5JY-26791-80060

2 vaccinations 13 coded responses 25 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 060 / CT
Registered: 2021-03-03

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

2021-03-03
Registered in v-safe
2021-03-03
Dose 1 — Moderna
2021-03-03
Survey response — day 0, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Pain · Headache

Free text: Itchy neck but could be nothing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-17
Survey response — day 14, dose 1
MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarrhea for the past week after eating.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 21, dose 1
MedDRA: Axillary pain, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Quite extreme muscle pain.Pain under left arm (armpit). Never felt that before. Just odd.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Dose 2 — Moderna
2021-03-31
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Initial insomnia, Musculoskeletal stiffness, Neck pain, Pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Extreme difficulty falling asleep and staying asleep since the vaccine.This is NOT normal for me. Also neck soreness/stiffness since body aches stopped.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain, Sinus pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Neck pain, sinus pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Musculoskeletal stiffness, Neck pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Nausea · Be unable to do your normal daily activities

Free text: Sore/stiff neck which is getting me a little dizzy at times still.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-16
Survey response — day 14, dose 2
MedDRA: Insomnia — Feeling: Fair

Free text: Difficulty sleeping is getting worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-05-05
Survey response — day 35, dose 2
MedDRA: Gastroenteritis viral — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Stomach bug or something

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 42, dose 2
MedDRA: Axillary pain — Feeling: Good

Free text: Under arm/armpits are really sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Survey response — 3 months, dose 2
MedDRA: Dizziness, Rash — Feeling: Fair

Free text: Dizzy randomly. Rash on wrist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-30
Survey response — 6 months, dose 2
MedDRA: Gastrointestinal disorder — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Stomach issues

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-05
Call 1 — Left Voicemail
2022-03-31
Survey response — 12 months, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Extreme joint pain

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-05
Call 1 — Left Voicemail

Vaccinations

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

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-03

Systemic reaction (other): Itchy neck but could be nothing

Release 5 — day 14, dose 1

2021-03-17

Symptoms: Diarrhea for the past week after eating.

Release 6 — day 21, dose 1

2021-03-24

Symptoms: Quite extreme muscle pain.Pain under left arm (armpit). Never felt that before. Just odd.

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Dizziness

2021-04-03

Systemic reaction (other): Extreme difficulty falling asleep and staying asleep since the vaccine.This is NOT normal for me. Also neck soreness/stiffness since body aches stopped.

2021-04-04

Systemic reaction (other): Neck pain, sinus pain

2021-04-05

Systemic reaction (other): Sore/stiff neck which is getting me a little dizzy at times still.

Release 7 — day 14, dose 2

2021-04-16

Symptoms: Difficulty sleeping is getting worse.

Release 8 — day 35, dose 2

2021-05-05

Symptoms: Stomach bug or something

Release 8 — day 42, dose 2

2021-05-12

Symptoms: Under arm/armpits are really sore

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Dizzy randomly. Rash on wrist

Release 9 — 6 months, dose 2

2021-09-30

Symptoms: Stomach issues

Release 11 — 12 months, dose 2

2022-03-31

Symptoms: Extreme joint pain

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	Arthralgia	·	·	✓
SD	Axillary pain	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Gastroenteritis viral	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Initial insomnia	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Sinus pain	✓	✓	✓

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