62X-23669-82981

2 vaccinations 9 coded responses 19 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 948 / CA
Registered: 2021-01-19

Relationship: Self
Race: Multiracial
Ethnicity: N/A

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-01-19
Registered in v-safe
2021-01-19
Dose 1 — Moderna
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-27
Health check-in — day 7, dose 1
Feeling: Fair · Chills, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-02-02
Survey response — day 14, dose 1
MedDRA: Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Rash on face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-16
Survey response — day 28, dose 1
MedDRA: Abscess limb, Feeling hot, Gait disturbance, Peripheral swelling — Feeling: Poor · Be unable to do your normal daily activities

Free text: Abscess on left upper thigh swollen leg with heat the Hard walk

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Dose 2 — Moderna
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Stiffness in my neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — day 7, dose 2
MedDRA: No adverse event — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 14, dose 2
MedDRA: Dyspnoea, Fatigue, Somnolence — Feeling: Poor · Be unable to do your normal daily activities

Free text: Extremely tired get winded easily and sleep a lot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-19
Survey response — day 28, dose 2
MedDRA: Asthenia, Hypersomnia, Hypotension — Feeling: Poor · Be unable to work

Free text: No energy low blood pressure sleep all the time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 35, dose 2
MedDRA: Feeling abnormal, Nausea, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Miserable week feverish and nauseous

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 42, dose 2
MedDRA: Emergency care, Internal haemorrhage — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Went to (b)(6) by ambulance for internal bleeding but they didn't know from where so I need to get in touch with my primary care physician to set up other tests whether or not it's related unknown

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — 3 months, dose 2
MedDRA: Cellulitis, Staphylococcal infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cellulitis staph infection in leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-22
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Moderna
2	2021-02-19	Moderna

Free text

Release 3 — day 14, dose 1

2021-02-02

Symptoms: Rash on face

Release 4 — day 28, dose 1

2021-02-16

Symptoms: Abscess on left upper thigh swollen leg with heat the Hard walk

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Stiffness in my neck

Release 4 — day 7, dose 2

2021-02-26

Systemic reaction (other): No

Release 5 — day 14, dose 2

2021-03-05

Symptoms: Extremely tired get winded easily and sleep a lot

Release 5 — day 28, dose 2

2021-03-19

Symptoms: No energy low blood pressure sleep all the time

Release 6 — day 35, dose 2

2021-03-26

Symptoms: Miserable week feverish and nauseous

Release 6 — day 42, dose 2

2021-04-02

Symptoms: Went to (b)(6) by ambulance for internal bleeding but they didn't know from where so I need to get in touch with my primary care physician to set up other tests whether or not it's related unknown

redacted (b)(6)

Release 8 — 3 months, dose 2

2021-05-24

Symptoms: Cellulitis staph infection in leg

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	Abscess limb	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Cellulitis	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Gait disturbance	✓	✓	✓
SD	Hypersomnia	✓	✓	✓
SD	Hypotension	✓	✓	✓
SD	Internal haemorrhage	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Somnolence	✓	✓	✓
SD	Staphylococcal infection	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	No adverse event	✓	✓	✓

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