56Z-15225-45268

2 vaccinations 15 coded responses 25 check-ins 15 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 450 / OH
Registered: 2021-01-22

Relationship: Self
Race: White
Ethnicity: Not 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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-22
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pruritus — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Itchy eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pruritus, Swelling of eyelid — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Itchy eyes, slightly swollen eyelids in the morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pruritus — Feeling: Good

Free text: Brief period of itchy eyes last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Survey response — day 21, dose 1
MedDRA: Blepharospasm, Condition aggravated, Muscle spasms, Muscle twitching, Muscular weakness, Pre-existing disease — Feeling: Good

Free text: Worsening of tingling in arms and muscle weakness and muscle cramps In arms (present prior to vaccine). Twinges on left side of head/eye twitching on left eye.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — day 28, dose 1
MedDRA: Fatigue — Feeling: Good

Free text: Worsening fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Dose 2 — Moderna
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Flushing, Pruritus — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: On 3/22/21 (day of 2cnd vaccine) I had itching in arms, head and trunk within 10 minutes of shot, lasting about 20 minutes. Mild. About 1.5 hours later very brief facial flushing/feeling faint. Last maybe two minutes. Ate small bit of food and drank some tea and felt better. I did not get a questionnaire about the first days symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Lower appetite

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: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — day 7, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-08
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Increased fatigue over the last few weeks. Subtle increase- going to bed earlier. Havent experienced this over the last few years.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — day 21, dose 2
MedDRA: Heart rate increased — Feeling: Good

Free text: Slightly elevated heart rate over my typical for the last week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 28, dose 2
MedDRA: Ear discomfort, Idiopathic environmental intolerance, Nausea, Paranasal sinus discomfort, Perfume sensitivity, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased sensitivity to fragrance. I already have multiple chemical sensitivities. Started in. A new office last week and went to a few stores over weekend. and have increased ear pressure, nausea, sinus pressure. Symptoms quicker to present.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 35, dose 2
MedDRA: Dizziness, Ear discomfort, Headache, Idiopathic environmental intolerance, Vestibular migraine — Feeling: Good

Free text: Increased multiple chemical sensitivities. Headache, vestibular migraine. Ear fullness/dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 42, dose 2
MedDRA: Dizziness, Ear discomfort, Fatigue, Nausea, Perfume sensitivity — Feeling: Good · Be unable to do your normal daily activities

Free text: Increased ear pressure/dizziness nausea. Increased fatigue. Increased sensitivity to fragrances.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — 3 months, dose 2
MedDRA: Extrasystoles, Heart rate abnormal, Heart rate decreased, Office visit, Oxygen saturation decreased — Feeling: Good · Be unable to do your normal daily activities

Free text: Abnormal HR on 5/4/21 varying from 35 to 77 BPM. Could not get sinus rhythm on Apple Watch ECG until the next day. SPO2 between 97 and 92. 5/5 symptoms subsided and clinical heard missed heart beats during PE. Symptoms gone by 5/6/21.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-24
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Condition aggravated, Fatigue, Heart rate irregular, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: After previously reporting irregular heartbeat with this app, several additional sporadic days of same. Also now some joint pain, mostly hands and ankles. Fatigue is slowly increasing (previous hx of fibromyalgia-mostly muscle pain and fatigue).

MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-22	Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Itchy eyes

2021-01-24

Systemic reaction (other): Itchy eyes, slightly swollen eyelids in the morning.

2021-01-27

Systemic reaction (other): Brief period of itchy eyes last night

Release 4 — day 21, dose 1

2021-02-12

Symptoms: Worsening of tingling in arms and muscle weakness and muscle cramps In arms (present prior to vaccine). Twinges on left side of head/eye twitching on left eye.

Release 4 — day 28, dose 1

2021-02-19

Symptoms: Worsening fatigue.

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): Migraine

2021-02-25

Systemic reaction (other): On 3/22/21 (day of 2cnd vaccine) I had itching in arms, head and trunk within 10 minutes of shot, lasting about 20 minutes. Mild. About 1.5 hours later very brief facial flushing/feeling faint. Last maybe two minutes. Ate small bit of food and drank some tea and felt better. I did not get a questionnaire about the first days symptoms.

2021-02-26

Systemic reaction (other): Lower appetite

Release 5 — day 14, dose 2

2021-03-08

Symptoms: Increased fatigue over the last few weeks. Subtle increase- going to bed earlier. Havent experienced this over the last few years.

Release 5 — day 21, dose 2

2021-03-15

Symptoms: Slightly elevated heart rate over my typical for the last week.

Release 6 — day 28, dose 2

2021-03-25

Symptoms: Increased sensitivity to fragrance. I already have multiple chemical sensitivities. Started in. A new office last week and went to a few stores over weekend. and have increased ear pressure, nausea, sinus pressure. Symptoms quicker to present.

Release 6 — day 35, dose 2

2021-03-30

Symptoms: Increased multiple chemical sensitivities. Headache, vestibular migraine. Ear fullness/dizziness.

Release 7 — day 42, dose 2

2021-04-06

Symptoms: Increased ear pressure/dizziness nausea. Increased fatigue. Increased sensitivity to fragrances.

Release 8 — 3 months, dose 2

2021-05-26

Symptoms: Abnormal HR on 5/4/21 varying from 35 to 77 BPM. Could not get sinus rhythm on Apple Watch ECG until the next day. SPO2 between 97 and 92. 5/5 symptoms subsided and clinical heard missed heart beats during PE. Symptoms gone by 5/6/21.

Release 9 — 6 months, dose 2

2021-08-24

Symptoms: After previously reporting irregular heartbeat with this app, several additional sporadic days of same. Also now some joint pain, mostly hands and ankles. Fatigue is slowly increasing (previous hx of fibromyalgia-mostly muscle pain and fatigue).

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	Blepharospasm	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Ear discomfort	✓	✓	✓
SD	Extrasystoles	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate abnormal	✓	✓	✓
SD	Heart rate decreased	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Heart rate irregular	✓	·	✓
SD	Idiopathic environmental intolerance	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Muscle twitching	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Oxygen saturation decreased	✓	✓	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Perfume sensitivity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Vestibular migraine	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Swelling of eyelid	✓	✓	✓

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