ZP9-30054-08700

3 vaccinations 12 coded responses 41 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 488 / MI
Registered: 2020-12-29

Relationship: Self
Race: White
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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Moderna
2020-12-29
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia — Feeling: Good · Headache

Free text: Tingling sensation in bilateral legs and feet lasting about 12 hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-06
Health check-in — day 7, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-01-12
Survey response — day 14, dose 1
MedDRA: Headache, Paraesthesia — Feeling: Good

Free text: Headache for 3 consecutive days pain 7 out of 10.Intermittent tingling sensations in bilateral lower legs and feet, mostly mid afternoon through the night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-26
Dose 2 — Moderna
2021-01-26
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Pain of skin — Feeling: Poor · Site: Pain, Redness, Swelling · 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: Skin hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia, Tenderness — Feeling: Fair · Site: Swelling, Itching · Headache

Free text: Tingling sensation down left leg from thigh to toes. Vaccine given in the left arm. Tenderness under left arm pit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Respiratory tract congestion — Feeling: Good · Site: Itching

Free text: Cough, congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-03
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-02-09
Survey response — day 14, dose 2
MedDRA: Paraesthesia — Feeling: Fair

Free text: Tingling on left side of body in leg to foot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — day 21, dose 2
MedDRA: Insomnia — Feeling: Good

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-08
Dose 3 — Moderna
2021-11-08
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-11-11
Survey response — days 1–6 daily, dose 3
MedDRA: Cold sweat, Feeling hot, Hyperhidrosis — Feeling: Good · Site: Pain · Chills

Free text: Hot and cold sweats

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — Feeling: Good · Site: Pain

Free text: Lymph node pain under arms

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-15
Survey response — day 7, dose 3
MedDRA: Back pain — Feeling: Fair · Muscle or body aches

Free text: Low back pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-20
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-07
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-09
Survey response — 6 months, dose 3
MedDRA: Arthralgia — Feeling: Good

Free text: Joint pain, intermittent

MedDRA releases: 2024-11 · check-in free text available
2022-11-08
Survey response — 12 months, dose 3
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-26	Moderna
3	2021-11-08	Moderna	No

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): Tingling sensation in bilateral legs and feet lasting about 12 hours

Release 1 — day 14, dose 1

2021-01-12

Symptoms: Headache for 3 consecutive days pain 7 out of 10.Intermittent tingling sensations in bilateral lower legs and feet, mostly mid afternoon through the night.

Release 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): Skin hurts

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Tingling sensation down left leg from thigh to toes. Vaccine given in the left arm. Tenderness under left arm pit

2021-01-31

Systemic reaction (other): Cough, congestion

Release 3 — day 14, dose 2

2021-02-09

Symptoms: Tingling on left side of body in leg to foot.

Release 4 — day 21, dose 2

2021-02-16

Symptoms: Insomnia

Release 10 — days 1–6 daily, dose 3

2021-11-11

Systemic reaction (other): Hot and cold sweats

2021-11-12

Systemic reaction (other): Lymph node pain under arms

Release 10 — day 7, dose 3

2021-11-15

Systemic reaction (other): Low back pain

Release 11 — 6 months, dose 3

2022-05-09

Symptoms: Joint pain, intermittent

Release 12 — 12 months, dose 3

2022-11-08

Symptoms: Fatigue

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	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SRO	Back pain	·	·	✓
SRO	Cold sweat	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Feeling hot	·	·	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Pain of skin	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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