5QY-23267-08367

3 vaccinations 11 coded responses 37 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 601 / IL
Registered: 2021-02-15

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

2021-02-12
Dose 1 — Moderna
2021-02-15
Registered in v-safe
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Grip strength decreased, Pain in extremity — Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I had all of these symptoms about 10- 12 hours after the vaccine. The arm pain was the worst. I couldn't hold a coffee cup with that arm!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-19
Survey response — day 7, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph nodes in neck in left side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-12
Dose 2 — Moderna
2021-03-12
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Feeling drunk — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: I feel "weird", almost tipsy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Diarrhea, Abdominal pain

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Chills, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-19
Health check-in — day 7, dose 2
Feeling: Good · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-26
Survey response — day 14, dose 2
MedDRA: Chills — Feeling: Good

Free text: Chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-09
Survey response — day 28, dose 2
MedDRA: Abdominal pain upper, Chills — Feeling: Good

Free text: Chills and stomach pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 42, dose 2
MedDRA: Chills, Fatigue — Feeling: Good

Free text: Chills, general fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-10
Survey response — 6 months, dose 2
MedDRA: Cough, Nasopharyngitis — Feeling: Good · Be unable to work or attend school, 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: I jad a TERRIBLE cold/cough a few weeks ago. Rapid test came back negative but the cough is still lingering.

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-09-14
Call 1 — Left Voicemail
2021-10-29
Dose 3 — Moderna
2021-10-29
Survey response — day 0, dose 3
MedDRA: Paraesthesia — Feeling: Good · Site: Pain

Free text: Tingling fingers on the hand of the arm I got the shot in. The left part of my bottom lip is numb. ??

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Hypoaesthesia oral — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Lip numbness

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-10
Survey response — day 42, dose 3
MedDRA: Chills, Rhinorrhoea — Feeling: Good

Free text: Runny nose, chills.

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-31
Survey response — 12 months, dose 3
MedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I tested positive for Covid 2 weeks ago

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-12	Moderna
3	2021-10-29	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-15

Systemic reaction (other): I had all of these symptoms about 10- 12 hours after the vaccine. The arm pain was the worst. I couldn't hold a coffee cup with that arm!

Release 4 — day 7, dose 1

2021-02-19

Systemic reaction (other): Swollen lymph nodes in neck in left side

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): I feel "weird", almost tipsy.

Release 6 — day 14, dose 2

2021-03-26

Symptoms: Chills

Release 7 — day 28, dose 2

2021-04-09

Symptoms: Chills and stomach pain

Release 7 — day 42, dose 2

2021-04-23

Symptoms: Chills, general fatigue

Release 9 — 6 months, dose 2

2021-09-10

Symptoms: I jad a TERRIBLE cold/cough a few weeks ago. Rapid test came back negative but the cough is still lingering.

Release 10 — day 0, dose 3

2021-10-29

Systemic reaction (other): Tingling fingers on the hand of the arm I got the shot in. The left part of my bottom lip is numb. ??

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Lip numbness

Release 10 — day 42, dose 3

2021-12-10

Symptoms: Runny nose, chills.

Release 12 — 12 months, dose 3

2022-10-31

Symptoms: I tested positive for Covid 2 weeks ago

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	Abdominal pain upper	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cough	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Feeling drunk	✓	✓	✓
SRO	Grip strength decreased	✓	✓	✓
SRO	Hypoaesthesia oral	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	·	·	✓

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