5A6-33065-22458

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 8 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 950 / CA
Registered: 2021-01-09

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2021-01-09
Registered in v-safe
2021-01-09
Dose 1 — Moderna
2021-01-09
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Abdominal pain

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-30
Survey response — day 21, dose 1
MedDRA: Fatigue, Lymphadenopathy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Swollen subclavicle lymph node. Fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-06
Dose 2 — Moderna
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Lymphadenopathy, Neuropathy peripheral, Unevaluable event — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · 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, Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Swollen lymph nodes. Neuropathy in thumbs, activated nervous system led to insomnia. · Healthcare visit (other): ct scan and labs. Im a lymphoma survivor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
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)
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Neuralgia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness · 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

Free text: Nerve pain, swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
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)
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Neuralgia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · 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: Swollen lymph nodes, nerve pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Electrocardiogram ambulatory, Heart rate increased, Lymphadenopathy, Palpitations, Pruritus — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Swollen lymph nodes, Itching, heart palpitations, high heart rate. · Healthcare visit (other): Holter monitor placed for heart rate and palpitations.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Insomnia since dose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — day 7, dose 2
MedDRA: Herpes zoster — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Confirmed shingles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-20
Survey response — day 14, dose 2
MedDRA: Herpes zoster — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visit

Free text: Shingles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Report sent to call center — day 14, 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)
2021-02-27
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-20
Survey response — day 42, dose 2
MedDRA: Panic attack, Physiotherapy, Pre-existing disease — 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: Symptoms: Nerve issues and now panic attacks. I never had panic attacks. · Healthcare visit (other): Physical therapy and acupuncture

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-09
Call 1 — Left Voicemail
2021-08-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-06
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-09	Moderna
2	2021-02-06	Moderna

Call center

8 call center cases

8 unsuccessful

See the call center timeline

Free text

Release 3 — day 21, dose 1

2021-01-30

Symptoms: Swollen subclavicle lymph node. Fatigue.

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): Swollen lymph nodes. Neuropathy in thumbs, activated nervous system led to insomnia.

Healthcare visit (other): ct scan and labs. Im a lymphoma survivor

2021-02-08

Systemic reaction (other): Nerve pain, swollen lymph nodes

2021-02-09

Systemic reaction (other): Swollen lymph nodes, nerve pain

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Swollen lymph nodes, Itching, heart palpitations, high heart rate.

Healthcare visit (other): Holter monitor placed for heart rate and palpitations.

2021-02-12

Systemic reaction (other): Insomnia since dose

Release 4 — day 7, dose 2

2021-02-13

Systemic reaction (other): Confirmed shingles

Release 4 — day 14, dose 2

2021-02-20

Symptoms: Shingles

Release 6 — day 42, dose 2

2021-03-20

Symptoms: Nerve issues and now panic attacks. I never had panic attacks.

Healthcare visit (other): Physical therapy and acupuncture

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	Electrocardiogram ambulatory	✓	✓	✓
HCVO	Physiotherapy	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Herpes zoster	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Panic attack	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Herpes zoster	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Neuropathy peripheral	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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