5AV-73722-33383

1 vaccination 7 coded responses 14 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 261 / WV
Registered: 2021-01-15

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Moderna
2021-01-15
Survey response — day 0, dose 1
MedDRA: Lip pain, Pharyngeal hypoaesthesia, Pharyngeal paraesthesia — Feeling: Good · Fever · Headache · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Numbness and tingling in throat. Lips felt like they was swollen but not and felt very numb like a bee sting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — day 0, dose 1
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)
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Throat was sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Feeling hot, Hyperhidrosis — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Profuse sweating all over body. Felt hot and very tiered

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Diarrhea

Adult check-in
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Lymphadenopathy, Spinal pain — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Right armpit very painful. Slight swelling no redness or knots. Lower spine painful difficult at times to work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lymph nodes still tender under arm into rt breast

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — day 7, dose 1
MedDRA: Lymph node pain — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Lymph nodes under right arm and neck area continues to be tender

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-02-19
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-03-12
Call 1 — Could Not Reach Participant
2021-03-15
Call 2 — Could Not Reach Participant
2021-03-22
Call 3 — Could Not Reach Participant
2021-04-16
Survey response — 3 months, dose 1
MedDRA: Cough, Fatigue, Headache, Pyrexia, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Fever, cough, extreme running nose, chest congestion, headache, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-16
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2022-01-17
Health check-in — 12 months, dose 1
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-15

Systemic reaction (other): Numbness and tingling in throat. Lips felt like they was swollen but not and felt very numb like a bee sting

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Throat was sore

2021-01-17

Systemic reaction (other): Profuse sweating all over body. Felt hot and very tiered

2021-01-19

Systemic reaction (other): Right armpit very painful. Slight swelling no redness or knots. Lower spine painful difficult at times to work

2021-01-20

Systemic reaction (other): Lymph nodes still tender under arm into rt breast

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): Lymph nodes under right arm and neck area continues to be tender

Release 7 — 3 months, dose 1

2021-04-16

Symptoms: Fever, cough, extreme running nose, chest congestion, headache, fatigue

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	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Lip pain	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pharyngeal hypoaesthesia	✓	✓	✓
SRO	Pharyngeal paraesthesia	✓	✓	✓
SRO	Spinal pain	✓	✓	✓

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