3C5-17274-57812

2 vaccinations 7 coded responses 16 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 908 / CA
Registered: 2021-04-26

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-03-30
Dose 1 — Moderna
2021-04-26
Registered in v-safe
2021-04-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-27
Dose 2 — Moderna
2021-04-27
Health check-in — day 0, dose 2
Feeling: Good · Site: Itching · Joint pains, Diarrhea

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dry mouth — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Very dry mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Dry mouth, Muscle spasms — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Dry mouth, random area muscle cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Dry mouth, Dyspnoea, Muscle spasms, Thirst — Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches, Diarrhea

Free text: Dry mouth thirsty, right side ribs muscle cramps and random sharp stitches on same right side rib today. Last evening around 7pm the spasm on that same right side rib was crushing making it hard to breathe after 10 minutes of stretching, the cramp did not return.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-04
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-05-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-25
Survey response — day 28, dose 2
MedDRA: Asthenia, Cyst, Fatigue, Somnolence — Feeling: Good

Free text: I have developed mucous cysts near fingernails and lower gum line. Lacking energy feeling tired and napping mid-day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-27
Survey response — 3 months, dose 2
MedDRA: Cyst removal, Diverticulitis, Fatigue, Jaw operation, Odontogenic cyst — Feeling: Fair · Be unable to work or attend school, 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: Had mandibular surgery on 6/21/21 to extract a non-cancerous cyst odontogenic keratocyst destroyed some bone. On 7/8/21, I had a bout with diverticulitis. On 7/14/21 I had a mucus cyst removed from my right ring finger. Im very tired.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-27
Report sent to call center — 3 months, dose 2
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)
2021-08-05
Call 1 — Left Voicemail
2021-10-28
Survey response — 6 months, dose 2
MedDRA: Cyst removal, Myxoid cyst, Odontogenic cyst, Office visit — Feeling: Good · Be unable to do your normal daily activities

Free text: After odontogenic keratocyst removal in June. New mucous on rt ring finger tip. Dermotolgst removal but grew back w/in 4wks. Biopsy non-cancerous. Future appt w/orthopedic surgeon to remove re-grown mucous cyst from finger scheduled for 11/2/2021.

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Survey response — 12 months, dose 2
MedDRA: Eczema — Feeling: Good

Free text: Eczema

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Moderna
2	2021-04-27	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Very dry mouth

2021-04-29

Systemic reaction (other): Dry mouth, random area muscle cramps

2021-04-30

Systemic reaction (other): Dry mouth thirsty, right side ribs muscle cramps and random sharp stitches on same right side rib today. Last evening around 7pm the spasm on that same right side rib was crushing making it hard to breathe after 10 minutes of stretching, the cramp did not return.

Release 8 — day 28, dose 2

2021-05-25

Symptoms: I have developed mucous cysts near fingernails and lower gum line. Lacking energy feeling tired and napping mid-day.

Release 9 — 3 months, dose 2

2021-07-27

Symptoms: Had mandibular surgery on 6/21/21 to extract a non-cancerous cyst odontogenic keratocyst destroyed some bone. On 7/8/21, I had a bout with diverticulitis. On 7/14/21 I had a mucus cyst removed from my right ring finger. Im very tired.

Release 10 — 6 months, dose 2

2021-10-28

Symptoms: After odontogenic keratocyst removal in June. New mucous on rt ring finger tip. Dermotolgst removal but grew back w/in 4wks. Biopsy non-cancerous. Future appt w/orthopedic surgeon to remove re-grown mucous cyst from finger scheduled for 11/2/2021. cut off by CDC

Release 11 — 12 months, dose 2

2022-04-27

Symptoms: Eczema

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	Asthenia	✓	✓	✓
SD	Cyst	✓	✓	✓
SD	Cyst removal	✓	·	✓
SD	Diverticulitis	✓	·	✓
SD	Eczema	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Jaw operation	✓	·	✓
SD	Myxoid cyst	·	·	✓
SD	Odontogenic cyst	✓	·	✓
SD	Office visit	·	·	✓
SD	Somnolence	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Thirst	✓	✓	✓

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