325-23899-56675

1 vaccination 7 coded responses 10 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 906 / CA
Registered: 2021-03-02

Relationship: Self
Race: N/A
Ethnicity: Hispanic or Latino

Timeline

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

2021-02-26
Dose 1 — Moderna
2021-03-02
Registered in v-safe
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Disturbance in attention, Dry throat, Dysphagia, Fatigue, Feeling hot — Feeling: Poor · Site: Pain, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Feel very weak. Can't focus very well. Exhausted after doing simple activities. Throat is dry hard to swallow.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Dry throat, Epistaxis, Secretion discharge — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Forgot to report yesterday morning and this morning woke up with bloody nose and mucus. Also my throat has been extremely dry every day and feels like something is pushing it closed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 7, dose 1
MedDRA: Disturbance in attention, Dry throat, Epistaxis, Throat tightness, Unevaluable event — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Nose bleed at night and middle of day. Pressure and dryness in my throat. Trouble concentrating. · Healthcare visit (other): Went in to get blood work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — day 7, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Survey response — day 14, dose 1
MedDRA: Abdominal pain, Abdominal pain upper, Constipation, Dizziness, Headache, Nausea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Stomach pain, naseaua, especially after eating, unable to pass stool. Headache. Dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-21
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-26
Health check-in — day 28, dose 1
Feeling: Poor

Adult check-in
2021-04-02
Survey response — day 35, dose 1
MedDRA: Bladder pain, Blood urine present, Headache, Micturition urgency — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Pain in bladder. Visible blood when I pee. Urgency. Headache top of my head.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 35, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-28
Survey response — 3 months, dose 1
MedDRA: Joint swelling — Feeling: Fair · 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: Swelling ankles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Report sent to call center — 3 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-14
Call 1 — Requested Callback
2021-06-17
Call 2 — Left Voicemail
2021-08-27
Survey response — 6 months, dose 1
MedDRA: Chest pain, Kidney infection, Nephrolithiasis — 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, Emergency room or emergency department visit

Free text: Chest pain water on the car kidney infection kidney stones

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Report sent to call center — 6 months, dose 1
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)
2021-08-30
Call 1 — Could Not Reach Participant
2021-09-02
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-02

Systemic reaction (other): Feel very weak. Can't focus very well. Exhausted after doing simple activities. Throat is dry hard to swallow.

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Forgot to report yesterday morning and this morning woke up with bloody nose and mucus. Also my throat has been extremely dry every day and feels like something is pushing it closed.

Release 5 — day 7, dose 1

2021-03-05

Systemic reaction (other): Nose bleed at night and middle of day. Pressure and dryness in my throat. Trouble concentrating.

Healthcare visit (other): Went in to get blood work

Release 5 — day 14, dose 1

2021-03-12

Symptoms: Stomach pain, naseaua, especially after eating, unable to pass stool. Headache. Dizziness.

Release 6 — day 35, dose 1

2021-04-02

Symptoms: Pain in bladder. Visible blood when I pee. Urgency. Headache top of my head.

Release 8 — 3 months, dose 1

2021-05-28

Symptoms: Swelling ankles

Release 9 — 6 months, dose 1

2021-08-27

Symptoms: Chest pain water on the car kidney infection kidney stones

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	Unevaluable event	✓	✓	✓
SD	Abdominal pain	✓	·	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Bladder pain	✓	✓	✓
SD	Blood urine present	✓	✓	✓
SD	Chest pain	✓	·	✓
SD	Constipation	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Kidney infection	✓	·	✓
SD	Micturition urgency	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Nephrolithiasis	✓	·	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Dry throat	✓	✓	✓
SRO	Dysphagia	✓	✓	✓
SRO	Epistaxis	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Secretion discharge	✓	✓	✓
SRO	Throat tightness	✓	✓	✓

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