ETY-68684-35568

3 vaccinations 10 coded responses 27 check-ins 10 free-text entries 5 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 913 / CA
Registered: 2021-03-05

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

Timeline

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

2021-03-05
Registered in v-safe
2021-03-05
Dose 1 — Moderna
2021-03-05
Survey response — day 0, dose 1
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — day 0, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Joint range of motion decreased — Feeling: Poor · Site: Pain, Swelling · Muscle or body aches · Be unable to do your normal daily activities

Free text: arm can not lifted

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

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

Free text: My right back started to feel pain. Dont know if this is related

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: Back pain — Feeling: Fair · Fatigue or tiredness

Free text: back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-20
Survey response — day 14, dose 1
MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: After a week my arm started hurt again. The same pain feeling as the second day. Feel something smeared my arm. It last one day long.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-03-27
Survey response — day 21, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities

Free text: maybe due to pollen allergy i have all allergy symptom now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-04-02
Dose 2 — Moderna
2021-04-02
Survey response — day 0, dose 2
MedDRA: Dizziness, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: arm hurt and slightly disszy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
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, Vomiting, Diarrhea, Abdominal pain · Be unable to work, 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, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Food allergy — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: My allergy getting worse as well. Anything I eat will trigger my allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Vomiting, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-04-09
Survey response — day 7, dose 2
MedDRA: Abdominal discomfort, Decreased appetite — Feeling: Poor · Site: Swelling · Headache, Fatigue or tiredness, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Free text: No appetite and want to eat. keep eating without feeling any better with stomach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-23
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-30
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-14
Health check-in — day 42, dose 2
Feeling: Fair

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

Adult check-in
2021-10-01
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-28
Dose 3 — Pfizer-BioNTech
2022-04-04
Survey response — 12 months, dose 2
MedDRA: Alopecia, Nail pitting — Feeling: Fair

Free text: nail pitting, hair lossing

MedDRA releases: 2024-11 · check-in free text available
2022-06-28
Health check-in — 6 months, dose 3
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-02	Moderna
3	2021-12-28	Pfizer-BioNTech	No

Call center

5 call center cases

5 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-05

Systemic reaction (other): arm

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): arm can not lifted

2021-03-10

Systemic reaction (other): My right back started to feel pain. Dont know if this is related

2021-03-11

Systemic reaction (other): back pain

Release 6 — day 14, dose 1

2021-03-20

Symptoms: After a week my arm started hurt again. The same pain feeling as the second day. Feel something smeared my arm. It last one day long.

Release 6 — day 21, dose 1

2021-03-27

Symptoms: maybe due to pollen allergy i have all allergy symptom now

Release 6 — day 0, dose 2

2021-04-02

Systemic reaction (other): arm hurt and slightly disszy

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): My allergy getting worse as well. Anything I eat will trigger my allergies

Release 7 — day 7, dose 2

2021-04-09

Systemic reaction (other): No appetite and want to eat. keep eating without feeling any better with stomach

Release 11 — 12 months, dose 2

2022-04-04

Symptoms: nail pitting, hair lossing

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	Alopecia	·	·	✓
SD	Nail pitting	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Food allergy	✓	✓	✓
SRO	Joint range of motion decreased	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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