33A-20689-29179

3 vaccinations 13 coded responses 30 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 939 / CA
Registered: 2021-03-10

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

2021-03-05
Dose 1 — Moderna
2021-03-10
Registered in v-safe
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain, Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Nausea

Free text: Very achy injection arm from my neck to my wrist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-12
Health check-in — day 7, dose 1
Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-19
Survey response — day 14, dose 1
MedDRA: Abdominal distension, Constipation, Menstruation delayed — Feeling: Fair

Free text: I experienced constipation and now bloating. I have also missed my period which is not typical nor am I pregnant.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 21, dose 1
MedDRA: Menstruation delayed — Feeling: Good

Free text: My period was 1 week late and that is very u usual for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Dose 2 — Moderna
2021-04-02
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Dysuria, Ear pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, 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: Hurts to pee; slight earache

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Nausea

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site mass — Feeling: Fair · Site: Pain, Itching · Headache · Be unable to do your normal daily activities

Free text: Theres a lump in my arm about 6 from the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Arrhythmia — Feeling: Poor · Site: Itching · Headache · Be unable to do your normal daily activities

Free text: Had heart rythym issues during the night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site mass — Feeling: Good · Site: Itching · Headache

Free text: Still have a small lump Under the skin about 6" down from injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-03
Survey response — 3 months, dose 2
MedDRA: Dizziness, Ear discomfort, Eye haemorrhage, Tinnitus — Feeling: Good · Be unable to work or attend school

Free text: I get an odd plugging in my ears and then a buzzing in my head with some dizziness. Also I keep having blood vessels burst in my eyes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2022-01-28
Dose 3 — Moderna
2022-01-31
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Oedema peripheral — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Underarm pain/swelling

MedDRA releases: 2024-11 · check-in free text available
2022-02-01
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Oedema peripheral — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Underarm soreness and swelling

MedDRA releases: 2024-11 · check-in free text available
2022-02-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-02-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Adult check-in
2022-02-04
Health check-in — day 7, dose 3
Feeling: Fair · Headache

Adult check-in
2022-02-11
Survey response — day 14, dose 3
MedDRA: Headache, Muscle fatigue, Muscle spasms — Feeling: Good · Be unable to do your normal daily activities

Free text: Beginning day 6 post booster was having muscle fatigue in arms and legs. Was not from exercise or strenuous activity. Seems to have resolved after 3 days. Also severe headaches that lasted 10 days post booster w/neck spasms day 7/8/9.

MedDRA releases: 2024-11 · check-in free text available
2022-02-19
Survey response — day 21, dose 3
MedDRA: Dizziness, Tinnitus — Feeling: Fair · Be unable to work or attend school

Free text: Dizziness and ringing in ears

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-03-05
Survey response — day 35, dose 3
MedDRA: Dizziness, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still more dizziness and ringing/buzzing in ears

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-30
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-02	Moderna
3	2022-01-28	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-10

Systemic reaction (other): Very achy injection arm from my neck to my wrist

Release 5 — day 14, dose 1

2021-03-19

Symptoms: I experienced constipation and now bloating. I have also missed my period which is not typical nor am I pregnant.

Release 6 — day 21, dose 1

2021-03-26

Symptoms: My period was 1 week late and that is very u usual for me.

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): Hurts to pee; slight earache

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Theres a lump in my arm about 6 from the injection site

2021-04-07

Systemic reaction (other): Had heart rythym issues during the night

2021-04-08

Systemic reaction (other): Still have a small lump Under the skin about 6" down from injection site

Release 9 — 3 months, dose 2

2021-07-03

Symptoms: I get an odd plugging in my ears and then a buzzing in my head with some dizziness. Also I keep having blood vessels burst in my eyes.

Release 11 — days 1–6 daily, dose 3

2022-01-31

Systemic reaction (other): Underarm pain/swelling

2022-02-01

Systemic reaction (other): Underarm soreness and swelling

Release 11 — day 14, dose 3

2022-02-11

Symptoms: Beginning day 6 post booster was having muscle fatigue in arms and legs. Was not from exercise or strenuous activity. Seems to have resolved after 3 days. Also severe headaches that lasted 10 days post booster w/neck spasms day 7/8/9.

Release 11 — day 21, dose 3

2022-02-19

Symptoms: Dizziness and ringing in ears

Release 11 — day 35, dose 3

2022-03-05

Symptoms: Still more dizziness and ringing/buzzing in ears

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	Abdominal distension	✓	✓	✓
SD	Constipation	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Ear discomfort	✓	✓	✓
SD	Eye haemorrhage	✓	✓	✓
SD	Headache	·	·	✓
SD	Menstruation delayed	✓	✓	✓
SD	Muscle fatigue	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Tinnitus	✓	✓	✓
SRO	Arrhythmia	✓	✓	✓
SRO	Axillary pain	·	·	✓
SRO	Dysuria	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Injection site mass	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oedema peripheral	·	·	✓
SRO	Pain in extremity	✓	✓	✓

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