4ZY-12208-05975

2 vaccinations 11 coded responses 19 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 917 / CA
Registered: 2021-04-01

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Moderna
2021-04-01
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, Nausea

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Ageusia, Dizziness, Dry mouth — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Free text: Dizziness, loss off taste and really dry mouthed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Dizziness, Sleep disorder — Feeling: Poor · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness even when trying to sleep and loss of apetito

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Dry mouth — Feeling: Fair · Muscle or body aches

Free text: Dry mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-08
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-15
Survey response — day 14, dose 1
MedDRA: Injection site rash — Feeling: Fair

Free text: A rash on mi arm where i got the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-29
Survey response — day 28, dose 1
MedDRA: Heavy menstrual bleeding — Feeling: Fair · Be unable to do your normal daily activities

Free text: Mi period lasted 3 weeks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Dose 2 — Moderna
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Medical counselling, Rhinorrhoea — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Running nose · Healthcare visit (other): A shot off benydrl for the arm and a shot to stop the headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Survey response — day 7, dose 2
MedDRA: Headache — Feeling: Poor · Site: Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: The headache is in the front of mi forhead

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — day 14, dose 2
MedDRA: Myalgia — Feeling: Fair · Be unable to work, 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: I was diagnosed with myalgia the pain has gone down but still have the muscles sorenes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-21
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-28
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-10-29
Survey response — 6 months, dose 2
MedDRA: Myalgia, Office visit — Feeling: Fair · Be unable to work or attend school

Free text: Myalgia all other health posibilites where discarded buy test done buy mi doctor

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Survey response — 12 months, dose 2
MedDRA: Fibromyalgia, Heavy menstrual bleeding, Menstruation irregular — Feeling: Poor · Be unable to work or attend school

Free text: Fibromyalgia and unregulated period that last 3 weeks

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-04-30	Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-04-01

Systemic reaction (other): Dizziness

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Dizziness, loss off taste and really dry mouthed

2021-04-03

Systemic reaction (other): Dizziness even when trying to sleep and loss of apetito

2021-04-05

Systemic reaction (other): Dry mouth

Release 7 — day 14, dose 1

2021-04-15

Symptoms: A rash on mi arm where i got the shot

Release 8 — day 28, dose 1

2021-04-29

Symptoms: Mi period lasted 3 weeks

Release 8 — days 1–6 daily, dose 2

2021-05-06

Systemic reaction (other): Running nose

Healthcare visit (other): A shot off benydrl for the arm and a shot to stop the headache

Release 8 — day 7, dose 2

2021-05-07

Systemic reaction (other): The headache is in the front of mi forhead

Release 8 — day 14, dose 2

2021-05-15

Symptoms: I was diagnosed with myalgia the pain has gone down but still have the muscles sorenes

Release 10 — 6 months, dose 2

2021-10-29

Symptoms: Myalgia all other health posibilites where discarded buy test done buy mi doctor

Release 11 — 12 months, dose 2

2022-04-30

Symptoms: Fibromyalgia and unregulated period that last 3 weeks

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	Medical counselling	✓	✓	✓
SD	Fibromyalgia	·	·	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Menstruation irregular	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Office visit	·	·	✓
SRO	Ageusia	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sleep disorder	·	·	✓

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