59F-19013-31452

2 vaccinations 21 coded responses 26 check-ins 21 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 488 / MI
Registered: 2021-03-31

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

2021-03-31
Registered in v-safe
2021-03-31
Dose 1 — Moderna
2021-03-31
Survey response — day 0, dose 1
MedDRA: Hypoaesthesia — Feeling: Good · Chills, Headache

Free text: Numbness in face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Hypertension, Oral mucosal blistering — Feeling: Fair · Site: Pain · Chills

Free text: Got blisters in my mouth after injection and had elevated blood pressure last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure increased — Feeling: Good · Site: Pain

Free text: Elevated blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Joint pains

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Nausea — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea

Free text: Felt very weak and nauseated this morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Headache, Muscle or body aches

Free text: Sore throat and coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal distension, Nausea — Feeling: Poor · Headache, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Free text: Bloated and very nauseated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 7, dose 1
MedDRA: Paranasal sinus hypersecretion — Feeling: Fair · Headache

Free text: Constant drainage sinus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 14, dose 1
MedDRA: Cough, Fatigue, Paraesthesia, Respiratory tract congestion — Feeling: Good

Free text: Coughing, congestion, face tingling, fatigue

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

Adult check-in
2021-04-28
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-30
Dose 2 — Moderna
2021-04-30
Survey response — day 0, dose 2
MedDRA: Erythema — Feeling: Fair · Site: Pain, Redness · Chills, Headache, Fatigue or tiredness

Free text: Redness in mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Oral mucosal erythema, Oral pain, Thirst — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains

Free text: Last night red mouth and painful and incredibly thirsty..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Oral mucosal erythema, Oral pain — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sore mouth and red inside. Lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Oral pain, Pain in extremity — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Arm at shot is very bruised. Sore mouth is starting to feel better. Past two nights havent been able to sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain, Oral pain — Feeling: Good · Site: Pain, Redness · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Free text: Sore mouth neck pain

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

Free text: Mouth is still sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 7, dose 2
MedDRA: Chest pain, Pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Had chest pain when walking yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 14, dose 2
MedDRA: Arthralgia, Chest pain — Feeling: Fair

Free text: Extreme pain in shoulder where shot was given and chest pains on and off

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — day 21, dose 2
MedDRA: Bone disorder, Crepitations, Dizziness postural — Feeling: Good

Free text: Bone cracking and popping. Dizzy when lying down

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 28, dose 2
MedDRA: Arthralgia, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Severe pain in armvand shoulder · Healthcare visit (other): Primary doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-04
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-11
Survey response — day 42, dose 2
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair

Free text: Cough and congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-31
Survey response — 3 months, dose 2
MedDRA: Arthralgia — Feeling: Fair

Free text: Pain in joints

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-29
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Joint stiffness — Feeling: Fair

Free text: Severe joint pain. Stiff joints

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-05-09
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Moderna
2	2021-04-30	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-31

Systemic reaction (other): Numbness in face

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Got blisters in my mouth after injection and had elevated blood pressure last night

2021-04-02

Systemic reaction (other): Elevated blood pressure

2021-04-04

Systemic reaction (other): Felt very weak and nauseated this morning

2021-04-05

Systemic reaction (other): Sore throat and coughing

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Bloated and very nauseated

Release 7 — day 7, dose 1

2021-04-07

Systemic reaction (other): Constant drainage sinus

Release 7 — day 14, dose 1

2021-04-14

Symptoms: Coughing, congestion, face tingling, fatigue

Release 8 — day 0, dose 2

2021-04-30

Systemic reaction (other): Redness in mouth

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): Last night red mouth and painful and incredibly thirsty..

2021-05-02

Systemic reaction (other): Sore mouth and red inside. Lower back pain

2021-05-03

Systemic reaction (other): Arm at shot is very bruised. Sore mouth is starting to feel better. Past two nights havent been able to sleep

2021-05-04

Systemic reaction (other): Sore mouth neck pain

2021-05-05

Systemic reaction (other): Mouth is still sore

Release 8 — day 7, dose 2

2021-05-07

Systemic reaction (other): Had chest pain when walking yesterday

Release 8 — day 14, dose 2

2021-05-14

Symptoms: Extreme pain in shoulder where shot was given and chest pains on and off

Release 8 — day 21, dose 2

2021-05-21

Symptoms: Bone cracking and popping. Dizzy when lying down

Release 8 — day 28, dose 2

2021-05-28

Symptoms: Severe pain in armvand shoulder

Healthcare visit (other): Primary doctor

Release 9 — day 42, dose 2

2021-06-11

Symptoms: Cough and congestion

Release 9 — 3 months, dose 2

2021-07-31

Symptoms: Pain in joints

Release 10 — 6 months, dose 2

2021-10-29

Symptoms: Severe joint pain. Stiff joints

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	Bone disorder	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Crepitations	✓	✓	✓
SD	Dizziness postural	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Joint stiffness	·	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oral mucosal blistering	✓	✓	✓
SRO	Oral mucosal erythema	✓	✓	✓
SRO	Oral pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paranasal sinus hypersecretion	✓	✓	✓
SRO	Thirst	✓	✓	✓

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