4D4-31817-44263

2 vaccinations 13 coded responses 20 check-ins 13 free-text entries 8 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 906 / CA
Registered: 2021-04-22

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-04-19
Dose 1 — Moderna
2021-04-22
Registered in v-safe
2021-04-22
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Pain, Pain in extremity, Pulmonary pain, Renal pain — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Free text: Had body aches on left side of body. Got shot in my left arm. Pain near kidneys and left lung. As well as along my left arm toward my shoulder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains

Free text: Sweating at night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-26
Survey response — day 7, dose 1
MedDRA: Pulmonary pain — Feeling: Poor · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Pain in my lower left lung

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — day 14, dose 1
MedDRA: Headache, Migraine, Nausea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Migraines. Extreme. Bad nausea and headaches wake me at 3am each morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-12
Survey response — day 21, dose 1
MedDRA: Brain fog, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Brain fog · Healthcare visit (other): Going to get a ct scan

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-17
Dose 2 — Moderna
2021-05-17
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-05-19
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-20
Survey response — days 1–6 daily, dose 2
MedDRA: Pneumonitis, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Lungs are inflamed so I got a prescription to reduce the inflammation from my dr

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-21
Survey response — days 1–6 daily, dose 2
MedDRA: Pneumonitis, Unevaluable event — Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Nausea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): My lungs are inflamed. Dr needed to prescribe me steroids · Healthcare visit (other): Received steroids to bring down inflammation in my lungs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-22
Survey response — days 1–6 daily, dose 2
MedDRA: Pneumonitis — Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Lungs inflamed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — days 1–6 daily, dose 2
MedDRA: Pulmonary pain — Feeling: Fair · Muscle or body aches

Free text: Lungs still hurting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — day 7, dose 2
MedDRA: Pulmonary pain, Unevaluable event, Vomiting — Feeling: Poor · Site: Pain · Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): My lungs hurt a lot and Im spitting up black shit all day · Healthcare visit (other): Im trying to get more refills for medication for my lungs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-02
Survey response — day 14, dose 2
MedDRA: Inflammation, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Inflammation in my upper and lower back on the left side. Where my lung is · Healthcare visit (other): Had to get more methylpredinoslone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-21
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-08-16
Survey response — 3 months, dose 2
MedDRA: Ear pain, Oropharyngeal pain, Pulmonary pain — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Eat ache, sore throat, painful lungs

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-16
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-19
Call 1 — Left Voicemail
2021-11-17
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-05-17
Survey response — 12 months, dose 2
MedDRA: Disturbance in attention, Mental disorder — Feeling: Fair · Be unable to work or attend school

Free text: Mental health issues..difficulty focusing

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-19	Moderna
2	2021-05-17	Moderna

Call center

8 call center cases

8 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-22

Systemic reaction (other): Had body aches on left side of body. Got shot in my left arm. Pain near kidneys and left lung. As well as along my left arm toward my shoulder

2021-04-23

Systemic reaction (other): Sweating at night

Release 7 — day 7, dose 1

2021-04-26

Systemic reaction (other): Pain in my lower left lung

Release 8 — day 14, dose 1

2021-05-03

Symptoms: Migraines. Extreme. Bad nausea and headaches wake me at 3am each morning

Release 8 — day 21, dose 1

2021-05-12

Symptoms: Brain fog

Healthcare visit (other): Going to get a ct scan

Release 8 — days 1–6 daily, dose 2

2021-05-20

Systemic reaction (other): Lungs are inflamed so I got a prescription to reduce the inflammation from my dr

2021-05-21

Systemic reaction (other): My lungs are inflamed. Dr needed to prescribe me steroids

Healthcare visit (other): Received steroids to bring down inflammation in my lungs

2021-05-22

Systemic reaction (other): Lungs inflamed

2021-05-23

Systemic reaction (other): Lungs still hurting

Release 8 — day 7, dose 2

2021-05-24

Systemic reaction (other): My lungs hurt a lot and Im spitting up black shit all day

Healthcare visit (other): Im trying to get more refills for medication for my lungs.

Release 8 — day 14, dose 2

2021-06-02

Symptoms: Inflammation in my upper and lower back on the left side. Where my lung is

Healthcare visit (other): Had to get more methylpredinoslone

Release 9 — 3 months, dose 2

2021-08-16

Symptoms: Eat ache, sore throat, painful lungs

Release 11 — 12 months, dose 2

2022-05-17

Symptoms: Mental health issues..difficulty focusing

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	Unevaluable event	✓	✓	✓
SD	Brain fog	✓	✓	✓
SD	Disturbance in attention	·	·	✓
SD	Ear pain	✓	·	✓
SD	Headache	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Mental disorder	·	·	✓
SD	Migraine	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pulmonary pain	✓	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Pneumonitis	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pulmonary pain	✓	✓	✓
SRO	Renal pain	·	·	✓
SRO	Vomiting	✓	✓	✓

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