P92-21730-72690

3 vaccinations 7 coded responses 26 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 190 / PA
Registered: 2021-05-14

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Registered dependents

JNZ-96264-99318 Child or adolescent in my care · Male · 2022-05-03

XJU-13634-24646 Child or adolescent in my care · Male · 2023-01-12

Timeline

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

2021-05-14
Registered in v-safe
2021-05-14
Dose 1 — Moderna
2021-05-14
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-05-16
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure increased — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Increased blood pressure 150/89bp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-05-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-28
Survey response — day 14, dose 1
MedDRA: Arthralgia, Blepharospasm, Muscle twitching, Pain in extremity — Feeling: Fair

Free text: A lot of eye twitching mainly on the lest eye and my finger on the right hand. Pain on my legs (joints and knees).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — day 21, dose 1
MedDRA: Abdominal pain upper, Blepharospasm, Bone pain, Headache, Pain in jaw — Feeling: Fair

Free text: Eye twitching, bone pain (especially the jaw bone), pain on the upper left side of stomach, headache (back of the head)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Dose 2 — Moderna
2021-06-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-06-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-06-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-06-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-27
Survey response — day 14, dose 2
MedDRA: Blepharospasm — Feeling: Good

Free text: Just left eye twitching. It happens every day since the first dose on and off throughout the day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-23
Survey response — day 42, dose 2
MedDRA: Nasopharyngitis, Pyrexia — Feeling: Fair

Free text: Cold symptoms and fever

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-10
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Myalgia, Pre-existing disease, Self-medication, Spinal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Spine pain and muscle and joints pain. The pain is never gone. Currently, a little bit better after taking Celebrex and Advil when needed. I had COVID on dec. 2020 while pregnant, since then i have these symptoms but mild.

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
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)
2021-12-13
Call 2 — Left Voicemail
2022-01-12
Dose 3 — Moderna
2022-07-13
Survey response — 6 months, dose 3
MedDRA: Hypersensitivity, Myalgia, Pharyngeal swelling, Pre-existing disease, Pyrexia, Viral infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Fever, muscle pain, a virus that caused my throat to get swollen and strong allergy symptoms on and off.

MedDRA releases: 2024-11 · check-in free text available
2022-07-13
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-14
Call 1 — Left Voicemail
2022-07-14
Call 1 — Left Voicemail
2023-01-12
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-14	Moderna
2	2021-06-11	Moderna
3	2022-01-12	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-16

Systemic reaction (other): Increased blood pressure 150/89bp

Release 8 — day 14, dose 1

2021-05-28

Symptoms: A lot of eye twitching mainly on the lest eye and my finger on the right hand. Pain on my legs (joints and knees).

Release 8 — day 21, dose 1

2021-06-04

Symptoms: Eye twitching, bone pain (especially the jaw bone), pain on the upper left side of stomach, headache (back of the head)

Release 9 — day 14, dose 2

2021-06-27

Symptoms: Just left eye twitching. It happens every day since the first dose on and off throughout the day.

Release 9 — day 42, dose 2

2021-07-23

Symptoms: Cold symptoms and fever

Release 10 — 6 months, dose 2

2021-12-10

Symptoms: Spine pain and muscle and joints pain. The pain is never gone. Currently, a little bit better after taking Celebrex and Advil when needed. I had COVID on dec. 2020 while pregnant, since then i have these symptoms but mild.

Release 12 — 6 months, dose 3

2022-07-13

Symptoms: Fever, muscle pain, a virus that caused my throat to get swollen and strong allergy symptoms on and off.

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	Abdominal pain upper	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Blepharospasm	✓	✓	✓
SD	Bone pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	·	·	✓
SD	Muscle twitching	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nasopharyngitis	✓	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Pharyngeal swelling	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	·	✓
SD	Self-medication	·	·	✓
SD	Spinal pain	·	·	✓
SD	Viral infection	·	·	✓
SRO	Blood pressure increased	✓	✓	✓

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