5EY-17649-47575

4 vaccinations 7 coded responses 38 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 770 / TX
Registered: 2021-04-04

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

2021-04-02
Dose 1 — Moderna
2021-04-04
Registered in v-safe
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site erythema, Injection site swelling, Night sweats — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Last night I had night-sweats and this morning I notice the redness and swelling on injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pruritus, Paraesthesia — Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tiredness

Free text: I get a tingling sensation in around injection site then the itchiness begins. I avoid scratching.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Site: Redness, Itching · Headache, Fatigue or tiredness

Free text: Even though the area has been itchy I have avoided scratching.

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: Good · Fatigue or tiredness

Adult check-in
2021-04-09
Survey response — day 7, dose 1
MedDRA: Hypoaesthesia — Feeling: Good · Fatigue or tiredness

Free text: Mild numbness on the left side of my face. No pain, no swelling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-30
Dose 2 — Moderna
2021-04-30
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Abdominal pain

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Headache

Adult check-in
2021-05-07
Health check-in — day 7, dose 2
Feeling: Fair · Site: Redness · Chills, Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-05-16
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-05-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-30
Dose 3 — Moderna
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-06
Health check-in — day 7, dose 3
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-31
Survey response — 3 months, dose 3
MedDRA: Arthralgia, Heavy menstrual bleeding, Pain, Pain in extremity, Self-medication — Feeling: Good

Free text: Only thing I've notice, is that my menstrual cycle got heavier and I get excruciating pain that run downs my leg from right side hip. Use a Heat pad and Midol to alleviate the pain. After my cycle week is done I feel fine.

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-15
Dose 4 — Moderna
2022-09-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-09-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2022-09-19
Survey response — days 1–6 daily, dose 4
MedDRA: Abdominal pain, Abnormal faeces, Diarrhoea — Feeling: Good · Site: Redness · Headache, Fatigue or tiredness, Diarrhea

Free text: menstrual like cramping, mild. Had my period at the start of the month. Diarrhea has subsided, it Saturday night mild abdominal cramping mid Sunday my stool wasn't runny, but it doesn't look normal.

MedDRA releases: 2024-11 · check-in free text available
2022-09-20
Survey response — days 1–6 daily, dose 4
MedDRA: Chills — Feeling: Good · Site: Redness · Chills, Fatigue or tiredness, Abdominal pain

Free text: Chills were mostly felt at nighttime while I slept.

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness · Chills, Diarrhea

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Moderna
2	2021-04-30	Moderna
3	2021-10-30	Moderna	No
4	2022-09-15	Moderna	No

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-04

Systemic reaction (other): Last night I had night-sweats and this morning I notice the redness and swelling on injection site.

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): I get a tingling sensation in around injection site then the itchiness begins. I avoid scratching.

2021-04-07

Systemic reaction (other): Even though the area has been itchy I have avoided scratching.

Release 7 — day 7, dose 1

2021-04-09

Systemic reaction (other): Mild numbness on the left side of my face. No pain, no swelling.

Release 11 — 3 months, dose 3

2022-01-31

Symptoms: Only thing I've notice, is that my menstrual cycle got heavier and I get excruciating pain that run downs my leg from right side hip. Use a Heat pad and Midol to alleviate the pain. After my cycle week is done I feel fine.

Release 12 — days 1–6 daily, dose 4

2022-09-19

Systemic reaction (other): menstrual like cramping, mild. Had my period at the start of the month. Diarrhea has subsided, it Saturday night mild abdominal cramping mid Sunday my stool wasn't runny, but it doesn't look normal.

2022-09-20

Systemic reaction (other): Chills were mostly felt at nighttime while I slept.

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	Heavy menstrual bleeding	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Self-medication	·	·	✓
SRO	Abdominal pain	·	·	✓
SRO	Abnormal faeces	·	·	✓
SRO	Chills	·	·	✓
SRO	Diarrhoea	·	·	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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