393-21333-99064

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 185 / PA
Registered: 2021-03-13

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

Timeline

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

2021-03-11
Dose 1 — Moderna
2021-03-13
Registered in v-safe
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Disturbance in attention, Ocular hyperaemia — Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness, Nausea

Free text: Left eye had turned red and difficulty focusing on things in distance.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Conjunctivitis, Eyelid ptosis — Feeling: Poor · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Unilateral conjunctivitis with ptosis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Conjunctivitis, Epistaxis, Eyelid ptosis — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Free text: Nose bleeds started last night around 11pm and have had 3 total since then. Left eye still has conjunctivitis and ptosis, but started meds for that today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Respiratory tract congestion — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tested positive for COVID through my campus's random testing (test 3/15; results received 3/17)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-08
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Survey response — day 21, dose 2
MedDRA: Epistaxis — Feeling: Good

Free text: Daily nosebleeds that I had begun following my first dose have still been occurring, but are no longer just in the morning. I now have them late at night too.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 28, dose 2
MedDRA: Myalgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Unexplained muscle pain, particularly in my legs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-13
Survey response — day 35, dose 2
MedDRA: Arthropathy, Condition aggravated, Joint manipulation, Pre-existing disease — Feeling: Good

Free text: Joints have been bothering me a heck of a lot lately. Experiencing a lot of accidental self joint manipulation in my back and neck. My TMJ dysfunction has progressed to the point that i can't open my mouth more than 3mm without the disc slipping.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-07
Survey response — 6 months, dose 2
MedDRA: Arthropathy, Neck pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Progressive, insidious severe neck pain with grinding in the AAJ

MedDRA releases: 2024-11 · check-in free text available
2022-03-03
Call 1 — Left Voicemail
2022-04-09
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): Left eye had turned red and difficulty focusing on things in distance.

2021-03-14

Systemic reaction (other): Unilateral conjunctivitis with ptosis

2021-03-15

Systemic reaction (other): Nose bleeds started last night around 11pm and have had 3 total since then. Left eye still has conjunctivitis and ptosis, but started meds for that today.

2021-03-16

Systemic reaction (other): Congestion

2021-03-17

Systemic reaction (other): Tested positive for COVID through my campus's random testing (test 3/15; results received 3/17)

Release 8 — day 21, dose 2

2021-04-29

Symptoms: Daily nosebleeds that I had begun following my first dose have still been occurring, but are no longer just in the morning. I now have them late at night too.

Release 8 — day 28, dose 2

2021-05-06

Symptoms: Unexplained muscle pain, particularly in my legs.

Release 8 — day 35, dose 2

2021-05-13

Symptoms: Joints have been bothering me a heck of a lot lately. Experiencing a lot of accidental self joint manipulation in my back and neck. My TMJ dysfunction has progressed to the point that i can't open my mouth more than 3mm without the disc slipping.

Release 10 — 6 months, dose 2

2021-10-07

Symptoms: Progressive, insidious severe neck pain with grinding in the AAJ

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	Arthropathy	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Epistaxis	✓	✓	✓
SD	Joint manipulation	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Conjunctivitis	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Epistaxis	✓	✓	✓
SRO	Eyelid ptosis	✓	✓	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	SARS-CoV-2 test positive	✓	✓	✓

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