B83-17690-81972

4 vaccinations 9 coded responses 34 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 278 / NC
Registered: 2021-03-16

Relationship: Self
Race: Black or African American
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

2021-03-02
Dose 1 — Moderna
2021-03-16
Registered in v-safe
2021-03-16
Survey response — day 14, dose 1
MedDRA: Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Pain in my arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-06
Dose 2 — Moderna
2021-04-06
Health check-in — day 0, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pain in hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Headache, not sure if related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-28
Dose 3 — Moderna
2021-10-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-06
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-06-03
Dose 4 — Moderna
2022-06-03
Health check-in — day 0, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-06-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-06
Survey response — days 1–6 daily, dose 4
MedDRA: Axillary pain, Pain in extremity — Feeling: Fair · Site: Pain

Free text: Under arm pain and more upper arm pain this is new

MedDRA releases: 2024-11 · check-in free text available
2022-06-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-08
Survey response — days 1–6 daily, dose 4
MedDRA: Tenderness — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: It's a little tender under the arm, a lot better than the other

MedDRA releases: 2024-11 · check-in free text available
2022-06-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-10
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-17
Survey response — day 14, dose 4
MedDRA: Neck pain, Pre-existing disease — Feeling: Good

Free text: Not sure if related but more than usual neck pain. I do have arthritis in my neck, though.

MedDRA releases: 2024-11 · check-in free text available
2022-06-24
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-08
Survey response — day 35, dose 4
MedDRA: Chest discomfort, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chest tight, soar throat, had to take inhaler twice.

MedDRA releases: 2024-11 · check-in free text available
2022-07-15
Survey response — day 42, dose 4
MedDRA: Constipation — Feeling: Fair

Free text: Serve constipation

MedDRA releases: 2024-11 · check-in free text available
2022-09-02
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-12-02
Survey response — 6 months, dose 4
MedDRA: Sinusitis, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sinus infections and really sleepy

MedDRA releases: 2024-11 · check-in free text available
2023-06-06
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna
2	2021-04-06	Moderna
3	2021-07-28	Moderna	No
4	2022-06-03	Moderna	No

Free text

Release 5 — day 14, dose 1

2021-03-16

Symptoms: Pain in my arm.

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): Pain in hands

Release 7 — day 14, dose 2

2021-04-22

Symptoms: Headache, not sure if related.

Release 11 — days 1–6 daily, dose 4

2022-06-06

Systemic reaction (other): Under arm pain and more upper arm pain this is new

2022-06-08

Systemic reaction (other): It's a little tender under the arm, a lot better than the other

Release 12 — day 14, dose 4

2022-06-17

Symptoms: Not sure if related but more than usual neck pain. I do have arthritis in my neck, though.

Release 12 — day 35, dose 4

2022-07-08

Symptoms: Chest tight, soar throat, had to take inhaler twice.

Release 12 — day 42, dose 4

2022-07-15

Symptoms: Serve constipation

Release 12 — 6 months, dose 4

2022-12-02

Symptoms: Sinus infections and really sleepy

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	Chest discomfort	·	·	✓
SD	Constipation	·	·	✓
SD	Headache	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Sinusitis	·	·	✓
SD	Somnolence	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Tenderness	·	·	✓

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