243-21575-63343

3 vaccinations 16 coded responses 32 check-ins 15 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 484 / MI
Registered: 2021-04-14

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

Timeline

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

2021-04-13
Dose 1 — Moderna
2021-04-14
Registered in v-safe
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Dysphagia, Dyspnoea, Immediate post-injection reaction — Feeling: Good · Site: Pain, Swelling · Nausea

Free text: Within 10 minutes following injection and lasting roughly 4 hours. Strange little air bubbles with slight breathing/swallowing issue.

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 · None

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Neck pain — Feeling: Good · Fatigue or tiredness

Free text: Random mild neck & chest pains late yesterday evening.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness

Free text: Temporary Light headedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 1
MedDRA: Amenorrhoea, Menstruation irregular — Feeling: Good

Free text: I received my 1st shot last tuesday evening. That afternoon, I started my cycle. After receiving the shot, my cycle stopped completely. I am not prone to irregular periods. I am typically every 26 to 28 days consistently.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-27
Survey response — day 14, dose 1
MedDRA: Asthenia, Dizziness, Impaired work ability, Pain, Self-medication, Vision blurred — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: 6 days after 1st shot, sitting on couch, became very dizzy. Eyes difficult to focus. Most activity left side of head. Took about 1 hour to recover. Took asprin. Following day, again for a few seconds. Days 10/11, aches, weakness, loss of work.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — day 28, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: Many brief lightheaded episodes during the day.Because I work from home, I don't have to work about this happening while driving unless I run errands.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Dose 2 — Moderna
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-20
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Myalgia — Feeling: Good · Fatigue or tiredness, Abdominal pain

Free text: After the 2nd shot, 3 days of severe muscle aches and pain. Yesterday mild headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Abdominal pain

Adult check-in
2021-05-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-05
Survey response — day 21, dose 2
MedDRA: Fatigue, Mental fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Feeling drained and tire easily

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Survey response — day 28, dose 2
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: I have been consistently drained

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Survey response — day 35, dose 2
MedDRA: Vitamin B12 decreased — Feeling: Good · Be unable to do your normal daily activities

Free text: Low b12 I was able to balance out with daily supplements

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-13
Survey response — 6 months, dose 2
MedDRA: Breast mass, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Breast lumps · Healthcare visit (other): Doctor visit, scheduled hospital testing to diagnose

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-15
Call 1 — Left Voicemail
2022-05-13
Dose 3 — Moderna
2022-05-13
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2022-05-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-18
Survey response — days 1–6 daily, dose 3
MedDRA: Electrolyte depletion, Mineral deficiency — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Abdominal pain

Free text: All 3 Moderna shots I've received have caused electrolyte/trace mineral depletion for days/weeks afterwards.. Pedialyte Advanced Care reverses the symptoms quickly.

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-05-27
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-06-12
Survey response — day 28, dose 3
MedDRA: Electrolyte depletion, Mineral deficiency, Muscle fatigue, Reaction to previous exposure to any vaccine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Since a year ago May after receiving my 1st dose of Maderna, I have experienced continuous muscle fatigue, electrolyte & mineral depletion. The symptoms increase with every dose of vaccine. They never go away completely. I must work & push thru.Bills

MedDRA releases: 2024-11 · check-in free text available
2022-06-17
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-06-26
Survey response — day 42, dose 3
MedDRA: Electrolyte depletion, Mineral deficiency, Muscle fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme muscle fatigue. Trace mineral/electrolyte depletion.

MedDRA releases: 2024-11 · check-in free text available
2022-08-12
Survey response — 3 months, dose 3
MedDRA: Breast mass, Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Breast lump again. Same place as last time after previous vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-11-13
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-05-13
Survey response — 12 months, dose 3
MedDRA: Muscle fatigue — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-13	Moderna
2	2021-05-15	Moderna
3	2022-05-13	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-14

Systemic reaction (other): Within 10 minutes following injection and lasting roughly 4 hours. Strange little air bubbles with slight breathing/swallowing issue.

2021-04-16

Systemic reaction (other): Random mild neck & chest pains late yesterday evening.

2021-04-18

Systemic reaction (other): Temporary Light headedness

2021-04-19

Systemic reaction (other): I received my 1st shot last tuesday evening. That afternoon, I started my cycle. After receiving the shot, my cycle stopped completely. I am not prone to irregular periods. I am typically every 26 to 28 days consistently.

Release 8 — day 14, dose 1

2021-04-27

Symptoms: 6 days after 1st shot, sitting on couch, became very dizzy. Eyes difficult to focus. Most activity left side of head. Took about 1 hour to recover. Took asprin. Following day, again for a few seconds. Days 10/11, aches, weakness, loss of work.

Release 8 — day 28, dose 1

2021-05-11

Symptoms: Many brief lightheaded episodes during the day.Because I work from home, I don't have to work about this happening while driving unless I run errands.

Release 8 — days 1–6 daily, dose 2

2021-05-20

Systemic reaction (other): After the 2nd shot, 3 days of severe muscle aches and pain. Yesterday mild headache.

Release 8 — day 21, dose 2

2021-06-05

Symptoms: Feeling drained and tire easily

Release 9 — day 28, dose 2

2021-06-12

Symptoms: I have been consistently drained

Release 9 — day 35, dose 2

2021-06-20

Symptoms: Low b12 I was able to balance out with daily supplements

Release 10 — 6 months, dose 2

2021-11-13

Symptoms: Breast lumps

Healthcare visit (other): Doctor visit, scheduled hospital testing to diagnose

Release 11 — days 1–6 daily, dose 3

2022-05-18

Systemic reaction (other): All 3 Moderna shots I've received have caused electrolyte/trace mineral depletion for days/weeks afterwards.. Pedialyte Advanced Care reverses the symptoms quickly.

Release 12 — day 28, dose 3

2022-06-12

Symptoms: Since a year ago May after receiving my 1st dose of Maderna, I have experienced continuous muscle fatigue, electrolyte & mineral depletion. The symptoms increase with every dose of vaccine. They never go away completely. I must work & push thru.Bills cut off by CDC

Release 12 — day 42, dose 3

2022-06-26

Symptoms: Extreme muscle fatigue. Trace mineral/electrolyte depletion.

Release 12 — 3 months, dose 3

2022-08-12

Symptoms: Breast lump again. Same place as last time after previous vaccine.

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
HCVO	Office visit	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Breast mass	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Electrolyte depletion	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Mental fatigue	✓	✓	✓
SD	Mineral deficiency	·	·	✓
SD	Muscle fatigue	·	·	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SD	Vitamin B12 decreased	✓	✓	✓
SRO	Amenorrhoea	·	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysphagia	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Electrolyte depletion	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Menstruation irregular	✓	✓	○
SRO	Mineral deficiency	·	·	✓
SRO	Myalgia	✓	✓	✓
SRO	Neck pain	✓	✓	✓

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