3TC-90413-17651

3 vaccinations 13 coded responses 39 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 986 / WA
Registered: 2021-04-05

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
Registered in v-safe
2021-04-05
Dose 1 — Moderna
2021-04-05
Survey response — day 0, dose 1
MedDRA: Carpal tunnel syndrome, Myalgia, Post-traumatic neck syndrome — Feeling: Good · Muscle or body aches

Free text: Tiny muscle aches in my wrist and hand and neck from old carpal tunnel and whiplash injuries

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: Very mild symptoms and may be due to my other health problems instead of the vaccine

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: Injection site pain — Feeling: Good · Site: Pain

Free text: The pain at the injection site is so little that I almost cant feel it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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 — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-26
Survey response — day 21, dose 1
MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Intestinal discomfort and diarrhea. I believe this was caused by doing heavy housework being out of shape and going off my diet for 2 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Dose 2 — Moderna
2021-05-03
Survey response — day 0, dose 2
MedDRA: Bronchial disorder, Condition aggravated, Increased appetite, Neck pain, Oropharyngeal pain, Sneezing — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Very slight fleeting symptoms including lower left lung/ bronchial pain, desire to sneeze, sore throat neck and ankle muscle pain where I broke my ankle 6 months ago. Ravenous appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Cough, Dyspnoea, Fatigue, Hypoaesthesia, Pain in extremity, Pre-existing disease, Pulmonary pain — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Fleeting symptoms again with pain in my ankle that was broken 6 months ago and dry cough and a little trouble breathing and lung pain. I was trying to run a fever during the night but it only got up to 98 degrees which is only a little higher than normal. My arm as pretty sore but feels better now and my carpal tunnel in that arm made my hand numb during the night. I also have been tired today. Im feeling better now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Muscle or body aches, Abdominal pain

Free text: Very mild and fleeting and may have other causes.

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: Good · None

Adult check-in
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Bronchiolitis, Cough, Pulmonary pain — Feeling: Good

Free text: Early morning slight Dry cough and bronchial/lung pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Disturbance in attention, Fatigue, Loss of personal independence in daily activities — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Brain fog and trouble concentrating and extremely tired and I had trouble doing my 4 hours of yard work but did it anyway

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

Adult check-in
2021-05-10
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-05-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
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: Dizziness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dizzy last 2 days

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

Adult check-in
2021-11-01
Survey response — 6 months, dose 2
MedDRA: Cough, Dizziness, Dyspnoea, Nasopharyngitis, Oxygen saturation decreased — Feeling: Good · Be unable to do your normal daily activities

Free text: 3 days ago I felt dizzy coughing and a little short of breath at night. I went to sleep and woke up the next day feeling fine. Whatever it wa was gone. In August I had cold symptoms that lasted 10 days including 94% O2 sat then a neg pcr test

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Dose 3 — Moderna
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · Muscle or body aches

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-11-09
Health check-in — day 7, dose 3
Feeling: Good · Joint pains

Adult check-in
2021-11-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-23
Survey response — day 21, dose 3
MedDRA: Abdominal discomfort, Headache, Oestrogen deficiency — Feeling: Good · Be unable to do your normal daily activities

Free text: Headaches on right side intestine discomfort probably due to estrogen insufficiency

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-03
Survey response — 6 months, dose 3
MedDRA: Decreased appetite, Fatigue, Nausea, Rash, Sinus headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Loss of appetite, slight nausea, slight fatigue, slight rash, slight sinus headache

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Moderna
2	2021-05-03	Moderna
3	2021-11-02	Moderna	No

Free text

Release 6 — day 0, dose 1

2021-04-05

Systemic reaction (other): Tiny muscle aches in my wrist and hand and neck from old carpal tunnel and whiplash injuries

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Very mild symptoms and may be due to my other health problems instead of the vaccine

2021-04-07

Systemic reaction (other): The pain at the injection site is so little that I almost cant feel it

Release 8 — day 21, dose 1

2021-04-26

Symptoms: Intestinal discomfort and diarrhea. I believe this was caused by doing heavy housework being out of shape and going off my diet for 2 days.

Release 8 — day 0, dose 2

2021-05-03

Systemic reaction (other): Very slight fleeting symptoms including lower left lung/ bronchial pain, desire to sneeze, sore throat neck and ankle muscle pain where I broke my ankle 6 months ago. Ravenous appetite.

Release 8 — days 1–6 daily, dose 2

2021-05-04

Systemic reaction (other): Fleeting symptoms again with pain in my ankle that was broken 6 months ago and dry cough and a little trouble breathing and lung pain. I was trying to run a fever during the night but it only got up to 98 degrees which is only a little higher than normal. My arm as pretty sore but feels better now and my carpal tunnel in that arm made my hand numb during the night. I also have been tired today. Im feeling better now.

2021-05-05

Systemic reaction (other): Very mild and fleeting and may have other causes.

2021-05-07

Systemic reaction (other): Early morning slight Dry cough and bronchial/lung pain

2021-05-08

Systemic reaction (other): Brain fog and trouble concentrating and extremely tired and I had trouble doing my 4 hours of yard work but did it anyway

Release 9 — day 42, dose 2

2021-06-14

Symptoms: Dizzy last 2 days

Release 10 — 6 months, dose 2

2021-11-01

Symptoms: 3 days ago I felt dizzy coughing and a little short of breath at night. I went to sleep and woke up the next day feeling fine. Whatever it wa was gone. In August I had cold symptoms that lasted 10 days including 94% O2 sat then a neg pcr test

Release 10 — day 21, dose 3

2021-11-23

Symptoms: Headaches on right side intestine discomfort probably due to estrogen insufficiency

Release 11 — 6 months, dose 3

2022-05-03

Symptoms: Loss of appetite, slight nausea, slight fatigue, slight rash, slight sinus headache

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	Abdominal discomfort	✓	✓	✓
SD	Cough	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Oestrogen deficiency	·	·	✓
SD	Oxygen saturation decreased	·	·	✓
SD	Rash	·	·	✓
SD	Sinus headache	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Bronchial disorder	✓	✓	✓
SRO	Bronchiolitis	○	✓	○
SRO	Carpal tunnel syndrome	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Increased appetite	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Post-traumatic neck syndrome	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pulmonary pain	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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