4LQ-67137-60901

2 vaccinations 10 coded responses 25 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 806 / CO
Registered: 2021-06-11

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

2021-06-11
Registered in v-safe
2021-06-11
Dose 1 — Moderna
2021-06-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-06-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-06-18
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-06-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-07-02
Survey response — day 21, dose 1
MedDRA: Heart rate increased — Feeling: Fair

Free text: Heart beating faster. About 10 beats during yoga and when I run it jumps to 145 in hurry (usually hangs around 132)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Survey response — day 28, dose 1
MedDRA: Angina pectoris — Feeling: Fair

Free text: Heart hurts when I roll over on left side at night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-16
Survey response — day 35, dose 1
MedDRA: Back pain, Office visit, Ovarian cyst, Swelling — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Ovarian cyst and severe back pain. Heart continues to feel swollen. When sleep on left · Healthcare visit (other): Chiro and gyno

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-16
Report sent to call center — day 35, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-22
Dose 2 — Moderna
2021-07-22
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-07-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-07-24
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Good · Site: Pain

Free text: Sweats

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-24
Call 1 — Left Voicemail
2021-07-25
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Good

Free text: Sweats am

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-26
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Paraesthesia — Feeling: Good · Site: Swelling

Free text: Swollen lymph, pins needles in arms during night.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-07-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-07-29
Health check-in — day 7, dose 2
Feeling: Good · Abdominal pain

Adult check-in
2021-08-06
Survey response — day 14, dose 2
MedDRA: Dysmenorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Horribly painful period. Related?

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-08-21
Survey response — day 28, dose 2
MedDRA: Adnexa uteri pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: ovary pain. Swelling?

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-09-07
Survey response — day 42, dose 2
MedDRA: Dysmenorrhoea, Paraesthesia, Restless legs syndrome — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Tingling arm while sleeping, Restless leg, horrible period pain since vaccine · Healthcare visit (other): Ultrasound for period pain

MedDRA releases: 2024-11 · check-in free text available
2021-09-07
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-09
Call 1 — Left Voicemail
2021-10-21
Survey response — 3 months, dose 2
MedDRA: Blood donation, Blood iron increased, Multi-organ disorder, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Super high iron and iron absorption. Endangering organs. Giving blood to try to lower. · Healthcare visit (other): Doctor

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-11	Moderna
2	2021-07-22	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 9 — day 21, dose 1

2021-07-02

Symptoms: Heart beating faster. About 10 beats during yoga and when I run it jumps to 145 in hurry (usually hangs around 132)

Release 9 — day 28, dose 1

2021-07-09

Symptoms: Heart hurts when I roll over on left side at night

Release 9 — day 35, dose 1

2021-07-16

Symptoms: Ovarian cyst and severe back pain. Heart continues to feel swollen. When sleep on left

Healthcare visit (other): Chiro and gyno

Release 9 — days 1–6 daily, dose 2

2021-07-24

Systemic reaction (other): Sweats

2021-07-25

Systemic reaction (other): Sweats am

2021-07-26

Systemic reaction (other): Swollen lymph, pins needles in arms during night.

Release 9 — day 14, dose 2

2021-08-06

Symptoms: Horribly painful period. Related?

Release 9 — day 28, dose 2

2021-08-21

Symptoms: ovary pain. Swelling?

Release 9 — day 42, dose 2

2021-09-07

Symptoms: Tingling arm while sleeping, Restless leg, horrible period pain since vaccine

Healthcare visit (other): Ultrasound for period pain

Release 10 — 3 months, dose 2

2021-10-21

Symptoms: Super high iron and iron absorption. Endangering organs. Giving blood to try to lower.

Healthcare visit (other): Doctor

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	Dysmenorrhoea	·	·	✓
HCVO	Office visit	✓	·	✓
SD	Adnexa uteri pain	✓	·	✓
SD	Angina pectoris	✓	✓	✓
SD	Back pain	✓	·	✓
SD	Blood donation	·	·	✓
SD	Blood iron increased	·	·	✓
SD	Dysmenorrhoea	✓	·	✓
SD	Heart rate increased	✓	✓	✓
SD	Multi-organ disorder	·	·	✓
SD	Ovarian cyst	✓	·	✓
SD	Paraesthesia	·	·	✓
SD	Restless legs syndrome	·	·	✓
SD	Swelling	✓	·	✓
SRO	Hyperhidrosis	✓	·	✓
SRO	Lymphadenopathy	✓	·	✓
SRO	Paraesthesia	✓	·	✓

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