24A-24352-97112

3 vaccinations 8 coded responses 37 check-ins 8 free-text entries 3 call cases

Sex: —
Age at first dose: 21-25
ZIP prefix: 840 / UT
Registered: 2021-04-17

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

2021-04-16
Dose 1 — Moderna
2021-04-17
Registered in v-safe
2021-04-17
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain, Diarrhoea — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: I've had diarrhea and abdominal pain but I'm on my menstrual cycle and those are standard occurrences for me while on my period.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-14
Dose 2 — Moderna
2021-05-14
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Diarrhea, Abdominal pain

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Diarrhea, Abdominal pain

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Diarrhea

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-21
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-28
Survey response — day 14, dose 2
MedDRA: Diarrhoea — Feeling: Fair · Be unable to work

Free text: Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — day 21, dose 2
MedDRA: Fatigue, Headache, Illness, Nasal congestion — Feeling: Good

Free text: I think I caught some kind of sickness from my little brother: headache, exhaustion, nasal congestion. I still am able to smell and taste pretty well and I haven't had a fever as far as I'm aware though

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Survey response — day 28, dose 2
MedDRA: Abdominal pain upper, Constipation, Diarrhoea, Fatigue, Headache, Nasal congestion, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Sore throat, congestion, headache, diarrhea, constipation, stomach ache, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-13
Survey response — 3 months, dose 2
MedDRA: Abnormal menstrual clots, Headache, Office visit — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: I had horrific clotting during my menstrual cycle after the second shot, and I have been dealing with returning headaches · Healthcare visit (other): and in person appts

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-18
Call 2 — Left Voicemail
2021-11-12
Survey response — 6 months, dose 2
MedDRA: Menstrual clots — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Increased menstrual clotting

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-15
Call 2 — Left Voicemail
2022-05-10
Dose 3 — Moderna
2022-05-11
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-12
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-05-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Abdominal pain

Adult check-in
2022-05-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Diarrhea, Abdominal pain

Adult check-in
2022-05-17
Health check-in — day 7, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-05-24
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-05-31
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-06-07
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-06-14
Survey response — day 35, dose 3
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Increased fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-06-21
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-08-09
Survey response — 3 months, dose 3
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I've had an uptick of headaches

MedDRA releases: 2024-11 · check-in free text available
2022-08-09
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-10
Call 1 — Left Voicemail
2022-08-10
Call 1 — Left Voicemail
2022-08-10
Call 1 — Left Voicemail
2022-11-08
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-16	Moderna
2	2021-05-14	Moderna
3	2022-05-10	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-17

Systemic reaction (other): I've had diarrhea and abdominal pain but I'm on my menstrual cycle and those are standard occurrences for me while on my period.

Release 8 — day 14, dose 2

2021-05-28

Symptoms: Diarrhea

Release 8 — day 21, dose 2

2021-06-04

Symptoms: I think I caught some kind of sickness from my little brother: headache, exhaustion, nasal congestion. I still am able to smell and taste pretty well and I haven't had a fever as far as I'm aware though

Release 9 — day 28, dose 2

2021-06-11

Symptoms: Sore throat, congestion, headache, diarrhea, constipation, stomach ache, fatigue

Release 9 — 3 months, dose 2

2021-08-13

Symptoms: I had horrific clotting during my menstrual cycle after the second shot, and I have been dealing with returning headaches

Healthcare visit (other): and in person appts

Release 10 — 6 months, dose 2

2021-11-12

Symptoms: Increased menstrual clotting

Release 12 — day 35, dose 3

2022-06-14

Symptoms: Increased fatigue

Release 12 — 3 months, dose 3

2022-08-09

Symptoms: I've had an uptick of headaches

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	Abdominal pain upper	✓	✓	✓
SD	Abnormal menstrual clots	✓	·	✓
SD	Constipation	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Illness	✓	✓	✓
SD	Menstrual clots	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓

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