2JL-11581-36666

3 vaccinations 10 coded responses 24 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 068 / CT
Registered: 2021-04-20

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

Registered dependents

56N-25962-20557 Other · Male · 2022-04-20

Timeline

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

2021-03-22
Dose 1 — Moderna
2021-04-19
Dose 2 — Moderna
2021-04-20
Registered in v-safe
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Good

Free text: Slight headache in afternoon

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Headache — Feeling: Fair · Headache, Fatigue or tiredness

Free text: A little tired and slight headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Pain in extremity — Feeling: Good

Free text: My right hand around my thumb area has been hurting like joint pain. All other symptoms that I had prior days are gone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Good

Free text: Feeling good today. No more joint pain or other symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Feeling good today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 7, dose 2
MedDRA: Headache, Tinnitus — Feeling: Fair · Headache

Free text: Headache last night and today also some tinnitus not sure if its connected to the vaccine or something else

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-24
Survey response — day 35, dose 2
MedDRA: Heavy menstrual bleeding — Feeling: Good

Free text: Feel good, but noticed a heavy period this month. I have been reading in the news how some other women were having a heavier period after getting vaccinated. Unsure if it is related to the vaccine or not.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-12
Dose 3 — Moderna
2022-04-19
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-19
Survey response — day 7, dose 3
MedDRA: Pain in jaw — Feeling: Good

Free text: Jaw soreness on right side but do not think it is connected to the vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-05-03
Survey response — day 21, dose 3
MedDRA: Headache, Jaw disorder, Office visit, Pre-existing disease, Temporomandibular pain and dysfunction syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I've been having some headaches and TMJ (on and off jaw issues) these may be related to spring allergies and hormonal/peri- menopausal issues also. Otherwise I feel ok. · Healthcare visit (other): I had a dental appointment and he checked my jaw issues.

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-04
Call 2 — Left Voicemail
2022-05-10
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-07-12
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-10-11
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-04-12
Survey response — 12 months, dose 3
MedDRA: Emergency care, Menopause, Palpitations, Ventricular extrasystoles — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-04-12
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2023-04-13
Call 1 — Left Voicemail
2023-04-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Moderna
2	2021-04-19	Moderna
3	2022-04-12	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): Slight headache in afternoon

2021-04-21

Systemic reaction (other): A little tired and slight headache

2021-04-23

Systemic reaction (other): My right hand around my thumb area has been hurting like joint pain. All other symptoms that I had prior days are gone.

2021-04-24

Systemic reaction (other): Feeling good today. No more joint pain or other symptoms

2021-04-25

Systemic reaction (other): Feeling good today

Release 8 — day 7, dose 2

2021-04-26

Systemic reaction (other): Headache last night and today also some tinnitus not sure if its connected to the vaccine or something else

Release 8 — day 35, dose 2

2021-05-24

Symptoms: Feel good, but noticed a heavy period this month. I have been reading in the news how some other women were having a heavier period after getting vaccinated. Unsure if it is related to the vaccine or not.

Release 11 — day 7, dose 3

2022-04-19

Systemic reaction (other): Jaw soreness on right side but do not think it is connected to the vaccine.

Release 11 — day 21, dose 3

2022-05-03

Symptoms: I've been having some headaches and TMJ (on and off jaw issues) these may be related to spring allergies and hormonal/peri- menopausal issues also. Otherwise I feel ok.

Healthcare visit (other): I had a dental appointment and he checked my jaw issues.

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	Emergency care	·	·	✓
HCVO	Jaw disorder	·	·	✓
HCVO	Office visit	·	·	✓
SD	Headache	·	·	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Menopause	·	·	✓
SD	Palpitations	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Temporomandibular pain and dysfunction syndrome	·	·	✓
SD	Ventricular extrasystoles	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Pain in extremity	✓	✓	○
SRO	Pain in jaw	·	·	✓
SRO	Tinnitus	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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