3YS-81736-60304

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 201 / VA
Registered: 2021-02-18

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-17
Dose 1 — Moderna
2021-02-18
Registered in v-safe
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Vein disorder — Feeling: Poor · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Popped up veins

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Joint pains

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-24
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Joint pains, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-03
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pain, Injection site rash, Injection site swelling — Feeling: Good

Free text: large red painful swollen patch around the injection site. It started showing suddenly after 7 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — day 21, dose 1
MedDRA: Pain, Swelling — Feeling: Good · Be unable to do your normal daily activities

Free text: Pain and swelling under the ribcage on the left side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Dose 2 — Moderna
2021-03-19
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Headache

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2021-03-26
Survey response — day 7, dose 2
MedDRA: Panic attack — Feeling: Good · Site: Redness, Swelling · Muscle or body aches

Free text: Had severe panic attack for the last 4 days. Not sure whether it is related to the vaccination..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-09
Survey response — day 21, dose 2
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-18
Survey response — 3 months, dose 2
MedDRA: Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Body pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-24
Call 1 — Left Voicemail
2021-09-17
Survey response — 6 months, dose 2
MedDRA: Blood pressure fluctuation, Neurotransmitter level altered, Norepinephrine abnormal, Pancreatic cyst — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Cyst in the pancreas. Fluctuating high and low blood pressure. Abnormal amount of norepinephrine and Dopamine in the blood.

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-20
Call 1 — Left Voicemail
2022-03-19
Survey response — 12 months, dose 2
MedDRA: Bile duct stent insertion, Biliary tract disorder, Hospitalisation, Hypoaesthesia, Sensory loss, Tympanic membrane perforation — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Eardrum rupture, fingers on both hands go to sleep while sleeping. No feeling at all when I get up. Bile duct fully closed. Had to do ERCPs in 5 months. Had to hospitalized for 7 days. Had to put a stent.

MedDRA releases: 2024-11 · check-in free text available
2022-03-19
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-03-22
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Moderna
2	2021-03-19	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-18

Systemic reaction (other): Popped up veins

2021-02-19

Systemic reaction (other): Swollen lymph nodes

Release 4 — day 14, dose 1

2021-03-03

Symptoms: large red painful swollen patch around the injection site. It started showing suddenly after 7 days.

Release 5 — day 21, dose 1

2021-03-10

Symptoms: Pain and swelling under the ribcage on the left side.

Release 6 — day 7, dose 2

2021-03-26

Systemic reaction (other): Had severe panic attack for the last 4 days. Not sure whether it is related to the vaccination..

Release 7 — day 21, dose 2

2021-04-09

Symptoms: Severe headache

Release 9 — 3 months, dose 2

2021-06-18

Symptoms: Body pain

Release 9 — 6 months, dose 2

2021-09-17

Symptoms: Cyst in the pancreas. Fluctuating high and low blood pressure. Abnormal amount of norepinephrine and Dopamine in the blood.

Release 11 — 12 months, dose 2

2022-03-19

Symptoms: Eardrum rupture, fingers on both hands go to sleep while sleeping. No feeling at all when I get up. Bile duct fully closed. Had to do ERCPs in 5 months. Had to hospitalized for 7 days. Had to put a stent.

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	Bile duct stent insertion	·	·	✓
SD	Biliary tract disorder	·	·	✓
SD	Blood pressure fluctuation	·	·	✓
SD	Headache	✓	✓	✓
SD	Hospitalisation	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Injection site erythema	·	·	✓
SD	Injection site pain	·	·	✓
SD	Injection site rash	✓	✓	○
SD	Injection site swelling	·	·	✓
SD	Neurotransmitter level altered	·	·	✓
SD	Norepinephrine abnormal	·	·	✓
SD	Pain	✓	✓	✓
SD	Pancreatic cyst	·	·	✓
SD	Sensory loss	·	·	✓
SD	Swelling	✓	✓	✓
SD	Tympanic membrane perforation	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Panic attack	✓	✓	✓
SRO	Vein disorder	✓	✓	✓

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