2S8-17040-03172

2 vaccinations 14 coded responses 24 check-ins 14 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 030 / NH
Registered: 2021-01-06

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-01-05
Dose 1 — Moderna
2021-01-06
Registered in v-safe
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Neck pain — Feeling: Fair · Site: Pain

Free text: Headache and neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Fatigue or tiredness, Nausea

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Nausea

Adult check-in
2021-01-11
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Health check-in — day 7, dose 1
Feeling: Fair · Headache

Adult check-in
2021-01-19
Survey response — day 14, dose 1
MedDRA: Insomnia, Tachycardia, Tachyphrenia — Feeling: Poor

Free text: Insomnia, racing thoughts and tachycardia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — day 21, dose 1
MedDRA: Dizziness, Oligomenorrhoea — Feeling: Fair

Free text: Menstrual cycle is late. Ive also had ongoing dizziness that appears to be random throughout the day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — day 28, dose 1
MedDRA: Dizziness, Tachycardia — Feeling: Fair

Free text: Dizziness and tachycardia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Dose 2 — Moderna
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Tachycardia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, 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: Tachycardia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Hot flush — Feeling: Poor · Site: Redness, Swelling, Itching · Fatigue or tiredness

Free text: Dizziness, Hot flashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Hypotension — Feeling: Poor · Site: Itching · Chills, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness, low blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Fatigue or tiredness

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations — Feeling: Poor · Site: Itching · Fatigue or tiredness

Free text: Heart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — day 7, dose 2
MedDRA: Dry mouth — Feeling: Fair · Chills, Fatigue or tiredness

Free text: Dry mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 14, dose 2
MedDRA: Dizziness, Dry mouth, Dyspnoea, Nausea, Rhinitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shortness of breath, rhinitis, dry mouth, nausea, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-04
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-06
Survey response — 3 months, dose 2
MedDRA: Bone pain, Dry mouth, Paraesthesia oral — Feeling: Poor · Be unable to do your normal daily activities

Free text: Severe bone pain in both hips.Severe dry mouthSevere tongue tingling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-05
Survey response — 6 months, dose 2
MedDRA: Pancreatic failure, Paraesthesia oral, Tongue discomfort — Feeling: Fair · Be unable to do your normal daily activities

Free text: Burning tingling sensation on my tongue and developed pancreatic insufficiency since two weeks after my second shot :(

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-04
Survey response — 12 months, dose 2
MedDRA: Paraesthesia oral — Feeling: Fair

Free text: Tingling on end of tongue

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-04	Moderna

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-06

Systemic reaction (other): Headache and neck pain

2021-01-11

Systemic reaction (other): Sore throat

Release 2 — day 14, dose 1

2021-01-19

Symptoms: Insomnia, racing thoughts and tachycardia

Release 2 — day 21, dose 1

2021-01-26

Symptoms: Menstrual cycle is late. Ive also had ongoing dizziness that appears to be random throughout the day

Release 3 — day 28, dose 1

2021-02-02

Symptoms: Dizziness and tachycardia

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Tachycardia

2021-02-06

Systemic reaction (other): Dizziness, Hot flashes

2021-02-08

Systemic reaction (other): Dizziness, low blood pressure

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Heart palpitations

Release 4 — day 7, dose 2

2021-02-11

Systemic reaction (other): Dry mouth

Release 4 — day 14, dose 2

2021-02-18

Symptoms: Shortness of breath, rhinitis, dry mouth, nausea, dizziness

Release 8 — 3 months, dose 2

2021-05-06

Symptoms: Severe bone pain in both hips.Severe dry mouthSevere tongue tingling

Release 9 — 6 months, dose 2

2021-08-05

Symptoms: Burning tingling sensation on my tongue and developed pancreatic insufficiency since two weeks after my second shot :(

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: Tingling on end of tongue

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	Bone pain	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dry mouth	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oligomenorrhoea	✓	✓	✓
SD	Pancreatic failure	✓	·	✓
SD	Paraesthesia oral	✓	✓	✓
SD	Rhinitis	✓	✓	✓
SD	Tachycardia	✓	✓	✓
SD	Tachyphrenia	✓	✓	✓
SD	Tongue discomfort	✓	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Hypotension	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Tachycardia	✓	✓	✓

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