3JX-10119-21274

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 490 / MI
Registered: 2021-04-09

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

2021-04-09
Registered in v-safe
2021-04-09
Dose 1 — Moderna
2021-04-09
Survey response — day 0, dose 1
MedDRA: Hot flush — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The feeling of fever was akin to a hot flash. About five-minute duration

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: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

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

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 1
MedDRA: Blood glucose decreased, Fatigue — Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: My glucose fell from about 167 to 54 in an hours time while I slept from excessive tiredness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Joint pains, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-07
Dose 2 — Moderna
2021-05-07
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-05-12
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Good

Free text: Cramps in the calves of my legs at night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Site: Swelling · Fatigue or tiredness

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 7, dose 2
Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-05-21
Survey response — day 14, dose 2
MedDRA: Injection site bruising — Feeling: Fair

Free text: Bruise at injection site grew large and is only very slowly shrinking.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-18
Survey response — day 42, dose 2
MedDRA: Pre-existing disease — Feeling: Good

Free text: Diabetes more uncontrollable.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-08
Survey response — 3 months, dose 2
MedDRA: Impaired healing, Pruritus, Skin ulcer — Feeling: Fair

Free text: Small pimple-like sores on my face, head and torso. They itch until opened and do not heal quickly.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-05
Survey response — 6 months, dose 2
MedDRA: Dyskinesia, Poor quality sleep, Restless legs syndrome — Feeling: Fair · Be unable to do your normal daily activities

Free text: Arm and leg muscles jerking, sometimes moving my entire are or leg. Restless leg syndrome at night. Because of this I cannot sleep well.

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Survey response — 12 months, dose 2
MedDRA: Anxiety, Depression — Feeling: Fair · Be unable to do your normal daily activities

Free text: More Depression and anxiety

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Moderna
2	2021-05-07	Moderna

Free text

Release 7 — day 0, dose 1

2021-04-09

Systemic reaction (other): The feeling of fever was akin to a hot flash. About five-minute duration

Release 7 — days 1–6 daily, dose 1

2021-04-15

Systemic reaction (other): My glucose fell from about 167 to 54 in an hours time while I slept from excessive tiredness.

Release 8 — days 1–6 daily, dose 2

2021-05-12

Systemic reaction (other): Cramps in the calves of my legs at night.

2021-05-13

Systemic reaction (other): Coughing

Release 8 — day 14, dose 2

2021-05-21

Symptoms: Bruise at injection site grew large and is only very slowly shrinking.

Release 9 — day 42, dose 2

2021-06-18

Symptoms: Diabetes more uncontrollable.

Release 9 — 3 months, dose 2

2021-08-08

Symptoms: Small pimple-like sores on my face, head and torso. They itch until opened and do not heal quickly.

Release 10 — 6 months, dose 2

2021-11-05

Symptoms: Arm and leg muscles jerking, sometimes moving my entire are or leg. Restless leg syndrome at night. Because of this I cannot sleep well.

Release 11 — 12 months, dose 2

2022-05-10

Symptoms: More Depression and anxiety

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	Anxiety	·	·	✓
SD	Depression	·	·	✓
SD	Dyskinesia	·	·	✓
SD	Impaired healing	✓	·	✓
SD	Injection site bruising	✓	✓	✓
SD	Poor quality sleep	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	·	✓
SD	Restless legs syndrome	·	·	✓
SD	Skin ulcer	✓	·	✓
SRO	Blood glucose decreased	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓

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