2LR-27650-23489

2 vaccinations 10 coded responses 15 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 930 / CA
Registered: 2021-05-09

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

2021-05-06
Dose 1 — Moderna
2021-05-09
Registered in v-safe
2021-05-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dry eye, Eye pruritus, Hypersensitivity, Respiratory tract congestion, Visual impairment — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Allergy symptoms such as runny nose and congestion and itchy dry eyes. Vision problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Dyspnoea — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Shortness of breath and dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-13
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-20
Survey response — day 14, dose 1
MedDRA: Arthralgia, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: Elbow pain arm cramping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — day 21, dose 1
MedDRA: Hypoacusis, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ringing in right ear, distorted hearing in Right ear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-03
Dose 2 — Moderna
2021-06-04
Survey response — days 1–6 daily, dose 2
MedDRA: Malaise — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: I feel out of it and sedated almost

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Fatigue, Mood altered, Visual impairment — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Extremely fatigued and moody, dizzy, vision problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-06-10
Survey response — day 7, dose 2
MedDRA: Abdominal distension, Anxiety, Coordination abnormal, Dry eye, Ear pruritus, Eructation, Memory impairment, Oropharyngeal pain, Pallor, Rhinorrhoea, Tinnitus — Feeling: Poor · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Lack of coordination, slow memory, ear itch and tinnitus, stomach bloating and belching, extreme anxiety, sore throat, runny nose, dry eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-07-02
Survey response — day 28, dose 2
MedDRA: Ear disorder, Heavy menstrual bleeding, Hypoacusis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Very heavy periods not sure if it's related, but I didn't have them like this until after I was vaccinated. My ears and hearing have been weird since then too but otherwise I'm fine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-09-02
Survey response — 3 months, dose 2
MedDRA: Cough, Dry eye, Fatigue, Headache, Rhinorrhoea, Vision blurred — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, 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: Cough headaches fatigue runny nose dry eyes blurry vision

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-09-07
Call 1 — Left Voicemail
2021-12-05
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Hypoaesthesia, Memory impairment, Paraesthesia, Poor peripheral circulation, Pre-existing disease — Feeling: Good · Be unable to work or attend school, 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 feel like my memory has been a lot worse since vaccination and I've also have circulation problems in my hands and feet like numbness and tingling and carpal tunnel has been flared up, not sure if it's related or not but I'm disclosing symptoms FYI

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-06	Moderna
2	2021-06-03	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-09

Systemic reaction (other): Allergy symptoms such as runny nose and congestion and itchy dry eyes. Vision problems

2021-05-10

Systemic reaction (other): Shortness of breath and dizziness

Release 8 — day 14, dose 1

2021-05-20

Symptoms: Elbow pain arm cramping

Release 8 — day 21, dose 1

2021-05-27

Symptoms: Ringing in right ear, distorted hearing in Right ear

Release 8 — days 1–6 daily, dose 2

2021-06-04

Systemic reaction (other): I feel out of it and sedated almost

2021-06-06

Systemic reaction (other): Extremely fatigued and moody, dizzy, vision problems

Release 9 — day 7, dose 2

2021-06-10

Systemic reaction (other): Lack of coordination, slow memory, ear itch and tinnitus, stomach bloating and belching, extreme anxiety, sore throat, runny nose, dry eyes

Release 9 — day 28, dose 2

2021-07-02

Symptoms: Very heavy periods not sure if it's related, but I didn't have them like this until after I was vaccinated. My ears and hearing have been weird since then too but otherwise I'm fine.

Release 9 — 3 months, dose 2

2021-09-02

Symptoms: Cough headaches fatigue runny nose dry eyes blurry vision

Release 10 — 6 months, dose 2

2021-12-05

Symptoms: I feel like my memory has been a lot worse since vaccination and I've also have circulation problems in my hands and feet like numbness and tingling and carpal tunnel has been flared up, not sure if it's related or not but I'm disclosing symptoms FYI cut off by CDC

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	Condition aggravated	·	·	✓
SD	Cough	✓	·	✓
SD	Dry eye	✓	·	✓
SD	Ear disorder	✓	✓	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	·	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Hypoacusis	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Memory impairment	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Paraesthesia	·	·	✓
SD	Poor peripheral circulation	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	✓	·	✓
SD	Tinnitus	✓	✓	✓
SD	Vision blurred	✓	·	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Coordination abnormal	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dry eye	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Ear pruritus	✓	✓	✓
SRO	Eructation	✓	·	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Memory impairment	✓	✓	✓
SRO	Mood altered	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pallor	○	✓	○
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Visual impairment	✓	✓	✓

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