467-98465-74672

3 vaccinations 10 coded responses 30 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 787 / TX
Registered: 2021-04-18

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

Timeline

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

2021-03-20
Dose 1 — Moderna
2021-04-18
Registered in v-safe
2021-04-18
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-20
Dose 2 — Moderna
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Epistaxis, Taste disorder — Feeling: Fair · Site: Pain

Free text: Blood when blowing nose, tasting blood when swallowing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Epistaxis — Feeling: Good

Free text: Blood in nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-28
Survey response — day 35, dose 2
MedDRA: Muscular weakness, Sensory disturbance, Vertigo — Feeling: Fair

Free text: Symptoms actually started a couple weeks ago but they havent gone away. Occasional vertigo, feeling like my body is vibrating inside, weakness in hands especially in the morning/dropping things

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Survey response — day 42, dose 2
MedDRA: Fatigue, Somnolence — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Fatigue, sleepiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-20
Survey response — 3 months, dose 2
MedDRA: Fatigue, Somnolence — Feeling: Fair · Be unable to work or attend school

Free text: Fatigue/sleepiness

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Survey response — 6 months, dose 2
MedDRA: Seasonal allergy — Feeling: Fair

Free text: Developed a pollen allergy

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Dose 3 — Moderna
2021-12-07
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-09
Survey response — days 1–6 daily, dose 3
MedDRA: Extremity contracture, Muscle spasms, Pain in extremity — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had a severe foot spasm 7 hrs after receiving the vaccine. My foot contorted and froze and was extremely painful. Never had that happen before in my life.

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-14
Health check-in — day 7, dose 3
Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-12-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-04
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-18
Survey response — day 42, dose 3
MedDRA: Pre-existing disease — Feeling: Good

Free text: Allergies

MedDRA releases: 2024-11 · check-in free text available
2022-03-08
Survey response — 3 months, dose 3
MedDRA: Hypersensitivity, Office visit, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Skin rashes and new environmental allergies · Healthcare visit (other): PCP

MedDRA releases: 2024-11 · check-in free text available
2022-03-08
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-10
Call 1 — Left Voicemail
2022-06-07
Survey response — 6 months, dose 3
MedDRA: Granuloma annulare, Hypersensitivity, Pre-existing disease, Tinea cruris — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Granuloma annulare, jock itch infection, worsening pollen allergies

MedDRA releases: 2024-11 · check-in free text available
2022-06-07
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-08
Call 2 — Left Voicemail
2022-06-08
Call 1 — Left Voicemail
2022-12-07
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Moderna
2	2021-04-20	Moderna
3	2021-12-07	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Blood when blowing nose, tasting blood when swallowing

2021-04-23

Systemic reaction (other): Blood in nose

Release 8 — day 35, dose 2

2021-05-28

Symptoms: Symptoms actually started a couple weeks ago but they havent gone away. Occasional vertigo, feeling like my body is vibrating inside, weakness in hands especially in the morning/dropping things

Release 8 — day 42, dose 2

2021-06-01

Symptoms: Fatigue, sleepiness

Release 9 — 3 months, dose 2

2021-07-20

Symptoms: Fatigue/sleepiness

Release 10 — 6 months, dose 2

2021-10-19

Symptoms: Developed a pollen allergy

Release 10 — days 1–6 daily, dose 3

2021-12-09

Systemic reaction (other): I had a severe foot spasm 7 hrs after receiving the vaccine. My foot contorted and froze and was extremely painful. Never had that happen before in my life.

Release 10 — day 42, dose 3

2022-01-18

Symptoms: Allergies

Release 11 — 3 months, dose 3

2022-03-08

Symptoms: Skin rashes and new environmental allergies

Healthcare visit (other): PCP

Release 11 — 6 months, dose 3

2022-06-07

Symptoms: Granuloma annulare, jock itch infection, worsening pollen allergies

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
HCVO	Office visit	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Granuloma annulare	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Muscular weakness	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	·	·	✓
SD	Seasonal allergy	·	·	✓
SD	Sensory disturbance	✓	✓	✓
SD	Somnolence	✓	✓	✓
SD	Tinea cruris	·	·	✓
SD	Vertigo	✓	✓	✓
SRO	Epistaxis	✓	✓	✓
SRO	Extremity contracture	·	·	✓
SRO	Muscle spasms	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Taste disorder	✓	✓	✓

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