2PC-20136-15737

4 vaccinations 12 coded responses 37 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 341 / FL
Registered: 2021-04-07

Relationship: Self
Race: Black or African American
Ethnicity: N/A

Timeline

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

2021-04-07
Registered in v-safe
2021-04-07
Dose 1 — Moderna
2021-04-07
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia — Feeling: Poor · Site: Pain, Swelling · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: About a hour after my first injection I had a strange taste in my mouth. The only thing I can compare it to is when they push saline through a newly placed IV in the hospital. Lasted for about three hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Underarm has swollen lymph nodes but its the same arm of the injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Still small amount of swelling in the lymph nodes under the arm in which I was injected. And small purple pimples are my upper thigh. Unsure if the purple pimples are related in anyway

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 7, dose 1
Feeling: Fair · Diarrhea

Adult check-in
2021-04-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-05
Dose 2 — Moderna
2021-05-05
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Fair

Free text: Just received the shot not even a hour ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Heart palpitations and mild chest pain. Also feeling very dizzy like I cant stand for more than 10 minutes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Headache

Adult check-in
2021-05-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-04
Survey response — day 28, dose 2
MedDRA: Dysmenorrhoea, Fatigue — Feeling: Fair

Free text: Intensified symptoms ( fatigue and cramping) of my regular period cycle.

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

Adult check-in
2021-06-16
Survey response — day 42, dose 2
MedDRA: Dyspepsia — Feeling: Fair

Free text: Random onset of severe heartburn

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-04
Survey response — 3 months, dose 2
MedDRA: Haemorrhagic ovarian cyst, Lymphadenopathy — Feeling: Good · Be unable to do your normal daily activities

Free text: Swollen lymph nodes under both arms ( armpit area) and a ovarian hemorrhagic cyst.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-03
Survey response — 6 months, dose 2
MedDRA: Dry eye, Fatigue — Feeling: Good

Free text: Dry eye and random fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Dose 3 — Moderna
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · Headache

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Itching · None

Adult check-in
2021-12-03
Health check-in — day 7, dose 3
Feeling: Fair · Site: Redness · None

Adult check-in
2021-12-10
Survey response — day 14, dose 3
MedDRA: Influenza like illness — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Flu like symptoms

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-27
Survey response — 3 months, dose 3
MedDRA: Functional gastrointestinal disorder — Feeling: Good · Be unable to do your normal daily activities

Free text: Intestinal issues that I don't think has anything to do with the vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-05-29
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-21
Dose 4 — Moderna
Co-administered: Flu
2022-09-22
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-09-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2023-03-22
Survey response — 6 months, dose 4
MedDRA: Autoimmune disorder, Fibromyalgia, Office visit — 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

MedDRA releases: 2024-11
2023-03-22
Report sent to call center — 6 months, dose 4
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)
2023-03-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Moderna
2	2021-05-05	Moderna
3	2021-11-26	Moderna	No
4	2022-09-21	Moderna	Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): About a hour after my first injection I had a strange taste in my mouth. The only thing I can compare it to is when they push saline through a newly placed IV in the hospital. Lasted for about three hours

2021-04-11

Systemic reaction (other): Underarm has swollen lymph nodes but its the same arm of the injection

2021-04-13

Systemic reaction (other): Still small amount of swelling in the lymph nodes under the arm in which I was injected. And small purple pimples are my upper thigh. Unsure if the purple pimples are related in anyway

Release 8 — day 0, dose 2

2021-05-05

Systemic reaction (other): Just received the shot not even a hour ago

Release 8 — days 1–6 daily, dose 2

2021-05-06

Systemic reaction (other): Heart palpitations and mild chest pain. Also feeling very dizzy like I cant stand for more than 10 minutes

Release 8 — day 28, dose 2

2021-06-04

Symptoms: Intensified symptoms ( fatigue and cramping) of my regular period cycle.

Release 9 — day 42, dose 2

2021-06-16

Symptoms: Random onset of severe heartburn

Release 9 — 3 months, dose 2

2021-08-04

Symptoms: Swollen lymph nodes under both arms ( armpit area) and a ovarian hemorrhagic cyst.

Release 10 — 6 months, dose 2

2021-11-03

Symptoms: Dry eye and random fatigue

Release 10 — day 14, dose 3

2021-12-10

Symptoms: Flu like symptoms

Release 11 — 3 months, dose 3

2022-02-27

Symptoms: Intestinal issues that I don't think has anything to do with the 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	Autoimmune disorder	·	·	✓
SD	Dry eye	·	·	✓
SD	Dysmenorrhoea	✓	✓	✓
SD	Dyspepsia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Fibromyalgia	·	·	✓
SD	Functional gastrointestinal disorder	·	·	✓
SD	Haemorrhagic ovarian cyst	✓	·	✓
SD	Influenza like illness	·	·	✓
SD	Lymphadenopathy	✓	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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