4ZP-35791-85075

2 vaccinations 11 coded responses 23 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 939 / CA
Registered: 2021-01-30

Relationship: Self
Race: Other
Ethnicity: 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

2021-01-29
Dose 1 — Moderna
2021-01-30
Registered in v-safe
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-05
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-12
Survey response — day 14, dose 1
MedDRA: Balance disorder, Dizziness — Feeling: Good

Free text: Throughout the day i sometimes experience dizziness, and lose my balance.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-25
Dose 2 — Moderna
2021-02-25
Health check-in — day 0, dose 2
Feeling: Good · Site: Swelling · Headache

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort — Feeling: Good

Free text: Pressure in chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Survey response — day 14, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: I get dizzy occasionally, I have to stop to get my balance back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 28, dose 2
MedDRA: Arthralgia, Fatigue, Somnolence, Swelling face, Swelling of eyelid, Throat irritation — Feeling: Fair · Be unable to do your normal daily activities

Free text: My joints have been hurting, feeling tiredness, sleepy, my face feels swollen, eyes like if they're sinking in, and throat scratchy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 35, dose 2
MedDRA: Arthralgia, Balance disorder, Confusional state, Dizziness, Fatigue, Pain in extremity — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Been feeling tired, joints hurt, dizzy, lose my balance, confused, and legs hurt.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 42, dose 2
MedDRA: Arthralgia, Balance disorder, Dizziness, Fatigue, Nausea, Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tired, nauseous, dizzy, lose balance, joints hurt, small rashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Survey response — 3 months, dose 2
MedDRA: Cough, Dyspnoea, Headache, Productive cough, Pyrexia, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Fever, headache, cough, runny nose, congestion, shortness of breath, phlegm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-26
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Bone pain — Feeling: Fair · Be unable to work or attend school

Free text: Bones, and joints hurt alot

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-27
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Brain fog, Fatigue — Feeling: Good · Be unable to work or attend school

Free text: Joints hurt occasionally, foggy mind, frequently tired

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-02-25	Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-02

Systemic reaction (other): Dizzy

Release 4 — day 14, dose 1

2021-02-12

Symptoms: Throughout the day i sometimes experience dizziness, and lose my balance.

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Dizzy

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Pressure in chest

Release 5 — day 14, dose 2

2021-03-11

Symptoms: I get dizzy occasionally, I have to stop to get my balance back

Release 6 — day 28, dose 2

2021-03-25

Symptoms: My joints have been hurting, feeling tiredness, sleepy, my face feels swollen, eyes like if they're sinking in, and throat scratchy.

Release 7 — day 35, dose 2

2021-04-07

Symptoms: Been feeling tired, joints hurt, dizzy, lose my balance, confused, and legs hurt.

Release 7 — day 42, dose 2

2021-04-08

Symptoms: Tired, nauseous, dizzy, lose balance, joints hurt, small rashes

Release 8 — 3 months, dose 2

2021-05-29

Symptoms: Fever, headache, cough, runny nose, congestion, shortness of breath, phlegm

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: Bones, and joints hurt alot

Release 11 — 12 months, dose 2

2022-02-27

Symptoms: Joints hurt occasionally, foggy mind, frequently tired

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	Arthralgia	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Bone pain	✓	·	✓
SD	Brain fog	·	·	✓
SD	Confusional state	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Somnolence	✓	✓	✓
SD	Swelling face	✓	✓	✓
SD	Swelling of eyelid	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Dizziness	✓	✓	✓

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