5AP-20054-01216

2 vaccinations 13 coded responses 21 check-ins 13 free-text entries 0 call cases

Sex: Male
Age at first dose: 41-45
ZIP prefix: 750 / TX
Registered: 2021-09-02

Relationship: Self
Race: White
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

2021-09-01
Dose 1 — Moderna
2021-09-02
Registered in v-safe
2021-09-02
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia, Skin discolouration — Feeling: Good

Free text: Darkening and tingling around my mouth

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-03
Survey response — days 1–6 daily, dose 1
MedDRA: Skin discolouration — Feeling: Fair · Headache

Free text: Still have a slight darkening of my skin around my mouth

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-05
Survey response — days 1–6 daily, dose 1
MedDRA: Skin discolouration — Feeling: Good

Free text: Darkening around mouth is lighter now and only on below lip now

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-06
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain, Back pain, Menstruation irregular — Feeling: Poor · Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: My cycle ended before the vaccine and started again today with strong back aches and intense abdominal pain.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-09
Survey response — day 7, dose 1
MedDRA: Skin discolouration — Feeling: Fair

Free text: Darkening around mouth appears to be lightening

MedDRA releases: 2024-11 · check-in free text available
2021-09-15
Survey response — day 14, dose 1
MedDRA: Dysmenorrhoea, Intermenstrual bleeding, Menstruation irregular, Vaginal haemorrhage — Feeling: Good

Free text: New symptoms- my cycle for my period is off. I ended the day before the vaccine then spotted 3 days later and am still experiencing intermittent breakthrough spotting and cramping.

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

Adult check-in
2021-09-29
Dose 2 — Moderna
2021-09-29
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-09-30
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Lack of appetite

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-10-06
Survey response — day 7, dose 2
MedDRA: Emotional disorder — Feeling: Good

Free text: Emotional

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Survey response — day 14, dose 2
MedDRA: Dysmenorrhoea, Heavy menstrual bleeding, Menstruation irregular — Feeling: Fair

Free text: My period came back for a second time this month. Heavy cramping and bleeding.

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Survey response — day 21, dose 2
MedDRA: Urticaria — Feeling: Fair

Free text: Random hives on day 12-19

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Survey response — day 28, dose 2
MedDRA: Heavy menstrual bleeding, Menstruation irregular — Feeling: Good

Free text: Periods are worse and heavy-

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — day 35, dose 2
MedDRA: Intermenstrual bleeding, Menstruation irregular — Feeling: Fair

Free text: My cycle is still not regular- mid cycle bleeding and irregularity

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-12-29
Survey response — 3 months, dose 2
MedDRA: Nasopharyngitis, Pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school

Free text: Cold symptoms- congestion, achy body, runny nose

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-09-01	Moderna	No
2	2021-09-29	Moderna	No

Free text

Release 9 — days 1–6 daily, dose 1

2021-09-02

Systemic reaction (other): Darkening and tingling around my mouth

2021-09-03

Systemic reaction (other): Still have a slight darkening of my skin around my mouth

2021-09-05

Systemic reaction (other): Darkening around mouth is lighter now and only on below lip now

2021-09-06

Systemic reaction (other): My cycle ended before the vaccine and started again today with strong back aches and intense abdominal pain.

Release 9 — day 7, dose 1

2021-09-09

Systemic reaction (other): Darkening around mouth appears to be lightening

Release 9 — day 14, dose 1

2021-09-15

Symptoms: New symptoms- my cycle for my period is off. I ended the day before the vaccine then spotted 3 days later and am still experiencing intermittent breakthrough spotting and cramping.

Release 9 — days 1–6 daily, dose 2

2021-09-30

Systemic reaction (other): Lack of appetite

Release 10 — day 7, dose 2

2021-10-06

Systemic reaction (other): Emotional

Release 10 — day 14, dose 2

2021-10-14

Symptoms: My period came back for a second time this month. Heavy cramping and bleeding.

Release 10 — day 21, dose 2

2021-10-22

Symptoms: Random hives on day 12-19

Release 10 — day 28, dose 2

2021-10-28

Symptoms: Periods are worse and heavy-

Release 10 — day 35, dose 2

2021-11-04

Symptoms: My cycle is still not regular- mid cycle bleeding and irregularity

Release 10 — 3 months, dose 2

2021-12-29

Symptoms: Cold symptoms- congestion, achy body, runny nose

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	Dysmenorrhoea	·	·	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Intermenstrual bleeding	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Urticaria	·	·	✓
SD	Vaginal haemorrhage	·	·	✓
SRO	Abdominal pain	✓	·	✓
SRO	Back pain	✓	·	✓
SRO	Decreased appetite	·	·	✓
SRO	Emotional disorder	·	·	✓
SRO	Menstruation irregular	✓	·	✓
SRO	Paraesthesia	✓	·	✓
SRO	Skin discolouration	✓	·	✓

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