4EK-29398-46692

3 vaccinations 6 coded responses 35 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 787 / TX
Registered: 2021-04-20

Relationship: Self
Race: White
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

2021-04-20
Registered in v-safe
2021-04-20
Dose 1 — Moderna
2021-04-20
Survey response — day 0, dose 1
MedDRA: Urticaria — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Hives

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · 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 1
MedDRA: Pelvic pain, Vaginal haemorrhage — Feeling: Good · Site: Pain · Fever · Joint pains, Abdominal pain · Be unable to do your normal daily activities

Free text: vaginal bleeding and pelvic cramping. NOT a menstrual period and no other obvious cause

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Joint pains, Muscle or body aches

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

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

Adult check-in
2021-04-27
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-04
Survey response — day 14, dose 1
MedDRA: Injection site pain, Muscular weakness, Neuralgia, Oedema — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Horrible edema that lasted about 24 hours. Nerve pain (bad-- like shingles-level ouch) and weakness on forearm/hand on same arm as injection that lasted about 72 hours. Injection site STILL HURTS.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-19
Dose 2 — Moderna
2021-05-19
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-05-26
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-06-02
Survey response — day 14, dose 2
MedDRA: Conjunctival haemorrhage, Conjunctival hyperaemia, Epistaxis, Mouth haemorrhage, Mucosal disorder, Spontaneous haemorrhage, Vaccine positive rechallenge, Vaginal haemorrhage — Feeling: Good

Free text: I had weird bleeding from mucous membranes again, just like after the first dose. Spontanious bleed from nose, mouth, conjunctiva, vagina. Lasted 1 day (just like first dose). BP was fine and no accompanying headache, so I just went with it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-01-22
Dose 3 — Pfizer-BioNTech
2022-01-23
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-24
Survey response — days 1–6 daily, dose 3
MedDRA: Mucosal disorder — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Bleeding mucous membranes

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-01-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-01-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-29
Survey response — day 7, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Still have very swollen/sore lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2022-02-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-21
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-03-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2023-01-24
Health check-in — 12 months, dose 3
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-20	Moderna
2	2021-05-19	Moderna
3	2022-01-22	Pfizer-BioNTech	No

Free text

Release 7 — day 0, dose 1

2021-04-20

Systemic reaction (other): Hives

Release 7 — days 1–6 daily, dose 1

2021-04-22

Systemic reaction (other): vaginal bleeding and pelvic cramping. NOT a menstrual period and no other obvious cause

Release 8 — day 14, dose 1

2021-05-04

Symptoms: Horrible edema that lasted about 24 hours. Nerve pain (bad-- like shingles-level ouch) and weakness on forearm/hand on same arm as injection that lasted about 72 hours. Injection site STILL HURTS.

Release 8 — day 14, dose 2

2021-06-02

Symptoms: I had weird bleeding from mucous membranes again, just like after the first dose. Spontanious bleed from nose, mouth, conjunctiva, vagina. Lasted 1 day (just like first dose). BP was fine and no accompanying headache, so I just went with it.

Release 11 — days 1–6 daily, dose 3

2022-01-24

Systemic reaction (other): Bleeding mucous membranes

Release 11 — day 7, dose 3

2022-01-29

Systemic reaction (other): Still have very swollen/sore lymph nodes

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	Conjunctival haemorrhage	✓	·	✓
SD	Conjunctival hyperaemia	○	✓	○
SD	Epistaxis	✓	·	✓
SD	Injection site pain	✓	✓	✓
SD	Mouth haemorrhage	✓	·	✓
SD	Mucosal disorder	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Neuralgia	✓	✓	✓
SD	Oedema	✓	✓	✓
SD	Spontaneous haemorrhage	✓	·	✓
SD	Vaccine positive rechallenge	✓	·	✓
SD	Vaginal haemorrhage	✓	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Mucosal disorder	·	·	✓
SRO	Pelvic pain	✓	✓	✓
SRO	Urticaria	✓	✓	✓
SRO	Vaginal haemorrhage	✓	✓	✓

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