3YC-17675-75710

3 vaccinations 11 coded responses 33 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 300 / GA
Registered: 2021-03-10

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

2021-03-10
Registered in v-safe
2021-03-10
Dose 1 — Moderna
2021-03-10
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction, Unevaluable event — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Free text: Only in morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle twitching — Feeling: Good · Site: Pain

Free text: Arm twitching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-09
Dose 2 — Moderna
2021-04-09
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Heavy menstrual bleeding, Menstrual disorder — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Dizziness and I started my menstrual cycle right after the shot and it's very heavy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder — Feeling: Good · Site: Pain · Fever

Free text: Off balance

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder — Feeling: Good

Free text: Off balance but not dizzy just lose my footing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder — Feeling: Good

Free text: Slightly off balance especially when the lights are off. Not enough to fall but enough to have to catch my balance.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-23
Survey response — day 14, dose 2
MedDRA: Balance disorder — Feeling: Good

Free text: Not really new but still off balance. I find myself like the first shot sometimes stumbling over my feet. Or listing to the left

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-09
Survey response — day 28, dose 2
MedDRA: Dizziness, Menstrual disorder — Feeling: Good

Free text: Nothing serious but still have dizziness.... Typically in the dark and I noticed it after the shot idk... And my menstrual cycle is weird

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-21
Survey response — day 42, dose 2
MedDRA: Cough, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: I don't think it has anything to do with the shot but my 6-month-old was very sick with something and I think I caught it.... I had a very mild fever for a day Now I have cough and congestion and sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-26
Dose 3 — Moderna
2022-02-26
Survey response — day 0, dose 3
MedDRA: Adnexa uteri pain, Discomfort, Tenderness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I feel like my ovaries are sensitive. Pain and discomfort in that area as I did last time

MedDRA releases: 2024-11 · check-in free text available
2022-02-27
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal pain, Adnexa uteri pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: My ovaries feel last night like they were going to explode they hurt so bad symptoms are getting better just my abdomen is just sore

MedDRA releases: 2024-11 · check-in free text available
2022-03-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-03-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-03-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-04-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-05-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-08-27
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-09	Moderna
3	2022-02-26	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Only in morning

2021-03-12

Systemic reaction (other): Arm twitching

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Dizziness and I started my menstrual cycle right after the shot and it's very heavy

2021-04-11

Systemic reaction (other): Off balance

2021-04-12

Systemic reaction (other): Off balance but not dizzy just lose my footing

2021-04-13

Systemic reaction (other): Slightly off balance especially when the lights are off. Not enough to fall but enough to have to catch my balance.

Release 7 — day 14, dose 2

2021-04-23

Symptoms: Not really new but still off balance. I find myself like the first shot sometimes stumbling over my feet. Or listing to the left

Release 8 — day 28, dose 2

2021-05-09

Symptoms: Nothing serious but still have dizziness.... Typically in the dark and I noticed it after the shot idk... And my menstrual cycle is weird

Release 8 — day 42, dose 2

2021-05-21

Symptoms: I don't think it has anything to do with the shot but my 6-month-old was very sick with something and I think I caught it.... I had a very mild fever for a day Now I have cough and congestion and sore throat

Release 11 — day 0, dose 3

2022-02-26

Systemic reaction (other): I feel like my ovaries are sensitive. Pain and discomfort in that area as I did last time

Release 11 — days 1–6 daily, dose 3

2022-02-27

Systemic reaction (other): My ovaries feel last night like they were going to explode they hurt so bad symptoms are getting better just my abdomen is just sore

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	Balance disorder	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Menstrual disorder	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Abdominal pain	·	·	✓
SRO	Adnexa uteri pain	·	·	✓
SRO	Adverse reaction	✓	·	✓
SRO	Balance disorder	✓	✓	✓
SRO	Discomfort	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Heavy menstrual bleeding	✓	✓	✓
SRO	Menstrual disorder	✓	✓	✓
SRO	Muscle twitching	✓	✓	✓
SRO	Tenderness	·	·	✓
SRO	Unevaluable event	○	✓	○

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