5UF-28368-02262

2 vaccinations 5 coded responses 26 check-ins 5 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 782 / TX
Registered: 2021-03-03

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

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: Hot flush, Immediate post-injection reaction — Feeling: Good

Free text: Hot flash for about 3 minutes about 40 minutes after vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Hot flush — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Hot flashes 2 times for about 2-3 minutes each about 4 hours apart

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-10
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-03-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-31
Dose 2 — Moderna
2021-03-31
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-04-14
Survey response — day 14, dose 2
MedDRA: Pain, Sleep disorder, Swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lot of pain on left side. Swelling and pain.Left shoulder blade. It feels like there is a ball of pain. Sleeping is hard on either side. Constant pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 21, dose 2
MedDRA: Arthralgia, Axillary pain, Chest discomfort, Neck pain, Pain, Pain in extremity, Peripheral swelling, Skin burning sensation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain under left arm, under left shoulder blade radiating from shoulder to back of the neck. I feel pressure on the left chest area.Pain on left upper arm. Bulge on the left arm couple of inches under vaccine site.(burning)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 28, dose 2
MedDRA: Burning sensation, Musculoskeletal pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain under left arm, behind left breast and behind shoulder blade.Swelling about 4 fingers under vaccine region. Pain (burning sensation) on left arm down to elbow area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-31
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

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

Free text

Release 5 — day 0, dose 1

2021-03-03

Systemic reaction (other): Hot flash for about 3 minutes about 40 minutes after vaccine.

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Hot flashes 2 times for about 2-3 minutes each about 4 hours apart

Release 7 — day 14, dose 2

2021-04-14

Symptoms: Lot of pain on left side. Swelling and pain.Left shoulder blade. It feels like there is a ball of pain. Sleeping is hard on either side. Constant pain.

Release 7 — day 21, dose 2

2021-04-21

Symptoms: Pain under left arm, under left shoulder blade radiating from shoulder to back of the neck. I feel pressure on the left chest area.Pain on left upper arm. Bulge on the left arm couple of inches under vaccine site.(burning)

Release 8 — day 28, dose 2

2021-04-28

Symptoms: Pain under left arm, behind left breast and behind shoulder blade.Swelling about 4 fingers under vaccine region. Pain (burning sensation) on left arm down to elbow area.

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	Burning sensation	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Musculoskeletal pain	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Skin burning sensation	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SD	Swelling	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓

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