3MF-11259-04880

2 vaccinations 8 coded responses 18 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 787 / TX
Registered: 2021-04-03

Relationship: Self
Race: Asian
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

2021-03-29
Dose 1 — Moderna
2021-04-03
Registered in v-safe
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Diarrhoea, Discomfort, Fatigue, Feeling abnormal, Headache, Myalgia, Nausea, Vomiting — Feeling: Good · Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Had mild joint pain, muscle ache, occasional headache, occasional mild nausea for the first few days, but had a vomiting on Thursday night around 11pm. Woke up around 1pm, felt pretty bad muscle ache and very severe vomiting. I threw everything up and saw the green bile. Felt very tight pressure to push everything out of my stomach. Never had a vomiting like this in my life. Also had a diarrhea in the morning. After all these, just extremely tired for all day Friday (yesterday). I feel back to normal today, but worried about the second shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-19
Survey response — day 21, dose 1
MedDRA: Rash, Rash erythematous, Rhinorrhoea — Feeling: Good

Free text: Got some red rashes on face starting on Wednesday (4/14). Also got some running nose that night - running nose stopped after waking up in the morning.

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: Heart rate increased — Feeling: Poor · 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

Free text: Feel the heart beat increases

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: Heart rate increased — Feeling: Poor · 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: Heart beat 20+ more then normal when at rest.

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: Pyrexia, Skin warm — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Fever was measured last night after yesterdays report. Most of the day today, only felt warm in palms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work

Free text: Resting heartbeat is back to normal, walking heartbeat is still about 15 more than usual.

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: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-05-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-29
Survey response — day 28, dose 2
MedDRA: Chest discomfort, Heart rate increased — Feeling: Good

Free text: Woke up from todays nap, I felt very uncomfortable in the heart. Later saw the heart beat range 51-210. Back to normal after 10-15min.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Survey response — day 35, dose 2
MedDRA: Menstruation irregular — Feeling: Good

Free text: Missing period cycle

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
2021-07-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-29	Moderna
2	2021-04-28	Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): Had mild joint pain, muscle ache, occasional headache, occasional mild nausea for the first few days, but had a vomiting on Thursday night around 11pm. Woke up around 1pm, felt pretty bad muscle ache and very severe vomiting. I threw everything up and saw the green bile. Felt very tight pressure to push everything out of my stomach. Never had a vomiting like this in my life. Also had a diarrhea in the morning. After all these, just extremely tired for all day Friday (yesterday). I feel back to normal today, but worried about the second shot.

Release 7 — day 21, dose 1

2021-04-19

Symptoms: Got some red rashes on face starting on Wednesday (4/14). Also got some running nose that night - running nose stopped after waking up in the morning.

Release 8 — day 0, dose 2

2021-04-28

Systemic reaction (other): Feel the heart beat increases

Release 8 — days 1–6 daily, dose 2

2021-04-29

Systemic reaction (other): Heart beat 20+ more then normal when at rest.

2021-04-30

Systemic reaction (other): Fever was measured last night after yesterdays report. Most of the day today, only felt warm in palms.

2021-05-01

Systemic reaction (other): Resting heartbeat is back to normal, walking heartbeat is still about 15 more than usual.

Release 8 — day 28, dose 2

2021-05-29

Symptoms: Woke up from todays nap, I felt very uncomfortable in the heart. Later saw the heart beat range 51-210. Back to normal after 10-15min.

Release 8 — day 35, dose 2

2021-06-05

Symptoms: Missing period cycle

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	Chest discomfort	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Menstruation irregular	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Skin warm	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Vomiting	✓	✓	✓

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