5ES-24242-54653

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 378 / TN
Registered: 2021-02-27

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-02-26
Dose 1 — Moderna
2021-02-27
Registered in v-safe
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain, Arthralgia, Pain in extremity, Thermal burns of eye — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Eyes burn. Bad arm aches last night. Some pains in abdomen above and inside hip area on opposite side from vaccinated arm last night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Headache and 99.7 began yesterday around 6pm and went into the night. A little headache earlier today and 98.3 today (my normal range is 96-97.6).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness

Free text: Temp a little elevated from normal-98.3 this morning normal morning temp is 96.5.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort, Dizziness, Heart rate increased, Middle insomnia, Night sweats — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea

Free text: Jus slight waves of unsettled stomach, a little dizzy, heart rate will spike briefly. Woke up in the middle of the night in a sweat. Temp was 98.7 (my normal is 96.5)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Body temperature increased, Cheilitis, Neuralgia, Pain, Pain in extremity — Feeling: Good · Headache

Free text: Pains like pulsing nerve pain in right ring finger knuckle through top section and right foot middle toes. Continue slight elevation in temperature from normal. Inside of top and bottom lips were raw feeling all day yesterday and into the night but are normal now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-26
Dose 2 — Moderna
2021-03-26
Health check-in — day 0, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Feeling like the verge of a UTI but could be from the fever. Not as bad today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Discomfort, Neck pain, Neuropathy peripheral — Feeling: Good · Site: Itching · Chills, Joint pains

Free text: Through the night the nerves in my legs had heightened sensitivity. My neck hurt and my shoulders felt heavy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-30
Survey response — day 35, dose 2
MedDRA: Pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cold sinus low grade temp achy legs and arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-28
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-26	Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-27

Systemic reaction (other): Eyes burn. Bad arm aches last night. Some pains in abdomen above and inside hip area on opposite side from vaccinated arm last night.

2021-02-28

Systemic reaction (other): Headache and 99.7 began yesterday around 6pm and went into the night. A little headache earlier today and 98.3 today (my normal range is 96-97.6).

2021-03-01

Systemic reaction (other): Temp a little elevated from normal-98.3 this morning normal morning temp is 96.5.

2021-03-02

Systemic reaction (other): Jus slight waves of unsettled stomach, a little dizzy, heart rate will spike briefly. Woke up in the middle of the night in a sweat. Temp was 98.7 (my normal is 96.5)

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Pains like pulsing nerve pain in right ring finger knuckle through top section and right foot middle toes. Continue slight elevation in temperature from normal. Inside of top and bottom lips were raw feeling all day yesterday and into the night but are normal now.

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): Feeling like the verge of a UTI but could be from the fever. Not as bad today.

2021-03-29

Systemic reaction (other): Through the night the nerves in my legs had heightened sensitivity. My neck hurt and my shoulders felt heavy.

Release 8 — day 35, dose 2

2021-04-30

Symptoms: Cold sinus low grade temp achy legs and arms

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	Pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Cheilitis	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Middle insomnia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Neuropathy peripheral	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Thermal burns of eye	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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