22Z-90657-54317

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 856 / AZ
Registered: 2021-04-14

Relationship: Self
Race: Black or African American
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

2021-04-14
Registered in v-safe
2021-04-14
Dose 1 — Moderna
2021-04-14
Survey response — day 0, dose 1
MedDRA: Dizziness, Dysgeusia, Pain — Feeling: Fair · Site: Pain · Fever · Headache, Nausea, Diarrhea, Abdominal pain

Free text: Medicine taste in mouth after vaccination, light headed, face throbbing, symptoms similar to ear infection,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Hot flush — Feeling: Poor · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Light headed, heat flashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 1
MedDRA: Irritability — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea

Free text: Irritability

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Nausea

Adult check-in
2021-04-28
Survey response — day 14, dose 1
MedDRA: Diarrhoea, Hot flush, Nausea — Feeling: Fair

Free text: Nausea and diarrhea. I have had intense heat waves that last for 20 seconds.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 21, dose 1
MedDRA: Arthralgia, Fatigue, Irritability, Joint stiffness, Musculoskeletal stiffness, Pyrexia — Feeling: Fair

Free text: Fatigue, irritability, joint pain and stiffness, and fevers.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Dose 2 — Moderna
2021-05-12
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-12
Survey response — day 28, dose 1
MedDRA: Arthralgia — Feeling: Fair

Free text: Pain in joints

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Temperature intolerance — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Heat sensations, numbness, and uncomfortable

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot, Feeling jittery, Irritability — Feeling: Poor · Fever · Headache, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Heat sensations, jittery, irritable, and warm to touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-17
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Warm sensations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain

Adult check-in
2021-05-19
Health check-in — day 7, dose 2
Feeling: Poor · Fever · Headache, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-26
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-02
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-09
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-16
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-06-23
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-14	Moderna
2	2021-05-12	Moderna

Free text

Release 7 — day 0, dose 1

2021-04-14

Systemic reaction (other): Medicine taste in mouth after vaccination, light headed, face throbbing, symptoms similar to ear infection,

Release 7 — days 1–6 daily, dose 1

2021-04-17

Systemic reaction (other): Light headed, heat flashes

2021-04-19

Systemic reaction (other): Irritability

Release 8 — day 14, dose 1

2021-04-28

Symptoms: Nausea and diarrhea. I have had intense heat waves that last for 20 seconds.

Release 8 — day 21, dose 1

2021-05-05

Symptoms: Fatigue, irritability, joint pain and stiffness, and fevers.

Release 8 — day 28, dose 1

2021-05-12

Symptoms: Pain in joints

Release 8 — days 1–6 daily, dose 2

2021-05-13

Systemic reaction (other): Heat sensations, numbness, and uncomfortable

2021-05-14

Systemic reaction (other): Heat sensations, jittery, irritable, and warm to touch

2021-05-17

Systemic reaction (other): Warm sensations

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	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hot flush	✓	✓	✓
SD	Irritability	✓	✓	✓
SD	Joint stiffness	·	·	✓
SD	Musculoskeletal stiffness	✓	✓	○
SD	Nausea	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Feeling jittery	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Temperature intolerance	✓	✓	✓

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