239-32380-01682

2 vaccinations 9 coded responses 23 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 087 / NJ
Registered: 2021-03-16

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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Moderna
2021-03-16
Survey response — day 0, dose 1
MedDRA: Intraocular pressure test, Ocular discomfort, Sinus pain — Feeling: Good · Site: Pain · Headache

Free text: Bilateral sinus pain/pressure under eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Tremor — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Felt shaky/lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-06
Survey response — day 21, dose 1
MedDRA: Lymph node pain — Feeling: Fair

Free text: Sore axillary lymph nodes adjacent to injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Dose 2 — Moderna
2021-04-13
Survey response — day 0, dose 2
MedDRA: Menstrual disorder — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: No menstruation since first dose, not pregnant (delayed period)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Muscle spasms, Tremor — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Shaking (rigors), chest muscular spasms (non cardiac)

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: Good · Site: Pain · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain, Anal incontinence — Feeling: Poor · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Abdominal cramping and incontinence of stool x3 (lost control of bowels)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Menstruation delayed — Feeling: Good

Free text: Menstruation started yesterday, delayed by 2 months since vaccine dose 1

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Survey response — day 14, dose 2
MedDRA: Increased tendency to bruise — Feeling: Fair

Free text: Easy brusing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
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: Menstrual disorder — Feeling: Good

Free text: Weird menstruation (delayed)

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

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-13	Moderna

Free text

Release 5 — day 0, dose 1

2021-03-16

Systemic reaction (other): Bilateral sinus pain/pressure under eyes

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): Felt shaky/lightheaded

Release 7 — day 21, dose 1

2021-04-06

Symptoms: Sore axillary lymph nodes adjacent to injection site

Release 7 — day 0, dose 2

2021-04-13

Systemic reaction (other): No menstruation since first dose, not pregnant (delayed period)

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Shaking (rigors), chest muscular spasms (non cardiac)

2021-04-16

Systemic reaction (other): Abdominal cramping and incontinence of stool x3 (lost control of bowels)

2021-04-18

Systemic reaction (other): Menstruation started yesterday, delayed by 2 months since vaccine dose 1

Release 8 — day 14, dose 2

2021-04-27

Symptoms: Easy brusing

Release 8 — day 35, dose 2

2021-05-18

Symptoms: Weird menstruation (delayed)

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	Increased tendency to bruise	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Menstrual disorder	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Anal incontinence	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Intraocular pressure test	○	✓	○
SRO	Menstrual disorder	✓	✓	✓
SRO	Menstruation delayed	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Ocular discomfort	✓	·	✓
SRO	Sinus pain	✓	✓	✓
SRO	Tremor	✓	✓	✓

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