4L5-27110-64986

3 vaccinations 10 coded responses 37 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 828 / WY
Registered: 2021-04-30

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

2021-04-29
Dose 1 — Moderna
2021-04-30
Registered in v-safe
2021-04-30
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Blood pressure decreased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Free text: Last night felt like my blood pressure dropped and couldnt even stand up. Really weak

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 1
MedDRA: Body temperature decreased — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Temp is going down

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: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Hypoaesthesia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Started last night. Im feeling some numbing in legs an arms. But seems more in my right side/leg the most. And in right foot. Not bad. Feels weird

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia — Feeling: Fair · Fatigue or tiredness

Free text: Still feel some numbness in legs and right arm and right foot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-06
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-27
Dose 2 — Moderna
2021-05-27
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-05-28
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms, Pain in extremity — Feeling: Poor · Site: Pain · 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

Free text: Before the leg cramps came on in both legs. I was having a single sharp pain in one spot a little above my knee that really hurt in left leg. Today a slight cramp in my left calf this morning. But Im not having it really now. Just leg aches

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: Contusion, Injection site rash, Rash, Rash pruritic — Feeling: Poor · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Rash that developed is just down the arm from where I got the shot. It hurts and feels bruised with some itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-06-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Fatigue or tiredness

Adult check-in
2021-06-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Fatigue or tiredness

Adult check-in
2021-06-04
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-06-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-02
Survey response — day 35, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Feeling a little more tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-04
Dose 3 — Moderna
2022-05-04
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-05
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-05-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-05-07
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Right underarm lymph node is swollen and hurts. That started after I got the shot. Forgot to mention. Same arm I had the booster in. It's still sore

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-11
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-05-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-05-25
Survey response — day 21, dose 3
MedDRA: Dehydration, Dizziness, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dizzy feeling and nausea that started yesterday afternoon.. Dehydrated even though I thought I was getting enough water. But I'm sure it's not caused from the booster. Or at least I don't think it would be

MedDRA releases: 2024-11 · check-in free text available
2022-06-07
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-06-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-06-15
Survey response — day 42, dose 3
MedDRA: Neurological symptom — Feeling: Good

Free text: Started having vertigo/dizziness type symptoms off and on recently. Started a couple weeks ago.

MedDRA releases: 2024-11 · check-in free text available
2022-08-10
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-11-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-29	Moderna
2	2021-05-27	Moderna
3	2022-05-04	Moderna	No

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-30

Systemic reaction (other): Last night felt like my blood pressure dropped and couldnt even stand up. Really weak

2021-05-01

Systemic reaction (other): Temp is going down

2021-05-03

Systemic reaction (other): Started last night. Im feeling some numbing in legs an arms. But seems more in my right side/leg the most. And in right foot. Not bad. Feels weird

2021-05-04

Systemic reaction (other): Still feel some numbness in legs and right arm and right foot

Release 8 — days 1–6 daily, dose 2

2021-05-28

Systemic reaction (other): Before the leg cramps came on in both legs. I was having a single sharp pain in one spot a little above my knee that really hurt in left leg. Today a slight cramp in my left calf this morning. But Im not having it really now. Just leg aches

2021-05-29

Systemic reaction (other): Rash that developed is just down the arm from where I got the shot. It hurts and feels bruised with some itching

Release 9 — day 35, dose 2

2021-07-02

Symptoms: Feeling a little more tired.

Release 11 — days 1–6 daily, dose 3

2022-05-07

Systemic reaction (other): Right underarm lymph node is swollen and hurts. That started after I got the shot. Forgot to mention. Same arm I had the booster in. It's still sore

Release 11 — day 21, dose 3

2022-05-25

Symptoms: Dizzy feeling and nausea that started yesterday afternoon.. Dehydrated even though I thought I was getting enough water. But I'm sure it's not caused from the booster. Or at least I don't think it would be

Release 12 — day 42, dose 3

2022-06-15

Symptoms: Started having vertigo/dizziness type symptoms off and on recently. Started a couple weeks ago.

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	Dehydration	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Nausea	·	·	✓
SD	Neurological symptom	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Blood pressure decreased	✓	✓	✓
SRO	Body temperature decreased	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rash pruritic	✓	✓	✓

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