44A-46116-28073

2 vaccinations 12 coded responses 22 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 483 / MI
Registered: 2021-04-30

Relationship: Self
Race: Multiracial
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

2021-04-27
Dose 1 — Moderna
2021-04-30
Registered in v-safe
2021-04-30
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: I have fibromyalgia and it's difficult to tell if the muscle aches are from the fibro or the vaccine. I assumed that the pain in the injection area is vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-04
Health check-in — day 7, dose 1
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-05-12
Survey response — day 14, dose 1
MedDRA: Back pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain in right side to back. In line with belly button.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — day 21, dose 1
MedDRA: Insomnia — Feeling: Good

Free text: I can't sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Dose 2 — Moderna
2021-05-25
Survey response — day 0, dose 2
MedDRA: Feeling hot — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea

Free text: I feel really overheated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot — Feeling: Poor · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Overheated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot — Feeling: Poor · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Overheated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspepsia — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Free text: Heartburn

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Survey response — days 1–6 daily, dose 2
MedDRA: Hypotension — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Low blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-06-01
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-06-08
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-17
Survey response — day 21, dose 2
MedDRA: Diarrhoea, Faeces discoloured — Feeling: Poor · Be unable to do your normal daily activities

Free text: Severe diarhea with dark stool

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-29
Survey response — day 35, dose 2
MedDRA: Diarrhoea, Flatulence — Feeling: Good · Be unable to do your normal daily activities

Free text: Gas and diarhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-24
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-23
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-05-27
Survey response — 12 months, dose 2
MedDRA: Diverticulitis, Hospitalisation — Feeling: Fair · Be unable to work or attend school

Free text: Diverticulitis I am in the hospital. I don't think this is related to the vaccine

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-27	Moderna
2	2021-05-25	Moderna

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-30

Systemic reaction (other): I have fibromyalgia and it's difficult to tell if the muscle aches are from the fibro or the vaccine. I assumed that the pain in the injection area is vaccine

Release 8 — day 14, dose 1

2021-05-12

Symptoms: Pain in right side to back. In line with belly button.

Release 8 — day 21, dose 1

2021-05-20

Symptoms: I can't sleep

Release 8 — day 0, dose 2

2021-05-25

Systemic reaction (other): I feel really overheated

Release 8 — days 1–6 daily, dose 2

2021-05-26

Systemic reaction (other): Overheated

2021-05-27

Systemic reaction (other): Overheated

2021-05-28

Systemic reaction (other): Heartburn

2021-05-29

Systemic reaction (other): Dizzy

2021-05-30

Systemic reaction (other): Low blood pressure

Release 9 — day 21, dose 2

2021-06-17

Symptoms: Severe diarhea with dark stool

Release 9 — day 35, dose 2

2021-06-29

Symptoms: Gas and diarhea

Release 11 — 12 months, dose 2

2022-05-27

Symptoms: Diverticulitis I am in the hospital. I don't think this is related to the vaccine

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	Back pain	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Diverticulitis	·	·	✓
SD	Faeces discoloured	✓	✓	✓
SD	Flatulence	✓	✓	✓
SD	Hospitalisation	·	·	✓
SD	Insomnia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Hypotension	✓	✓	✓
SRO	Injection site pain	✓	✓	✓

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