4WB-18772-89326

2 vaccinations 12 coded responses 22 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 430 / OH
Registered: 2021-07-26

Relationship: Self
Race: White
Ethnicity: N/A

Registered dependents

E6Y-13457-93388 Child or adolescent in my care · Male · 2021-07-26

Timeline

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

2021-07-26
Registered in v-safe
2021-07-26
Dose 1 — Moderna
2021-07-26
Survey response — day 0, dose 1
MedDRA: Pain, Pain in extremity — Feeling: Fair · Site: Itching · Fatigue or tiredness

Free text: Shot arm sore near the collarbone

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-07-28
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea, Injection site reaction, Musculoskeletal stiffness — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Loose stool and stiff shoulder on injection arm as well as stiff neck

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Musculoskeletal stiffness — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Stiff neck, stiff shoulders, and tired

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-31
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Musculoskeletal stiffness — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Stiff neck & shoulders. Slight dizziness.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-08-02
Survey response — day 7, dose 1
MedDRA: Arthralgia, Musculoskeletal stiffness, Pain in extremity — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The top of the shoulder of my left arm which is the arm I received my shot Dash its still slightly achy. However I no longer have a stiff neck or both sore shoulders.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-09
Survey response — day 14, dose 1
MedDRA: Brain fog, Dizziness, Fatigue, Sluggishness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dizziness and continue to feel tired and dragging. Not as tired as the first week post shot. Brain fog has returned.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-08-24
Dose 2 — Moderna
2021-08-24
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain

Free text: I just received the vaccine 10 minutes ago

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal discomfort — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Upset stomach

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-08-27
Survey response — days 1–6 daily, dose 2
MedDRA: Head discomfort, Throat irritation — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Throat scratchy. Head heavy.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-28
Survey response — days 1–6 daily, dose 2
MedDRA: Nasopharyngitis, Throat irritation — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Throat feels scratch. I feel like I have a cold.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-29
Survey response — days 1–6 daily, dose 2
MedDRA: COVID-19, Hyperhidrosis, Menstruation irregular, Reaction to previous exposure to any vaccine — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have forgotten to add I do get the occasional Covid sweats. So annoying. Received shot on 1st day of period- it stopped my period. No more menstration after day one. Happened w/first shot too.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-02
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-09-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-09-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-09-22
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-09-29
Survey response — day 35, dose 2
MedDRA: Nasopharyngitis, Pharyngitis streptococcal, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, 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: A bad cold that feels like strep throat. I tested negative for Covid and negative for strep.

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Report sent to call center — day 35, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-05
Call 1 — Left Voicemail
2022-02-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-26	Moderna	No
2	2021-08-24	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — day 0, dose 1

2021-07-26

Systemic reaction (other): Shot arm sore near the collarbone

Release 9 — days 1–6 daily, dose 1

2021-07-28

Systemic reaction (other): Loose stool and stiff shoulder on injection arm as well as stiff neck

2021-07-30

Systemic reaction (other): Stiff neck, stiff shoulders, and tired

2021-07-31

Systemic reaction (other): Stiff neck & shoulders. Slight dizziness.

Release 9 — day 7, dose 1

2021-08-02

Systemic reaction (other): The top of the shoulder of my left arm which is the arm I received my shot Dash its still slightly achy. However I no longer have a stiff neck or both sore shoulders.

Release 9 — day 14, dose 1

2021-08-09

Symptoms: Dizziness and continue to feel tired and dragging. Not as tired as the first week post shot. Brain fog has returned.

Release 9 — day 0, dose 2

2021-08-24

Systemic reaction (other): I just received the vaccine 10 minutes ago

Release 9 — days 1–6 daily, dose 2

2021-08-25

Systemic reaction (other): Upset stomach

2021-08-27

Systemic reaction (other): Throat scratchy. Head heavy.

2021-08-28

Systemic reaction (other): Throat feels scratch. I feel like I have a cold.

2021-08-29

Systemic reaction (other): I have forgotten to add I do get the occasional Covid sweats. So annoying. Received shot on 1st day of period- it stopped my period. No more menstration after day one. Happened w/first shot too.

Release 9 — day 35, dose 2

2021-09-29

Symptoms: A bad cold that feels like strep throat. I tested negative for Covid and negative for strep.

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	Brain fog	✓	·	✓
SD	Dizziness	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pharyngitis streptococcal	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sluggishness	✓	·	✓
SRO	Abdominal discomfort	✓	·	✓
SRO	Arthralgia	✓	·	✓
SRO	COVID-19	✓	·	✓
SRO	Diarrhoea	✓	·	✓
SRO	Dizziness	✓	·	✓
SRO	Fatigue	✓	·	✓
SRO	Head discomfort	✓	·	✓
SRO	Hyperhidrosis	✓	·	✓
SRO	Injection site reaction	✓	·	✓
SRO	Menstruation irregular	✓	·	✓
SRO	Musculoskeletal stiffness	✓	·	✓
SRO	Nasopharyngitis	✓	·	✓
SRO	Pain	✓	·	✓
SRO	Pain in extremity	✓	·	✓
SRO	Reaction to previous exposure to any vaccine	✓	·	✓
SRO	Throat irritation	✓	·	✓
SRO	Unevaluable event	✓	·	✓

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