YLB-27853-67316

2 vaccinations 9 coded responses 20 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 221 / VA
Registered: 2021-01-11

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-01-11
Registered in v-safe
2021-01-11
Dose 1 — Moderna
2021-01-11
Survey response — day 0, dose 1
MedDRA: Injected limb mobility decreased, Injection site pain — Feeling: Good

Free text: Moderate soreness around injection site. Unable to lift arm above shoulder level.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Site: Pain

Free text: Arm soreness, but much better today than yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Condition aggravated, Paraesthesia — Feeling: Good

Free text: Intermittent lower and upper back pains. "Prickling sensation." VERY MILD. Pain only felt where old injuries occured. (Old injuries 10+ yrs ago.)

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: Good · Fatigue or tiredness

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-08
Dose 2 — Moderna
2021-02-08
Survey response — day 0, dose 2
MedDRA: Back pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Hyperhidrosis, Pain, Pain in extremity — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Sharp pains around the body, random places. Upper back pain and sweats.

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: Hyperacusis, Photophobia — Feeling: Poor · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: light and sound sensitivity

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: Migraine, Sciatica — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Mirgraine & Sciatic Nerve Pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-02-15
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-03-01
Survey response — day 21, dose 2
MedDRA: Condition aggravated, Fatigue, Initial insomnia, Pre-existing disease — Feeling: Good

Free text: Fatigue (unable to fall asleep). Always had this problem, but worse now than usual, not sure if it's vaccine related. Stress related?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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
2021-05-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-09
Survey response — 6 months, dose 2
MedDRA: Diarrhoea, Gastroenteritis viral, Oropharyngeal pain, Rhinorrhoea — Feeling: Good

Free text: Week long diarrhea, but it could have been the stomach virus? Sore throat and runny nose that lasted 2-3 days. I am currently fine and not experiencing those symptoms anymore.

MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna
2	2021-02-08	Moderna

Free text

Release 1 — day 0, dose 1

2021-01-11

Systemic reaction (other): Moderate soreness around injection site. Unable to lift arm above shoulder level.

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): Arm soreness, but much better today than yesterday.

2021-01-13

Systemic reaction (other): Intermittent lower and upper back pains. "Prickling sensation." VERY MILD. Pain only felt where old injuries occured. (Old injuries 10+ yrs ago.)

Release 3 — day 0, dose 2

2021-02-08

Systemic reaction (other): lower back pain

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): Sharp pains around the body, random places. Upper back pain and sweats.

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): light and sound sensitivity

2021-02-11

Systemic reaction (other): Mirgraine & Sciatic Nerve Pain

Release 4 — day 21, dose 2

2021-03-01

Symptoms: Fatigue (unable to fall asleep). Always had this problem, but worse now than usual, not sure if it's vaccine related. Stress related?

Release 9 — 6 months, dose 2

2021-08-09

Symptoms: Week long diarrhea, but it could have been the stomach virus? Sore throat and runny nose that lasted 2-3 days. I am currently fine and not experiencing those symptoms anymore.

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	Condition aggravated	✓	✓	✓
SD	Diarrhoea	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastroenteritis viral	✓	·	✓
SD	Initial insomnia	✓	✓	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	✓	·	✓
SRO	Back pain	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Hyperacusis	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Injected limb mobility decreased	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Pain	✓	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Photophobia	✓	✓	✓
SRO	Sciatica	✓	✓	✓

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