5X9-18256-40038

4 vaccinations 13 coded responses 49 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 222 / VA
Registered: 2021-03-03

Relationship: Self
Race: White
Ethnicity: Not 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: Paraesthesia — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Tingling in face and on hand on the injection arm.

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: Paraesthesia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Tingling in face, arm, hand.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Tingling in my hand is now sporadic rather than frequent, and at a much lower intensity.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity, Paraesthesia — Feeling: Good · Site: Pain

Free text: Achiness in arm; sporadic tingling in hand.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: Arm is still a tiny bit achy on and off.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: A tiny bit of soreness in my right arm, still, that pops up a couple of times per day.

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

Adult check-in
2021-03-10
Survey response — day 7, dose 1
MedDRA: Injection site reaction — Feeling: Good

Free text: I still get twinges in my injection arm, but its been such a long time but I might have to attribute it to something else.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Moderna
2021-04-01
Survey response — day 0, dose 2
MedDRA: Paraesthesia — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Tingling in face and arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Racing heart

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness, Nausea

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Pfizer-BioNTech
2021-10-29
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Heart rate increased, Palpitations — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Racing heart and resting high heart rate

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Fatigue or tiredness, Nausea

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-11-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-28
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: Fatigue — Feeling: Good

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Survey response — 3 months, dose 3
MedDRA: Laboratory test abnormal — Feeling: Good

Free text: Positive antigen test. Almost no symptoms.

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
Dose 4 — Moderna
2022-04-19
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-04-22
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-29
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-06
Survey response — day 28, dose 4
MedDRA: Dyspepsia, Pelvic discomfort — Feeling: Fair

Free text: Indigestion, irritated pelvic area

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-08
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-07
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-08
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-04-01	Moderna
3	2021-10-29	Pfizer-BioNTech	No
4	2022-04-08	Moderna	No

Free text

Release 5 — day 0, dose 1

2021-03-03

Systemic reaction (other): Tingling in face and on hand on the injection arm.

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Tingling in face, arm, hand.

2021-03-05

Systemic reaction (other): Tingling in my hand is now sporadic rather than frequent, and at a much lower intensity.

2021-03-06

Systemic reaction (other): Achiness in arm; sporadic tingling in hand.

2021-03-07

Systemic reaction (other): Arm is still a tiny bit achy on and off.

2021-03-08

Systemic reaction (other): A tiny bit of soreness in my right arm, still, that pops up a couple of times per day.

Release 5 — day 7, dose 1

2021-03-10

Systemic reaction (other): I still get twinges in my injection arm, but its been such a long time but I might have to attribute it to something else.

Release 6 — day 0, dose 2

2021-04-01

Systemic reaction (other): Tingling in face and arm

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Racing heart

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Racing heart and resting high heart rate

Release 10 — day 42, dose 3

2021-12-10

Symptoms: Fatigue

Release 11 — 3 months, dose 3

2022-01-28

Symptoms: Positive antigen test. Almost no symptoms.

Release 11 — day 28, dose 4

2022-05-06

Symptoms: Indigestion, irritated pelvic 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	Dyspepsia	·	·	✓
SD	Fatigue	·	·	✓
SD	Laboratory test abnormal	·	·	✓
SD	Pelvic discomfort	·	·	✓
SRO	Heart rate increased	·	·	✓
SRO	Hypoaesthesia	○	✓	○
SRO	Injection site reaction	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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