5ZZ-16209-09294

4 vaccinations 5 coded responses 33 check-ins 5 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 930 / CA
Registered: 2021-03-16

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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Moderna
2021-03-16
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-06
Survey response — day 21, dose 1
MedDRA: Dizziness, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sudden dizziness and nausea on 4/4/21 that went away after around 15 minutes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Dose 2 — Moderna
2021-04-13
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-20
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-27
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-04
Survey response — day 21, dose 2
MedDRA: Arthralgia, Musculoskeletal stiffness, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Arm and shoulder pain on the side of injection has been getting worse since 2-3 days after shot. Stiff behind armpit when moving in any direction. Pain lasts all day and night. I thought it would get better after a week, but no improvement yet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-20
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-25
Survey response — day 42, dose 2
MedDRA: Axillary pain, Breast pain, Injection site pain, Injection site pruritus, Pre-existing disease, Pruritus — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Now having pain and itching on breast cancer surgery side, in armpit and breast, as well as opposite arm where vaccine was injected.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-13
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Musculoskeletal chest pain, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Right shoulderblade hurts and so do ribs on right side in back and front. Still having pain in left arm behind armpit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-21
Call 1 — Left Voicemail
2021-10-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-08
Dose 3 — Moderna
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-15
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-12-22
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-29
Survey response — day 21, dose 3
MedDRA: Fatigue, Headache, Sinus pain — Feeling: Poor

Free text: Fatigue, headache, sinus pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-13
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-19
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-09
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-27
Dose 4 — Moderna
2022-06-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains

Adult check-in
2022-06-03
Health check-in — day 7, dose 4
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-10
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-17
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-24
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-07-09
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-28
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-11-25
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-28
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-13	Moderna
3	2021-12-08	Moderna	No
4	2022-05-27	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 7 — day 21, dose 1

2021-04-06

Symptoms: Sudden dizziness and nausea on 4/4/21 that went away after around 15 minutes

Release 8 — day 21, dose 2

2021-05-04

Symptoms: Arm and shoulder pain on the side of injection has been getting worse since 2-3 days after shot. Stiff behind armpit when moving in any direction. Pain lasts all day and night. I thought it would get better after a week, but no improvement yet.

Release 8 — day 42, dose 2

2021-05-25

Symptoms: Now having pain and itching on breast cancer surgery side, in armpit and breast, as well as opposite arm where vaccine was injected.

Release 9 — 3 months, dose 2

2021-07-13

Symptoms: Right shoulderblade hurts and so do ribs on right side in back and front. Still having pain in left arm behind armpit.

Release 10 — day 21, dose 3

2021-12-29

Symptoms: Fatigue, headache, sinus pain

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	Breast pain	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Musculoskeletal chest pain	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Sinus pain	·	·	✓

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