5Y5-12954-11356

5 vaccinations 7 coded responses 33 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 902 / CA
Registered: 2021-01-11

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-11
Registered in v-safe
2021-01-11
Dose 1 — Moderna
2021-01-11
Survey response — day 0, dose 1
MedDRA: Hypoaesthesia — Feeling: Good · Site: Swelling

Free text: Numbness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good · Site: Swelling

Free text: Just a little sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Pain in extremity — Feeling: Good · Site: Swelling

Free text: A little pain when I lift my arm up to change my shirt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-01
Survey response — day 21, dose 1
MedDRA: Limb discomfort — Feeling: Good

Free text: I still feel a little heaviness on my arm below the injection site. However, I only felt it when I raise my arm up high to change my clothes. Is this normal. I have not reported it because it doesnt really bother me that much.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Dose 2 — Moderna
2021-02-08
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Chills — Feeling: Poor · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work

Free text: Chills at 2 AM lasted for 1 hour

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-15
Survey response — day 35, dose 2
MedDRA: Fatigue, Headache, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: I feel tired, body aches and headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-09
Survey response — 6 months, dose 2
MedDRA: Diarrhoea — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I had severe diarrhea 2 weeks ago.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-09
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-29
Dose 3 — Moderna
2021-12-01
Call 1 — Left Voicemail
2022-02-08
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-13
Dose 4 — Moderna
2022-05-30
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-15
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-12
Dose 5 — Moderna
2023-06-12
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna
2	2021-02-08	Moderna
3	2021-10-29	Moderna	No
4	2022-05-13	Moderna	No
5	2022-12-12	Moderna	No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-11

Systemic reaction (other): Numbness

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): Just a little sore

2021-01-14

Systemic reaction (other): A little pain when I lift my arm up to change my shirt

Release 3 — day 21, dose 1

2021-02-01

Symptoms: I still feel a little heaviness on my arm below the injection site. However, I only felt it when I raise my arm up high to change my clothes. Is this normal. I have not reported it because it doesnt really bother me that much.

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): Chills at 2 AM lasted for 1 hour

Release 5 — day 35, dose 2

2021-03-15

Symptoms: I feel tired, body aches and headaches.

Release 9 — 6 months, dose 2

2021-08-09

Symptoms: I had severe diarrhea 2 weeks ago.

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	Diarrhoea	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Limb discomfort	✓	✓	✓
SD	Pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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