849-14057-75640

3 vaccinations 12 coded responses 39 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 068 / CT
Registered: 2021-03-06

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

JLB-25769-78409 Child or adolescent in my care · Male · 2021-11-28

Timeline

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

2021-03-06
Registered in v-safe
2021-03-06
Dose 1 — Moderna
2021-03-06
Survey response — day 0, dose 1
MedDRA: Feeling hot, Paraesthesia — Feeling: Fair · Site: Pain

Free text: Tingling and warm sensation in arms and shoulder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Nausea

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain, Paraesthesia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Skull and neck pain / tingling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Numbness and tingling on back of neck near base of head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-20
Survey response — day 14, dose 1
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good

Free text: Numbness and tingling on head and neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-03
Dose 2 — Moderna
2021-04-03
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
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
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Tingling sensation on head and neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-04-10
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-02
Survey response — 6 months, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Cold-like symptoms

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-06
Call 1 — Left Voicemail
2021-12-01
Dose 3 — Moderna
2021-12-04
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Swollen lymph nodes in collar bone

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tiredness

Free text: Swollen lymph node in collar bone

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Swollen lymph node in collarbone

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair

Free text: Swollen lymph node in collarbone

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Survey response — day 7, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair

Free text: Swollen lymph nodes in collarbone

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-22
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-31
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-01
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Moderna
2	2021-04-03	Moderna
3	2021-12-01	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-06

Systemic reaction (other): Tingling and warm sensation in arms and shoulder

Release 5 — days 1–6 daily, dose 1

2021-03-10

Systemic reaction (other): Skull and neck pain / tingling

2021-03-11

Systemic reaction (other): Numbness and tingling on back of neck near base of head

2021-03-12

Systemic reaction (other): Runny nose

Release 6 — day 14, dose 1

2021-03-20

Symptoms: Numbness and tingling on head and neck

Release 7 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): Tingling sensation on head and neck

Release 9 — 6 months, dose 2

2021-10-02

Symptoms: Cold-like symptoms

Release 10 — days 1–6 daily, dose 3

2021-12-04

Systemic reaction (other): Swollen lymph nodes in collar bone

2021-12-05

Systemic reaction (other): Swollen lymph node in collar bone

2021-12-06

Systemic reaction (other): Swollen lymph node in collarbone

2021-12-07

Systemic reaction (other): Swollen lymph node in collarbone

Release 10 — day 7, dose 3

2021-12-08

Systemic reaction (other): Swollen lymph nodes in collarbone

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	Hypoaesthesia	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Paraesthesia	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Neck pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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