SHM-80451-51210

3 vaccinations 8 coded responses 27 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 462 / IN
Registered: 2021-04-14

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

2021-03-16
Dose 1 — Moderna
2021-04-13
Dose 2 — Moderna
2021-04-14
Registered in v-safe
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Neck aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Rash, Skin discolouration — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Free text: Rash is fading a lot, but areas are still light pink.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Good

Free text: My rash is 90% gone, but not gone completely.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-04
Survey response — day 21, dose 2
MedDRA: Ear discomfort, Ear infection, Ear pain, Hypersensitivity, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I developed ear pressure last week. I think its due to allergies, but then the bilateral ear pressure went away & left ear pain started. The doctor said I have an ear infection. I am currently on antibiotics.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Survey response — day 35, dose 2
MedDRA: Headache, Musculoskeletal chest pain, Neck pain, Pain — Feeling: Good

Free text: I feel random aches from time to time, usually in my ribs or neck, or headaches. Just random aches that I didnt experience often before my vaccine. Not sure if its related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — day 42, dose 2
MedDRA: Pain — Feeling: Good

Free text: I just have random aches and pains... nothing terrible. But I didnt feel like this before my vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-16
Dose 3 — Moderna
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-30
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-08
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-27
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-19
Survey response — 3 months, dose 3
MedDRA: Diarrhoea, Gastroenteritis viral, Pyrexia, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I appeared to have a stomach bug for 2 days. Fever, vomiting, and diarrhea.

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Call 1 — Left Voicemail
2022-06-16
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-16
Survey response — 12 months, dose 3
MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pregnancy

MedDRA releases: 2024-11 · check-in free text available
2022-12-16
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-13	Moderna
3	2021-12-16	Moderna	No

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Neck aches

2021-04-16

Systemic reaction (other): Rash is fading a lot, but areas are still light pink.

2021-04-17

Systemic reaction (other): My rash is 90% gone, but not gone completely.

Release 8 — day 21, dose 2

2021-05-04

Symptoms: I developed ear pressure last week. I think its due to allergies, but then the bilateral ear pressure went away & left ear pain started. The doctor said I have an ear infection. I am currently on antibiotics.

Release 8 — day 35, dose 2

2021-05-18

Symptoms: I feel random aches from time to time, usually in my ribs or neck, or headaches. Just random aches that I didnt experience often before my vaccine. Not sure if its related.

Release 8 — day 42, dose 2

2021-05-25

Symptoms: I just have random aches and pains... nothing terrible. But I didnt feel like this before my vaccine.

Release 11 — 3 months, dose 3

2022-03-19

Symptoms: I appeared to have a stomach bug for 2 days. Fever, vomiting, and diarrhea.

Release 12 — 12 months, dose 3

2022-12-16

Symptoms: Pregnancy

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	Diarrhoea	·	·	✓
SD	Ear discomfort	✓	✓	✓
SD	Ear infection	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Gastroenteritis viral	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Musculoskeletal chest pain	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pregnancy	·	·	✓
SD	Pyrexia	·	·	✓
SD	Vomiting	·	·	✓
SRO	Neck pain	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Skin discolouration	✓	✓	✓

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