5RW-91148-81145

2 vaccinations 6 coded responses 19 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 770 / TX
Registered: 2021-08-10

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-08-10
Registered in v-safe
2021-08-10
Dose 1 — Moderna
2021-08-10
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-08-11
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-08-12
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-08-12
Report sent to call center — days 1–6 daily, dose 1
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)
2021-08-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-08-14
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Poor · Site: Pain, Swelling · Headache, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Ive noticed for the past few days I have a numb tinkling feeling in my arm like circulation is being cut off!

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-14
Report sent to call center — days 1–6 daily, dose 1
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)
2021-08-15
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Adult check-in
2021-08-15
Report sent to call center — days 1–6 daily, dose 1
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)
2021-08-19
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-08-23
Call 1 — Could Not Reach Participant
2021-08-25
Survey response — day 14, dose 1
MedDRA: Headache, Mobility decreased — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Headache that gets unbearable to the point I cant get out of bed

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Call 2 — Could Not Reach Participant
2021-08-31
Survey response — day 21, dose 1
MedDRA: Headache, Self-medication — Feeling: Fair · 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: Not stop headaches and nothing seems to work (over the counter meds) and headaches last two to three days at a time.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
Report sent to call center — day 21, dose 1
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)
2021-09-02
Call 1 — Could Not Reach Participant
2021-09-07
Dose 2 — Moderna
2021-09-07
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-09-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Nausea

Adult check-in
2021-09-08
Call 2 — Could Not Reach Participant
2021-09-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2021-09-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2021-09-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Diarrhea

Adult check-in
2021-09-12
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold, Nipple pain, Peripheral coldness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Diarrhea · Be unable to work or attend school

Free text: My nipples hurt like HELL And I get so cold to the point it feels like I got frost bit on my fingers tips

MedDRA releases: 2024-11 · check-in free text available
2021-09-14
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-23
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-09-29
Survey response — day 21, dose 2
MedDRA: Cough, Dyspnoea, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Runny nose Sore throatCongestionDifficulty breathingCough

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — day 28, dose 2
MedDRA: Cough, Malaise, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sick running nose congestion cough

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-10	Moderna	No
2	2021-09-07	Moderna	No

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-14

Systemic reaction (other): Ive noticed for the past few days I have a numb tinkling feeling in my arm like circulation is being cut off!

Release 9 — day 14, dose 1

2021-08-25

Symptoms: Headache that gets unbearable to the point I cant get out of bed

Release 9 — day 21, dose 1

2021-08-31

Symptoms: Not stop headaches and nothing seems to work (over the counter meds) and headaches last two to three days at a time.

Release 9 — days 1–6 daily, dose 2

2021-09-12

Systemic reaction (other): My nipples hurt like HELL And I get so cold to the point it feels like I got frost bit on my fingers tips

Release 9 — day 21, dose 2

2021-09-29

Symptoms: Runny nose Sore throatCongestionDifficulty breathingCough

Release 10 — day 28, dose 2

2021-10-05

Symptoms: Sick running nose congestion cough

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	Cough	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Headache	✓	·	✓
SD	Malaise	·	·	✓
SD	Mobility decreased	✓	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Self-medication	✓	·	✓
SRO	Feeling cold	·	·	✓
SRO	Hypoaesthesia	✓	·	✓
SRO	Nipple pain	·	·	✓
SRO	Paraesthesia	✓	·	✓
SRO	Peripheral coldness	·	·	✓

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