6NW-28866-34246

2 vaccinations 7 coded responses 25 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 445 / OH
Registered: 2021-01-08

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

2021-01-08
Registered in v-safe
2021-01-08
Dose 1 — Moderna
2021-01-08
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Chills

Adult check-in
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Tightness around the diaphragm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Alcohol intolerance, Erythema, Pruritus, Rash, Urticaria — Feeling: Good

Free text: Never happened before. Last night drank 3oz wine with dinner from a wine I'm very familiar with. Had immediate rash/redness/itching/hives on face/neck/torso area. Took a benedryl to help. Today symptoms are resolved.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Survey response — day 14, dose 1
MedDRA: Back pain, Loss of personal independence in daily activities, Mobility decreased — Feeling: Good · Be unable to do your normal daily activities

Free text: Unexplained back pain (upper and lower) last weekend that lasted Fri night, Sat,Sun and was gone on Monday. Left as quickly as it arrived. Prevented me from doing housework over the weekend-vacuuming, cleaning, bending & I wasnt able to exercise.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-05
Dose 2 — Moderna
2021-02-05
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Headache, Muscle or body aches

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Breast tenderness, Lymphadenopathy, Paraesthesia — Feeling: Fair · Site: Pain, Redness, Swelling

Free text: Swollen lymph axillary lymph nodes and L breast tenderness. Injection site is L arm. Also tingling into L hand

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Breast pain, Breast tenderness, Lymphadenopathy — Feeling: Fair · Site: Redness, Swelling · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Left axillary lymph node swelling, L breast pain/tenderness

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: Good · Site: Swelling · Joint pains

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

Adult check-in
2021-02-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-07
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Occupational therapy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Right elbow pain of insidious onset · Healthcare visit (other): Occupational Therapist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-09
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Feeling abnormal, Sleep disorder — Feeling: Good

Free text: Sensation of stomach dropping like a roller coaster that woke me up at night for a couple of months. My Right elbow still gives me some pain on occasion.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-05-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna
2	2021-02-05	Moderna

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 — days 1–6 daily, dose 1

2021-01-09

Systemic reaction (other): Tightness around the diaphragm

2021-01-13

Systemic reaction (other): Never happened before. Last night drank 3oz wine with dinner from a wine I'm very familiar with. Had immediate rash/redness/itching/hives on face/neck/torso area. Took a benedryl to help. Today symptoms are resolved.

Release 2 — day 14, dose 1

2021-01-22

Symptoms: Unexplained back pain (upper and lower) last weekend that lasted Fri night, Sat,Sun and was gone on Monday. Left as quickly as it arrived. Prevented me from doing housework over the weekend-vacuuming, cleaning, bending & I wasnt able to exercise.

Release 3 — days 1–6 daily, dose 2

2021-02-08

Systemic reaction (other): Swollen lymph axillary lymph nodes and L breast tenderness. Injection site is L arm. Also tingling into L hand

2021-02-09

Systemic reaction (other): Left axillary lymph node swelling, L breast pain/tenderness

Release 8 — 3 months, dose 2

2021-05-07

Symptoms: Right elbow pain of insidious onset

Healthcare visit (other): Occupational Therapist

Release 9 — 6 months, dose 2

2021-08-09

Symptoms: Sensation of stomach dropping like a roller coaster that woke me up at night for a couple of months. My Right elbow still gives me some pain on occasion.

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
HCVO	Occupational therapy	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Feeling abnormal	✓	·	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Sleep disorder	✓	·	✓
SRO	Alcohol intolerance	✓	✓	✓
SRO	Breast pain	✓	✓	✓
SRO	Breast tenderness	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Muscle tightness	○	○	○
SRO	Paraesthesia	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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