5EE-14930-67482

2 vaccinations 8 coded responses 13 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 142 / NY
Registered: 2021-04-03

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

2021-03-03
Dose 1 — Moderna
2021-03-31
Dose 2 — Moderna
2021-04-03
Registered in v-safe
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Neuralgia — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: After 12 hours i felt like every nerve was on fire. The worse pain i have ever felt

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-07
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Abdominal pain

Adult check-in
2021-04-14
Survey response — day 14, dose 2
MedDRA: Hypoaesthesia oral — Feeling: Fair

Free text: My tongue has gone numb three times.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 21, dose 2
MedDRA: Abdominal discomfort, Gastrointestinal disorder, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Stomach and intestines issues · Healthcare visit (other): Scheduled a sona gram

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-05
Survey response — day 35, dose 2
MedDRA: Abdominal distension, Gastrointestinal disorder — Feeling: Fair

Free text: Severe bloating intestinal disturbance. Waiting for results of Sonogram.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 42, dose 2
MedDRA: Unevaluable event — Feeling: Fair

Free text: Memory Intestinal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Survey response — 3 months, dose 2
MedDRA: Anxiety, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe anxiety Muscle spasms in arms and legs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-29
Survey response — 6 months, dose 2
MedDRA: Ageusia, Alopecia, Cough, Decreased appetite, Diarrhoea, Headache, Oropharyngeal pain, Sinus congestion — Feeling: Fair · Be unable to work or attend school, 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: Sore throat- sinus congestion-severe headache- cough- hair loss- loss of taste appetite-severe diarrhea

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-01
Call 1 — Left Voicemail
2022-03-31
Survey response — 12 months, dose 2
MedDRA: Abdominal pain upper, Diarrhoea, Headache, Nausea, Oropharyngeal pain, Throat tightness, Vomiting — Feeling: Poor · Be unable to work or attend school, 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: Vomit. Diarrhea. Headache. Sore throat. Tight throat Nauseous. Stomach ache 1 1/2 weeks

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-05
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-03-31	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): After 12 hours i felt like every nerve was on fire. The worse pain i have ever felt

Release 7 — day 14, dose 2

2021-04-14

Symptoms: My tongue has gone numb three times.

Release 7 — day 21, dose 2

2021-04-21

Symptoms: Stomach and intestines issues

Healthcare visit (other): Scheduled a sona gram

Release 8 — day 35, dose 2

2021-05-05

Symptoms: Severe bloating intestinal disturbance. Waiting for results of Sonogram.

Release 8 — day 42, dose 2

2021-05-12

Symptoms: Memory Intestinal

Release 9 — 3 months, dose 2

2021-06-30

Symptoms: Severe anxiety Muscle spasms in arms and legs.

Release 9 — 6 months, dose 2

2021-09-29

Symptoms: Sore throat- sinus congestion-severe headache- cough- hair loss- loss of taste appetite-severe diarrhea

Release 11 — 12 months, dose 2

2022-03-31

Symptoms: Vomit. Diarrhea. Headache. Sore throat. Tight throat Nauseous. Stomach ache 1 1/2 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	Unevaluable event	✓	✓	✓
SD	Abdominal discomfort	✓	✓	✓
SD	Abdominal distension	✓	✓	✓
SD	Abdominal pain upper	·	·	✓
SD	Ageusia	·	·	✓
SD	Alopecia	·	·	✓
SD	Anxiety	✓	✓	✓
SD	Cough	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Headache	·	·	✓
SD	Hypoaesthesia oral	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Throat tightness	·	·	✓
SD	Unevaluable event	✓	✓	✓
SD	Vomiting	·	·	✓
SRO	Neuralgia	✓	✓	✓

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