5V5-87223-20722

2 vaccinations 8 coded responses 17 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 640 / MO
Registered: 2021-01-19

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

2020-12-29
Dose 1 — Moderna
2021-01-19
Registered in v-safe
2021-01-19
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-01-26
Dose 2 — Moderna
2021-01-26
Survey response — day 0, dose 2
MedDRA: Cough, Dizziness, Hypoaesthesia oral, Paraesthesia oral, Tremor, Vision blurred — Feeling: Poor · Chills, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, 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: Dizziness, dry cough, blurred vision, muscle tremors, numb and tingling lips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Report sent to call center — day 0, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Flushing, Insomnia, Lip pruritus, Office visit, Vision blurred — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Dizziness, blurred vision, flushed face, itchy lips, insomnia · Healthcare visit (other): Face to face appointment with primary care doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dry mouth, Hypogeusia, Insomnia — Feeling: Poor · Site: Pain, Redness · Headache, Muscle or body aches, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Muted sense of taste, cotton mouth, insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Dizziness, Musculoskeletal pain — Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness, chest and left shoulder blade pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Feeling abnormal — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — day 7, dose 2
MedDRA: Dizziness, Feeling abnormal, Tremor — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness, brain fog, shaky hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-23
Survey response — day 28, dose 2
MedDRA: Breast swelling, Myalgia — Feeling: Fair

Free text: Swollen breast, muscle aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-04
Call 1 — Left Voicemail
2021-07-27
Survey response — 6 months, dose 2
MedDRA: Pain in extremity, Vaccination site pain — Feeling: Good

Free text: Several days of arm pain/ache in my left arm where I received my vaccination.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-01-26
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-26	Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 0, dose 2

2021-01-26

Systemic reaction (other): Dizziness, dry cough, blurred vision, muscle tremors, numb and tingling lips

Release 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): Dizziness, blurred vision, flushed face, itchy lips, insomnia

Healthcare visit (other): Face to face appointment with primary care doctor

2021-01-28

Systemic reaction (other): Muted sense of taste, cotton mouth, insomnia

Release 3 — days 1–6 daily, dose 2

2021-01-31

Systemic reaction (other): Dizziness, chest and left shoulder blade pain

2021-02-01

Systemic reaction (other): Dizziness, brain fog

Release 3 — day 7, dose 2

2021-02-02

Systemic reaction (other): Dizziness, brain fog, shaky hands

Release 4 — day 28, dose 2

2021-02-23

Symptoms: Swollen breast, muscle aches

Release 9 — 6 months, dose 2

2021-07-27

Symptoms: Several days of arm pain/ache in my left arm where I received my vaccination.

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	Breast swelling	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain in extremity	✓	·	✓
SD	Vaccination site pain	✓	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Hypogeusia	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Lip pruritus	✓	✓	✓
SRO	Musculoskeletal pain	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Tremor	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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