447-18929-24349

1 vaccination 10 coded responses 11 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 978 / OR
Registered: 2021-01-30

Relationship: Self
Race: Other
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

2021-01-29
Dose 1 — Moderna
2021-01-30
Registered in v-safe
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Heart rate increased, Neck pain — Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Rapid heart rate , achy neck, a little dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort, Lymphadenopathy, Pain — Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Noticed swollen glands last night, still tonight eccept right side has gone down 1/2 way. Stomache pain burns like ahlceres. Hope you can make out some words I can't spell.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Glossodynia — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: A couple real dizzy spells. Sore on bottom of tongue. ???

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Disturbance in attention, Dizziness, Muscle twitching — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Real weak, a few dizzy spells, left eye twitching with floaters. can't concentrate.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Aura, Blepharospasm, Glossodynia, Vitreous floaters — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Lightning rod flashes through left eye with floaters & bottom lid twitches. Sores on tongue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Photopsia, Vitreous floaters — Feeling: Fair · Joint pains, Muscle or body aches, Abdominal pain

Free text: Big lightning type flashes in my left eye with other type of floaters moving around. Though feeling better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — day 7, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Eye and abdominal symtems have calmed down.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-21
Survey response — day 21, dose 1
MedDRA: Photopsia, Vitreous floaters — Feeling: Fair

Free text: Left eye still having big floaters moving around eye and lightning flashes which are more noticable at night. Is my 2nd vav going to be at the same place?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 42, dose 1
MedDRA: Dyspnoea, Pain, Photopsia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shortness on breath. Get so winded at times it's hard to catch my breath. Ache all over. Big flashes in left eye. Yes I got my 2nd shot. 2 wks ago but this is the only way to leave a message.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — 3 months, dose 1
MedDRA: Abdominal pain upper, Depression, Diarrhoea, Dyspnoea, Fatigue, Headache, Migraine, Myalgia, Pre-existing disease, Vitreous floaters — Feeling: Poor · Be unable to do your normal daily activities

Free text: Haven't felt well since 2nd shot. Very fatigued, pain in upper rt side of stomaches. Muscles burn/ache allover, floaters & flashes in eyes, headaches, migraines, diarrhea, depression has worsened & shortness of breath.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): Rapid heart rate , achy neck, a little dizziness.

2021-01-31

Systemic reaction (other): Noticed swollen glands last night, still tonight eccept right side has gone down 1/2 way. Stomache pain burns like ahlceres. Hope you can make out some words I can't spell.

2021-02-01

Systemic reaction (other): A couple real dizzy spells. Sore on bottom of tongue. ???

2021-02-02

Systemic reaction (other): Real weak, a few dizzy spells, left eye twitching with floaters. can't concentrate.

2021-02-03

Systemic reaction (other): Lightning rod flashes through left eye with floaters & bottom lid twitches. Sores on tongue.

2021-02-04

Systemic reaction (other): Big lightning type flashes in my left eye with other type of floaters moving around. Though feeling better.

Release 3 — day 7, dose 1

2021-02-05

Systemic reaction (other): Eye and abdominal symtems have calmed down.

Release 4 — day 21, dose 1

2021-02-21

Symptoms: Left eye still having big floaters moving around eye and lightning flashes which are more noticable at night. Is my 2nd vav going to be at the same place?

Release 5 — day 42, dose 1

2021-03-12

Symptoms: Shortness on breath. Get so winded at times it's hard to catch my breath. Ache all over. Big flashes in left eye. Yes I got my 2nd shot. 2 wks ago but this is the only way to leave a message.

Release 8 — 3 months, dose 1

2021-04-30

Symptoms: Haven't felt well since 2nd shot. Very fatigued, pain in upper rt side of stomaches. Muscles burn/ache allover, floaters & flashes in eyes, headaches, migraines, diarrhea, depression has worsened & shortness of breath.

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 pain upper	✓	✓	✓
SD	Depression	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Photopsia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Vitreous floaters	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Aura	✓	✓	✓
SRO	Blepharospasm	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Glossodynia	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Muscle twitching	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Photopsia	✓	✓	✓
SRO	Vitreous floaters	✓	✓	✓

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