5N4-33518-39287

3 vaccinations 18 coded responses 38 check-ins 17 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 923 / CA
Registered: 2021-03-13

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-13
Registered in v-safe
2021-03-13
Dose 1 — Moderna
2021-03-13
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site warmth, Pain in extremity — Feeling: Good · Site: Pain, Itching

Free text: Arm is sore and feels slightly warm at injection but I believe that is normal. I feel fine other wise. Thank you.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site mass, Injection site pain, Injection site warmth — Feeling: Good · Site: Pain, Swelling

Free text: Less sore today, still little bit warm and a small bump at injection site. But not worried about it. Feeling good. Thank you

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Dysmenorrhoea, Pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Started my mentura cycle, however my cramps and aches at usually not this bad.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-27
Survey response — day 14, dose 1
MedDRA: Immunisation reaction — Feeling: Good · Be unable to do your normal daily activities

Free text: Covid arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-10
Dose 2 — Moderna
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Lower back hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Redness, Itching · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Itching · Fever · Headache, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Itching · Fever · Headache · Be unable to do your normal daily activities

Free text: Dizzy And light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Light headed dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-01
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-08
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-14
Dose 3 — Moderna
2022-01-14
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-01-15
Survey response — days 1–6 daily, dose 3
MedDRA: Abnormal dreams — Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Weird dreams.

MedDRA releases: 2024-11 · check-in free text available
2022-01-16
Survey response — days 1–6 daily, dose 3
MedDRA: Abnormal dreams, Back pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My back hurts and I had another night of crazy dreams.

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site pruritus — Feeling: Good · Site: Itching · Fatigue or tiredness

Free text: Very itchy arm near injection.

MedDRA releases: 2024-11 · check-in free text available
2022-01-19
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Good · Site: Itching · Fatigue or tiredness

Free text: Hi

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2022-01-21
Health check-in — day 7, dose 3
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2022-01-30
Survey response — day 14, dose 3
MedDRA: Diarrhoea — Feeling: Fair · Be unable to work or attend school

Free text: Diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Survey response — day 21, dose 3
MedDRA: Abdominal pain upper, Back disorder, Heavy menstrual bleeding — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: My period was very heavy and bad back and stomach cramps

MedDRA releases: 2024-11 · check-in free text available
2022-02-13
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-20
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-25
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-15
Survey response — 3 months, dose 3
MedDRA: COVID-19, Oropharyngeal pain, Respiratory tract 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: COVID sore throat, congestion

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Report sent to call center — 3 months, dose 3
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)
2022-04-21
Call 1 — Left Voicemail
2022-07-15
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2023-01-14
Survey response — 12 months, dose 3
MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Moderna
2	2021-04-10	Moderna
3	2022-01-14	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-14

Systemic reaction (other): Arm is sore and feels slightly warm at injection but I believe that is normal. I feel fine other wise. Thank you.

2021-03-15

Systemic reaction (other): Less sore today, still little bit warm and a small bump at injection site. But not worried about it. Feeling good. Thank you

Release 6 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Started my mentura cycle, however my cramps and aches at usually not this bad.

Release 6 — day 14, dose 1

2021-03-27

Symptoms: Covid arm

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Light headed

2021-04-12

Systemic reaction (other): Lower back hurts

2021-04-14

Systemic reaction (other): Dizzy

2021-04-15

Systemic reaction (other): Dizzy

2021-04-16

Systemic reaction (other): Dizzy And light headed

Release 7 — day 7, dose 2

2021-04-17

Systemic reaction (other): Light headed dizzy

Release 10 — days 1–6 daily, dose 3

2022-01-15

Systemic reaction (other): Weird dreams.

2022-01-16

Systemic reaction (other): My back hurts and I had another night of crazy dreams.

2022-01-18

Systemic reaction (other): Very itchy arm near injection.

2022-01-19

Systemic reaction (other): Hi

Release 11 — day 14, dose 3

2022-01-30

Symptoms: Diarrhea

Release 11 — day 21, dose 3

2022-02-04

Symptoms: My period was very heavy and bad back and stomach cramps

Release 11 — 3 months, dose 3

2022-04-15

Symptoms: COVID sore throat, congestion

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	Abdominal pain upper	·	·	✓
SD	Back disorder	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Immunisation reaction	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Abnormal dreams	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysmenorrhoea	✓	✓	✓
SRO	Injection site mass	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site pruritus	·	·	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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