3HA-32706-93399

2 vaccinations 10 coded responses 24 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 553 / MN
Registered: 2021-04-06

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

2021-04-05
Dose 1 — Moderna
2021-04-06
Registered in v-safe
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort, Back pain, Injection site swelling, Nausea — Feeling: Good · Site: Pain · Headache

Free text: Already had nausea, stomach upset and back pain. Reporting new symptoms only. Very small sensitive bump at 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 1
MedDRA: Pain, Pain in extremity — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Arm hurts when lifting it up.

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

Free text: I already reported today but noticed a headache when I stopped being active.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good

Free text: Had symptoms prior to vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Major depression — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Major depressive episode.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-19
Survey response — day 14, dose 1
MedDRA: Diarrhoea, Fatigue, Malaise, Mental fatigue — Feeling: Fair

Free text: Mental and physical fatigue. Taking Lexapro and trazadone and just started Abilify. The morning after my vaccination, I had diarrhea that had little round formations on the water with a short little red string sticking out of each one.

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

Adult check-in
2021-05-03
Dose 2 — Moderna
2021-05-03
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral swelling — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Arm swell overnight going down. 22 hrs after shot other symptoms came on suddenly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-10
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-24
Survey response — day 21, dose 2
MedDRA: Diarrhoea, Fatigue, Myalgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Heart beats hard when falling asleep. Trying to determine if cause is generic lexapro and/or trazadone. Fatigue, muscle aches and periodic diarrhea began before COVID vaccinations.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-14
Survey response — day 42, dose 2
MedDRA: Fatigue, Muscular weakness — Feeling: Good · Be unable to do your normal daily activities

Free text: Fatigue. Weak muscles.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-02
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-01
Survey response — 6 months, dose 2
MedDRA: Cough, Fatigue, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Fair

Free text: Have cough and sore throat and fatigue but had Covid test today which came out negative.

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Moderna
2	2021-05-03	Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Already had nausea, stomach upset and back pain. Reporting new symptoms only. Very small sensitive bump at injection site.

2021-04-07

Systemic reaction (other): Arm hurts when lifting it up.

2021-04-08

Systemic reaction (other): I already reported today but noticed a headache when I stopped being active.

2021-04-09

Systemic reaction (other): Had symptoms prior to vaccination.

2021-04-11

Systemic reaction (other): Major depressive episode.

Release 7 — day 14, dose 1

2021-04-19

Symptoms: Mental and physical fatigue. Taking Lexapro and trazadone and just started Abilify. The morning after my vaccination, I had diarrhea that had little round formations on the water with a short little red string sticking out of each one.

Release 8 — days 1–6 daily, dose 2

2021-05-04

Systemic reaction (other): Arm swell overnight going down. 22 hrs after shot other symptoms came on suddenly.

Release 8 — day 21, dose 2

2021-05-24

Symptoms: Heart beats hard when falling asleep. Trying to determine if cause is generic lexapro and/or trazadone. Fatigue, muscle aches and periodic diarrhea began before COVID vaccinations.

Release 9 — day 42, dose 2

2021-06-14

Symptoms: Fatigue. Weak muscles.

Release 10 — 6 months, dose 2

2021-11-01

Symptoms: Have cough and sore throat and fatigue but had Covid test today which came out negative.

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	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Malaise	○	✓	○
SD	Mental fatigue	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Major depression	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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