SA5-42422-63039

3 vaccinations 8 coded responses 25 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 212 / MD
Registered: 2021-01-12

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

Timeline

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

2021-01-11
Dose 1 — Moderna
2021-01-12
Registered in v-safe
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity, Weight bearing difficulty — Feeling: Poor · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Sharp pain (nerve pain?) radiating down my left leg, doesn't allow me to put much weight on my left leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Neuralgia, Pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Free text: Pain on left side of body, up and down sciatic nerve. Less severe than day 2 though.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Survey response — day 7, dose 1
MedDRA: Injection site bruising — Feeling: Good

Free text: Noticed that the area around the injection site is hugely/darkly bruised, but no pain until I really poke at it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — day 14, dose 1
MedDRA: Arthralgia, Injection site bruising, Injection site pain, Middle insomnia, Pain, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Night of day 7 (following noticing the dark bruise at the injection site) I had extreme pain in the injection arm, that woke me from sleep and continued throughout the next 2 days. Pain ran from shoulder to fingers. Abated on day 11, thankfully.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-08
Dose 2 — Moderna
2021-02-08
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Electric shock sensation — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Free text: Nerve zaps along sciatic nerves in both legs. Similar to after my first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Reaction to previous exposure to any vaccine, Sciatica — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sciatic nerve pain (left leg, on vaccine side), identical to the pain I had after dose 1

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

Free text: Heat at injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-03
Dose 3 — Moderna
2022-02-10
Survey response — 12 months, dose 2
MedDRA: COVID-19 — 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: COVID19

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
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)
2022-02-11
Call 1 — Left Voicemail
2022-05-04
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-03
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna
2	2021-02-08	Moderna
3	2021-11-03	Moderna	No

Call center

2 call center cases

1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): Sharp pain (nerve pain?) radiating down my left leg, doesn't allow me to put much weight on my left leg

2021-01-13

Systemic reaction (other): Pain on left side of body, up and down sciatic nerve. Less severe than day 2 though.

Release 2 — day 7, dose 1

2021-01-18

Systemic reaction (other): Noticed that the area around the injection site is hugely/darkly bruised, but no pain until I really poke at it

Release 2 — day 14, dose 1

2021-01-25

Symptoms: Night of day 7 (following noticing the dark bruise at the injection site) I had extreme pain in the injection arm, that woke me from sleep and continued throughout the next 2 days. Pain ran from shoulder to fingers. Abated on day 11, thankfully.

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): Nerve zaps along sciatic nerves in both legs. Similar to after my first shot.

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Sciatic nerve pain (left leg, on vaccine side), identical to the pain I had after dose 1

2021-02-11

Systemic reaction (other): Heat at injection site.

Release 11 — 12 months, dose 2

2022-02-10

Symptoms: COVID19

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	Arthralgia	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Injection site bruising	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Middle insomnia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Electric shock sensation	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	✓	✓	✓
SRO	Sciatica	✓	✓	✓
SRO	Weight bearing difficulty	✓	✓	✓

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