5SJ-23200-21197

3 vaccinations 11 coded responses 14 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 900 / CA
Registered: 2021-02-09

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-17
Dose 1 — Moderna
2021-02-09
Registered in v-safe
2021-02-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-14
Dose 2 — Moderna
2021-02-14
Survey response — day 0, dose 2
MedDRA: Ear discomfort, Ear pain, Injection site pain, Neck pain, Sinus congestion, Sinus headache — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Pain in my neck. Pain radiated from the L arm at injection site on the up to my neck on the L side also, up to behind my ear. My ears feel plugged and I have sinus congestion and sinus headache which started shortly after the injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · 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
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Ear pain, Feeling abnormal, Paranasal sinus discomfort, Sinus headache, Sinusitis, Upper-airway cough syndrome — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness, brain fog, sinusitis. Post nasal drip sinus headache, sinus pressure, ear ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Sinusitis — Feeling: Good

Free text: Mild sinusitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities

Free text: I have had pain on the bottom of my left foot since Tuesday morning and its gotten worsen since then. Could it be related to the Moderna vaccine?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — day 7, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Just the l foot pain that developed 2 days after the Covid shot. I feel mainly when I bare weight on it and walk

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — day 14, dose 2
MedDRA: Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain in left that developed a day and a half after Covid vaccine some days worse than others

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — day 21, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: The left foot pain that began 1!daya aftwr my Covid shot. It starts on the interolateral part of my left foot then radiates to the middle and its pretty bad today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — day 28, dose 2
MedDRA: Limb discomfort — Feeling: Fair · Be unable to do your normal daily activities

Free text: L foot foot not better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — day 35, dose 2
MedDRA: Gait disturbance, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: L foot pain since 2 days after 2nd Moderna shot. Its difficult to walk and I walk with a limp most of the time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — day 42, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities

Free text: My left oft pain. Is bad at this moment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-15
Survey response — 6 months, dose 2
MedDRA: Abdominal pain, Blood iron decreased — 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: Abdominal pain, possible ulcer. Low iron level. I need IV iron

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-15
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)
2021-08-22
Call 1 — Left Voicemail
2022-01-10
Dose 3 — Moderna

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-17	Moderna
2	2021-02-14	Moderna
3	2022-01-10	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 2

2021-02-14

Systemic reaction (other): Pain in my neck. Pain radiated from the L arm at injection site on the up to my neck on the L side also, up to behind my ear. My ears feel plugged and I have sinus congestion and sinus headache which started shortly after the injection

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): Dizziness, brain fog, sinusitis. Post nasal drip sinus headache, sinus pressure, ear ache

2021-02-17

Systemic reaction (other): Mild sinusitis

2021-02-20

Systemic reaction (other): I have had pain on the bottom of my left foot since Tuesday morning and its gotten worsen since then. Could it be related to the Moderna vaccine?

Release 4 — day 7, dose 2

2021-02-21

Systemic reaction (other): Just the l foot pain that developed 2 days after the Covid shot. I feel mainly when I bare weight on it and walk

Release 4 — day 14, dose 2

2021-03-02

Symptoms: Pain in left that developed a day and a half after Covid vaccine some days worse than others

Release 5 — day 21, dose 2

2021-03-07

Symptoms: The left foot pain that began 1!daya aftwr my Covid shot. It starts on the interolateral part of my left foot then radiates to the middle and its pretty bad today

Release 5 — day 28, dose 2

2021-03-14

Symptoms: L foot foot not better

Release 6 — day 35, dose 2

2021-03-21

Symptoms: L foot pain since 2 days after 2nd Moderna shot. Its difficult to walk and I walk with a limp most of the time

Release 6 — day 42, dose 2

2021-03-29

Symptoms: My left oft pain. Is bad at this moment

Release 9 — 6 months, dose 2

2021-08-15

Symptoms: Abdominal pain, possible ulcer. Low iron level. I need IV iron

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	✓	·	✓
SD	Blood iron decreased	✓	·	✓
SD	Gait disturbance	✓	✓	✓
SD	Limb discomfort	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓
SRO	Sinus headache	✓	✓	✓
SRO	Sinusitis	✓	✓	✓
SRO	Upper-airway cough syndrome	✓	✓	✓

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