22P-13976-10803

4 vaccinations 10 coded responses 28 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 928 / CA
Registered: 2021-01-16

Relationship: Self
Race: Other
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

2021-01-16
Registered in v-safe
2021-01-16
Dose 1 — Moderna
2021-01-16
Health check-in — day 0, dose 1
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Burning feet syndrome, Chills, Pain in extremity, Peripheral coldness — Feeling: Good · Site: Pain, Itching · Headache

Free text: Yesterday I had chills, feet were cold yet burning & pain in my feet!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-06
Survey response — day 21, dose 1
MedDRA: Headache — Feeling: Good

Free text: Headaches, but not sure if it is from weather changes or ??

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — day 28, dose 1
MedDRA: Headache — Feeling: Good

Free text: Headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Dose 2 — Moderna
2021-02-20
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Libido increased — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Extreme sexual desire!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Headache, Pre-existing disease — Feeling: Good · Headache, Fatigue or tiredness

Free text: Mild headache, joint pain that was there prior to injection, and some tiredness; nothing serious.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Back pain — Feeling: Good · Joint pains

Free text: Back/Hip Pain is NOT from vaccine!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Survey response — day 14, dose 2
MedDRA: Chills, Pain — Feeling: Good

Free text: Chills, achiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-03
Survey response — day 42, dose 2
MedDRA: Headache, Peripheral coldness — Feeling: Good

Free text: Coldness and pain in my feet/legs, headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-15
Dose 3 — Moderna
2021-08-21
Survey response — 6 months, dose 2
MedDRA: Disturbance in sexual arousal, Orgasm abnormal, Pain — Feeling: Good

Free text: Very mild achiness, and bouts of extreme sexual arousal; intense orgasms.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-14
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-01-15
Dose 4 — Moderna
2022-02-13
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-07-17
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-01-16
Survey response — 12 months, dose 4
MedDRA: No adverse event, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Moderna
2	2021-02-20	Moderna
3	2021-08-15	Moderna	No
4	2022-01-15	Moderna	No

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): Yesterday I had chills, feet were cold yet burning & pain in my feet!

Release 3 — day 21, dose 1

2021-02-06

Symptoms: Headaches, but not sure if it is from weather changes or ??

Release 4 — day 28, dose 1

2021-02-13

Symptoms: Headaches

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): Extreme sexual desire!

2021-02-22

Systemic reaction (other): Mild headache, joint pain that was there prior to injection, and some tiredness; nothing serious.

2021-02-23

Systemic reaction (other): Back/Hip Pain is NOT from vaccine!

Release 5 — day 14, dose 2

2021-03-06

Symptoms: Chills, achiness

Release 6 — day 42, dose 2

2021-04-03

Symptoms: Coldness and pain in my feet/legs, headaches.

Release 9 — 6 months, dose 2

2021-08-21

Symptoms: Very mild achiness, and bouts of extreme sexual arousal; intense orgasms.

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	Chills	✓	✓	✓
SD	Disturbance in sexual arousal	✓	·	✓
SD	Headache	✓	✓	✓
SD	No adverse event	·	·	✓
SD	Orgasm abnormal	✓	·	✓
SD	Pain	✓	✓	✓
SD	Peripheral coldness	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Burning feet syndrome	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Libido increased	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral coldness	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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