5M9-24546-66363

2 vaccinations 18 coded responses 26 check-ins 18 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 052 / VT
Registered: 2021-04-27

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

2021-04-27
Registered in v-safe
2021-04-27
Dose 1 — Moderna
2021-04-27
Survey response — day 0, dose 1
MedDRA: Musculoskeletal stiffness, Paraesthesia, Paraesthesia oral — Feeling: Fair · Site: Pain · Muscle or body aches, Nausea

Free text: Tingling in tongue, lips and left side of face. Stiffness in left side of neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Continued mild tingling in face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Stiffness in neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-05-01
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia, Paraesthesia oral — Feeling: Good · Muscle or body aches

Free text: The tingling in the tongue, lips and face keeps coming back intermittently

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Abdominal pain

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Headache, Muscle or body aches, Abdominal pain

Free text: I would guess a number of these symptoms are unrelated to the vaccine, as I have a history of headaches/migraines and back pain etc.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-11
Survey response — day 14, dose 1
MedDRA: Abdominal pain, Back pain, Headache, Paraesthesia, Paraesthesia oral, Pre-existing disease — Feeling: Good

Free text: Intermittent facial/lip tinglingIntermittent headaches - note I tend to get headaches often Intermittent belly aches and back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-25
Dose 2 — Moderna
2021-05-25
Survey response — day 0, dose 2
MedDRA: Muscle tightness, Throat tightness — Feeling: Fair · Site: Redness · Rash, not including the immediate area around the injection site

Free text: Tightness in neck, a bit in throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Hypersensitivity, Oropharyngeal pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Coughing and sore throat due to allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Chest pain — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pain in chest, tightness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-31
Survey response — days 1–6 daily, dose 2
MedDRA: Gingival bleeding, Gingival pain — Feeling: Good

Free text: Ive been having greater sensitivity and bleeding of gums since my first shot after flossing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Survey response — day 7, dose 2
MedDRA: Gastrooesophageal reflux disease — Feeling: Good · Site: Pain

Free text: Some acid reflux

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Survey response — day 14, dose 2
MedDRA: Arthralgia — Feeling: Good

Free text: Intermittent Pain in shoulder/arm of shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Survey response — day 21, dose 2
MedDRA: Dyspepsia, Gastrooesophageal reflux disease — Feeling: Good

Free text: Heartburn/acid reflux

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Survey response — day 28, dose 2
MedDRA: Gastrooesophageal reflux disease — Feeling: Fair

Free text: Acid reflux

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Survey response — day 35, dose 2
MedDRA: Abdominal pain, Arthralgia, Chest pain — Feeling: Fair

Free text: Chest pain, pain between shoulders, some abdominal pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Survey response — day 42, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Occasional sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-24
Survey response — 3 months, dose 2
MedDRA: Productive cough, Upper-airway cough syndrome — Feeling: Good

Free text: Postnasal drip, causing productive cough

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-25
Survey response — 6 months, dose 2
MedDRA: Hand dermatitis, Office visit, Psoriasis — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Development of eczema and psoriasis on hands · Healthcare visit (other): Went to pcp and dermatologist

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-14
Call 1 — Left Voicemail
2022-05-27
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-27	Moderna
2	2021-05-25	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — day 0, dose 1

2021-04-27

Systemic reaction (other): Tingling in tongue, lips and left side of face. Stiffness in left side of neck.

Release 8 — days 1–6 daily, dose 1

2021-04-28

Systemic reaction (other): Continued mild tingling in face

2021-04-29

Systemic reaction (other): Stiffness in neck

2021-05-01

Systemic reaction (other): The tingling in the tongue, lips and face keeps coming back intermittently

2021-05-03

Systemic reaction (other): I would guess a number of these symptoms are unrelated to the vaccine, as I have a history of headaches/migraines and back pain etc.

Release 8 — day 14, dose 1

2021-05-11

Symptoms: Intermittent facial/lip tinglingIntermittent headaches - note I tend to get headaches often Intermittent belly aches and back pain

Release 8 — day 0, dose 2

2021-05-25

Systemic reaction (other): Tightness in neck, a bit in throat

Release 8 — days 1–6 daily, dose 2

2021-05-26

Systemic reaction (other): Coughing and sore throat due to allergies

2021-05-27

Systemic reaction (other): Pain in chest, tightness

2021-05-31

Systemic reaction (other): Ive been having greater sensitivity and bleeding of gums since my first shot after flossing.

Release 8 — day 7, dose 2

2021-06-01

Systemic reaction (other): Some acid reflux

Release 8 — day 14, dose 2

2021-06-08

Symptoms: Intermittent Pain in shoulder/arm of shot

Release 9 — day 21, dose 2

2021-06-15

Symptoms: Heartburn/acid reflux

Release 9 — day 28, dose 2

2021-06-22

Symptoms: Acid reflux

Release 9 — day 35, dose 2

2021-06-29

Symptoms: Chest pain, pain between shoulders, some abdominal pain

Release 9 — day 42, dose 2

2021-07-07

Symptoms: Occasional sore throat

Release 9 — 3 months, dose 2

2021-08-24

Symptoms: Postnasal drip, causing productive cough

Release 10 — 6 months, dose 2

2021-11-25

Symptoms: Development of eczema and psoriasis on hands

Healthcare visit (other): Went to pcp and dermatologist

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	Office visit	·	·	✓
SD	Abdominal pain	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Dyspepsia	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Hand dermatitis	·	·	✓
SD	Headache	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Paraesthesia oral	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Productive cough	✓	·	✓
SD	Psoriasis	·	·	✓
SD	Upper-airway cough syndrome	✓	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Gastrooesophageal reflux disease	✓	✓	✓
SRO	Gingival bleeding	✓	✓	✓
SRO	Gingival pain	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Throat tightness	✓	✓	✓

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