35G-35666-95222

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 16-20
ZIP prefix: 895 / NV
Registered: 2021-04-01

Relationship: Self
Race: White
Ethnicity: 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

2021-03-31
Dose 1 — Moderna
2021-04-01
Registered in v-safe
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Sore throat (swollen lymph nodes)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Bronchiolitis, COVID-19, Pain, Pre-existing disease, Rheumatic disorder — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Sudden piercing pains have been happening since Day 0. I also recovered from covid in January of this year, so i think that's why my immune response has been so strong. Underlying condition: rheumatoid bronchialitis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Sensation of foreign body — Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: About 1/3 of the time, when I swallow I can feel a lump in my throat. Swollen lymph node?

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

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-16
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-21
Survey response — day 21, dose 1
MedDRA: Premenstrual pain — Feeling: Poor

Free text: Abnormally strong premenstrual cramps a week before my period is due

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Dose 2 — Moderna
2021-04-28
Survey response — day 0, dose 2
MedDRA: Vision blurred — Feeling: Fair · 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: Blurry vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, 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
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · 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
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-05-05
Health check-in — day 7, dose 2
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
2021-05-14
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-19
Survey response — day 21, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-04
Survey response — day 35, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-30
Survey response — 3 months, dose 2
MedDRA: Dysmenorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain on ovulation has been happening since first dose of the vaccine (~14 days before the start of the next menstrual cycle).

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-27
Survey response — 6 months, dose 2
MedDRA: Abdominal discomfort, Arthralgia, Joint stiffness, Ovulation pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint stiffness/joint pain. Pain on ovulation. Upset stomach.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Moderna
2	2021-04-28	Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Sore throat (swollen lymph nodes)

2021-04-02

Systemic reaction (other): Sudden piercing pains have been happening since Day 0. I also recovered from covid in January of this year, so i think that's why my immune response has been so strong. Underlying condition: rheumatoid bronchialitis.

2021-04-04

Systemic reaction (other): About 1/3 of the time, when I swallow I can feel a lump in my throat. Swollen lymph node?

Release 7 — day 21, dose 1

2021-04-21

Symptoms: Abnormally strong premenstrual cramps a week before my period is due

Release 8 — day 0, dose 2

2021-04-28

Systemic reaction (other): Blurry vision

Release 8 — day 21, dose 2

2021-05-19

Symptoms: Shortness of breath

Release 8 — day 35, dose 2

2021-06-04

Symptoms: Fatigue

Release 9 — 3 months, dose 2

2021-07-30

Symptoms: Pain on ovulation has been happening since first dose of the vaccine (~14 days before the start of the next menstrual cycle).

Release 10 — 6 months, dose 2

2021-10-27

Symptoms: Joint stiffness/joint pain. Pain on ovulation. Upset stomach.

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 discomfort	·	·	✓
SD	Arthralgia	·	·	✓
SD	Dysmenorrhoea	✓	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Joint stiffness	·	·	✓
SD	Ovulation pain	·	·	✓
SD	Premenstrual pain	✓	✓	✓
SRO	Bronchiolitis	○	✓	○
SRO	COVID-19	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	·	✓
SRO	Rheumatic disorder	○	✓	○
SRO	Sensation of foreign body	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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