5JE-29825-28890

4 vaccinations 10 coded responses 35 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 907 / CA
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: Neck pain — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Neck on side of injection is sore/slight pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Muscle tightness, Musculoskeletal discomfort — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Back is sore/stiff again today, and injection site had some sharp pains for the first time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
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
2021-02-15
Dose 2 — Moderna
2021-02-15
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-02
Dose 3 — Moderna
2021-11-02
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains

Adult check-in
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Joint pains, Muscle or body aches

Free text: Lymph nodes no longer swollen

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Breast tenderness — Feeling: Good · Muscle or body aches

Free text: Shoulder pain slightly, breasts still a little tender

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-16
Survey response — day 14, dose 3
MedDRA: Arthralgia — Feeling: Fair

Free text: Joint pain. Rotates through whole body, at least one is hurting at all times, mostly in arm joints, specifically wrist and shoulders.

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-07
Survey response — day 35, dose 3
MedDRA: Arthralgia, Hypoaesthesia — Feeling: Fair

Free text: Limbs go numb very easily. Still having joint pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-05-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-03
Survey response — 12 months, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph nodes since end of august, multiple tests done, no reason

MedDRA releases: 2024-11 · check-in free text available
2022-11-29
Dose 4 — Moderna
Co-administered: Flu
2022-12-19
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-12-22
Survey response — day 21, dose 4
MedDRA: Lymphadenopathy, Migraine, Office visit — Feeling: Fair

Free text: Neck lymph nodes reswollen. Have had many issues lately with lymph nodes in neck. Even saw an oncologist as they have been enlarged since august. Bad migranes more often as well.

MedDRA releases: 2024-11 · check-in free text available
2022-12-29
Survey response — day 28, dose 4
MedDRA: Blepharospasm, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Eye twitch bottom left eyelid · Healthcare visit (other): Appt to see pcp on saturday

MedDRA releases: 2024-11 · check-in free text available
2022-12-29
Report sent to call center — day 28, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-30
Call 2 — Left Voicemail
2023-01-12
Survey response — day 42, dose 4
MedDRA: Abdominal pain lower — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-01-12
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-01-13
Call 1 — Left Voicemail
2023-01-13
Call 1 — Left Voicemail
2023-02-28
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-15	Moderna
3	2021-11-02	Moderna	No
4	2022-11-29	Moderna	Flu

Call center

3 call center cases

2 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-15

Systemic reaction (other): Neck on side of injection is sore/slight pain

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): Back is sore/stiff again today, and injection site had some sharp pains for the first time

Release 10 — days 1–6 daily, dose 3

2021-11-06

Systemic reaction (other): Lymph nodes no longer swollen

2021-11-07

Systemic reaction (other): Shoulder pain slightly, breasts still a little tender

Release 10 — day 14, dose 3

2021-11-16

Symptoms: Joint pain. Rotates through whole body, at least one is hurting at all times, mostly in arm joints, specifically wrist and shoulders.

Release 10 — day 35, dose 3

2021-12-07

Symptoms: Limbs go numb very easily. Still having joint pain

Release 12 — 12 months, dose 3

2022-11-03

Symptoms: Swollen lymph nodes since end of august, multiple tests done, no reason

Release 12 — day 21, dose 4

2022-12-22

Symptoms: Neck lymph nodes reswollen. Have had many issues lately with lymph nodes in neck. Even saw an oncologist as they have been enlarged since august. Bad migranes more often as well.

Release 12 — day 28, dose 4

2022-12-29

Symptoms: Eye twitch bottom left eyelid

Healthcare visit (other): Appt to see pcp on saturday

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	Unevaluable event	·	·	✓
SD	Abdominal pain lower	·	·	✓
SD	Arthralgia	·	·	✓
SD	Blepharospasm	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Migraine	·	·	✓
SD	Office visit	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Breast tenderness	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Musculoskeletal discomfort	✓	✓	✓
SRO	Neck pain	✓	✓	✓

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