57J-38373-92739

2 vaccinations 6 coded responses 24 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 615 / IL
Registered: 2021-04-07

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

2021-04-07
Registered in v-safe
2021-04-07
Dose 1 — Moderna
2021-04-07
Survey response — day 0, dose 1
MedDRA: Injection site pain, Myalgia — Feeling: Good · Site: Pain

Free text: Burning sensation at injection site first 3 hours. Disappeared for two hours then arm muscle began aching with movement

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — day 7, dose 1
Feeling: Good · Fever · Chills, Muscle or body aches, Nausea

Adult check-in
2021-04-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-05-10
Dose 2 — Moderna
2021-05-10
Survey response — day 0, dose 2
MedDRA: Immediate post-injection reaction, Pruritus — Feeling: Good · Site: Pain, Swelling, Itching

Free text: Itching across neck and torso without rash beginning 15mins after injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Restlessness, Tremor — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Shakiness, restlessness and insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — days 1–6 daily, dose 2
MedDRA: Bone pain, Insomnia, Restlessness — Feeling: Poor · Site: Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Insomnia, restlessness, long bone pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Poor · Site: Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache · Be unable to do your normal daily activities

Adult check-in
2021-05-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-11-08
Survey response — 6 months, dose 2
MedDRA: Breast pain, Menstruation irregular, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Very irregular periods starting a cycle and a half after my second vaccine. Previously regular cycles now vary between 20-45 days apart. Also a consistent painful area on breast, the side of second vaccine which lasted 3 months. Dense tissue per US · Healthcare visit (other): And breast imaging

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Moderna
2	2021-05-10	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-07

Systemic reaction (other): Burning sensation at injection site first 3 hours. Disappeared for two hours then arm muscle began aching with movement

Release 8 — day 0, dose 2

2021-05-10

Systemic reaction (other): Itching across neck and torso without rash beginning 15mins after injection

Release 8 — days 1–6 daily, dose 2

2021-05-11

Systemic reaction (other): Shakiness, restlessness and insomnia

2021-05-12

Systemic reaction (other): Insomnia, restlessness, long bone pain

2021-05-13

Systemic reaction (other): Insomnia

Release 10 — 6 months, dose 2

2021-11-08

Symptoms: Very irregular periods starting a cycle and a half after my second vaccine. Previously regular cycles now vary between 20-45 days apart. Also a consistent painful area on breast, the side of second vaccine which lasted 3 months. Dense tissue per US cut off by CDC

Healthcare visit (other): And breast imaging

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	Unevaluable event	·	·	✓
SD	Breast pain	·	·	✓
SD	Menstruation irregular	·	·	✓
SRO	Bone pain	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Restlessness	✓	✓	✓
SRO	Tremor	✓	✓	✓

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