

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Muscle tightness, Myalgia, Neck pain, Office visit — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · 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): Tightness in neck muscles, collarbone, chest on right side of body, same side that received the injection; severe muscle pain · Healthcare visit (other): Chiropractor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
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)
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle tightness, Musculoskeletal chest pain, Myalgia, Paraesthesia — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Face muscles tightening, tingling/right side; severe muscle pain right side shoulder, collarbone, chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle tightness, Nerve compression — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Nerve and muscle tightening in right cheek

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · 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

Adult check-in
2021-04-28
Health check-in — day 14, dose 2
Feeling: Poor

Adult check-in
2021-10-19
Survey response — 6 months, dose 2
MedDRA: COVID-19, Medical counselling — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Covid19 · Healthcare visit (other): Phone calls

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Report sent to call center — 6 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

1 call case(s)
2021-10-20
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-17

Systemic reaction (other): Tightness of neck and facial muscles for a few hours and a little feeling of congestion in my chest

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Tightness in facial muscles on right cheek

2021-03-19

Systemic reaction (other): Facial muscle tightness right side

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Numbness on right side of face; loss of facial tone right side, pressure around and in right eye

Healthcare visit (other): Called local doctor and left message

2021-03-21

Systemic reaction (other): Numbness on right side of face still, feel pressure around the right eye. Less responsive muscle tone on right side

2021-03-22

Systemic reaction (other): Facial muscles on right side still

Release 6 — day 7, dose 1

2021-03-24

Systemic reaction (other): Still some numbness on right side of face

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Pain in chest upper right area; facial tingling/muscle contractions on right side of body, collarbone higher on right side due to this

2021-04-16

Systemic reaction (other): Tightness in neck muscles, collarbone, chest on right side of body, same side that received the injection; severe muscle pain

Healthcare visit (other): Chiropractor

2021-04-17

Systemic reaction (other): Face muscles tightening, tingling/right side; severe muscle pain right side shoulder, collarbone, chest

2021-04-18

Systemic reaction (other): Nerve and muscle tightening in right cheek

Release 10 — 6 months, dose 2

2021-10-19

Symptoms: Covid19

Healthcare visit (other): Phone calls

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	Medical counselling	·	·	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	COVID-19	·	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Muscle contractions involuntary	✓	✓	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Musculoskeletal chest pain	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Nerve compression	✓	✓	✓
SRO	Ocular discomfort	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Skin tightness	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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