6XS-38991-31081

2 vaccinations 6 coded responses 24 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 937 / CA
Registered: 2021-01-27

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-01-26
Dose 1 — Moderna
2021-01-27
Registered in v-safe
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-23
Dose 2 — Moderna
2021-02-23
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation, Erythema, Pain of skin — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work

Free text: Last night the skin on my face was stinging. I felt a burning sensation and cheeks were red. Gone now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Abdominal pain with difficult exercise.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-03-09
Survey response — day 14, dose 2
MedDRA: Injection site pain, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Arm ( injection site) is naggingly painful when I move it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-23
Survey response — day 28, dose 2
MedDRA: Pain, Pain in extremity — Feeling: Good

Free text: My left arm ( injection arm) continues to feel painful. I have pain with lifting the arm. I force myself to use the arm, however it is with moderate pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-06
Survey response — day 42, dose 2
MedDRA: Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: My left arm is still in considerable pain and I am unable to fully move and use it. This has remained the same for several weeks and is not improving. I never had left shoulder or arm pain before my Covid vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-23
Survey response — 12 months, dose 2
MedDRA: Cough, Malaise, Pain, Respiratory tract infection viral — Feeling: Good · Be unable to work or attend school, 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: Became very I'll with respiratory virus. Severe cough, body aches, afebrile.

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-23	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Last night the skin on my face was stinging. I felt a burning sensation and cheeks were red. Gone now.

2021-02-27

Systemic reaction (other): Abdominal pain with difficult exercise.

Release 5 — day 14, dose 2

2021-03-09

Symptoms: Arm ( injection site) is naggingly painful when I move it.

Release 6 — day 28, dose 2

2021-03-23

Symptoms: My left arm ( injection arm) continues to feel painful. I have pain with lifting the arm. I force myself to use the arm, however it is with moderate pain.

Release 7 — day 42, dose 2

2021-04-06

Symptoms: My left arm is still in considerable pain and I am unable to fully move and use it. This has remained the same for several weeks and is not improving. I never had left shoulder or arm pain before my Covid vaccine.

Release 11 — 12 months, dose 2

2022-02-23

Symptoms: Became very I'll with respiratory virus. Severe cough, body aches, afebrile.

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	Cough	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Malaise	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Respiratory tract infection viral	·	·	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Pain of skin	✓	✓	✓

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