562-30418-96726

2 vaccinations 10 coded responses 26 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 210 / MD
Registered: 2021-02-17

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-17
Registered in v-safe
2021-02-17
Dose 1 — Moderna
2021-02-17
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Taste disorder — Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Things taste bitter to me today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort, Abdominal pain — Feeling: Good · Site: Pain

Free text: Yesterday I forgot to mention my "abdominal pain" was gastrointestinal distress related. Started feeling better after dinner yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good

Free text: The injection site bruised, but nothing else!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort, Abdominal distension, Flatulence — Feeling: Good

Free text: Continuing gastrointestinal distress - excessive bloating and gas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal distension, Flatulence, Gastrointestinal disorder — Feeling: Good

Free text: Still mild gastrointestinal issues - bloating and gas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal distension, Flatulence — Feeling: Good

Free text: Still mild bloating and gas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-17
Dose 2 — Moderna
2021-03-17
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension, Flatulence — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Bloating/gas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension, Abdominal pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Abdominal pain

Free text: Forgot to mention abdominal pain/bloating/has yesterday too, I think.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension, Flatulence — Feeling: Good · Site: Pain, Itching

Free text: Continued bloating/gas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-17
Survey response — 12 months, dose 2
MedDRA: Chest pain, Computerised tomogram abnormal, Dizziness, Hypoaesthesia, Lung disorder, Lymph node calcification — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Poss had COVID in Jan, but test wasn't able to be read since lab had COVID. Center-right chest pain w/numbness of R hand and dizziness in Feb, PCP ordered CT to r/o a PE, found calcified mediastinal lymph nodes and a few other abnormalities in lungs.

MedDRA releases: 2024-11 · check-in free text available
2022-03-17
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-22
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Moderna
2	2021-03-17	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-18

Systemic reaction (other): Things taste bitter to me today

2021-02-19

Systemic reaction (other): Yesterday I forgot to mention my "abdominal pain" was gastrointestinal distress related. Started feeling better after dinner yesterday.

2021-02-20

Systemic reaction (other): The injection site bruised, but nothing else!

2021-02-21

Systemic reaction (other): Continuing gastrointestinal distress - excessive bloating and gas

2021-02-22

Systemic reaction (other): Still mild gastrointestinal issues - bloating and gas

2021-02-23

Systemic reaction (other): Still mild bloating and gas

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): Bloating/gas

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Forgot to mention abdominal pain/bloating/has yesterday too, I think.

2021-03-21

Systemic reaction (other): Continued bloating/gas

Release 11 — 12 months, dose 2

2022-03-17

Symptoms: Poss had COVID in Jan, but test wasn't able to be read since lab had COVID. Center-right chest pain w/numbness of R hand and dizziness in Feb, PCP ordered CT to r/o a PE, found calcified mediastinal lymph nodes and a few other abnormalities in lungs. cut off by CDC

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	Chest pain	·	·	✓
SD	Computerised tomogram abnormal	·	·	✓
SD	Dizziness	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Lung disorder	·	·	✓
SD	Lymph node calcification	·	·	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Gastrointestinal disorder	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Taste disorder	✓	✓	✓

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