6BW-27960-56964

2 vaccinations 6 coded responses 22 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 289 / NC
Registered: 2021-03-02

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

2021-03-01
Dose 1 — Moderna
2021-03-02
Registered in v-safe
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Abdominal pain

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Nerve compression — Feeling: Good · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Nausea, Abdominal pain

Free text: Lower back pain like a pinched nerve

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: Back pain, Ear pain, Nerve compression — Feeling: Fair · Site: Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lower back pain( like a pinched nerve) an really bad earache

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: Back pain, Ear pain — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Still lower back pain an ear ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — day 7, dose 1
MedDRA: Back pain, Ear disorder — Feeling: Good · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Still lower back pain. Ear seems to be getting better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-29
Dose 2 — Moderna
2021-03-29
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-05
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-14
Survey response — day 14, dose 2
MedDRA: Pruritus, Rash, Rash macular, Reaction to previous exposure to any vaccine, Skin discolouration — Feeling: Good

Free text: I have this rash on my arm an hand.An little spots here an there on my body. Had it the first time an an didnt think it was from the vaccine. Few days after 2nd vaccine it appeared again in the same spot. Really bad itching-in 16 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 21, dose 2
MedDRA: Headache, Rash — Feeling: Good · Be unable to do your normal daily activities

Free text: That rash is just now going away. But still having headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-30
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Moderna
2	2021-03-29	Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Lower back pain like a pinched nerve

2021-03-06

Systemic reaction (other): Lower back pain( like a pinched nerve) an really bad earache

2021-03-07

Systemic reaction (other): Still lower back pain an ear ache

Release 5 — day 7, dose 1

2021-03-08

Systemic reaction (other): Still lower back pain. Ear seems to be getting better

Release 7 — day 14, dose 2

2021-04-14

Symptoms: I have this rash on my arm an hand.An little spots here an there on my body. Had it the first time an an didnt think it was from the vaccine. Few days after 2nd vaccine it appeared again in the same spot. Really bad itching-in 16 days

Release 7 — day 21, dose 2

2021-04-19

Symptoms: That rash is just now going away. But still having headaches.

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	Headache	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash macular	✓	✓	○
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Skin discolouration	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Ear disorder	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Nerve compression	✓	✓	✓

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