5YM-22758-58127

3 vaccinations 9 coded responses 21 check-ins 9 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 440 / OH
Registered: 2021-02-24

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

2021-02-11
Dose 1 — Moderna
2021-02-24
Registered in v-safe
2021-02-24
Survey response — day 7, dose 1
MedDRA: Abdominal discomfort, Abdominal pain, Asthenia, Decreased appetite, Injection site pain — Feeling: Fair · Abdominal pain

Free text: For a few days after injection, only soreness at site. Starting 2/22, Ive had intermittent abdominal pain/discomfort, decreased appetite, and am taking more breaks during normal activity, less energy. Temperature 98.7; I normally run at 97 degrees. Not sure that these symptoms are related to vaccine, but, they are not usual for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-11
Dose 2 — Moderna
2021-03-11
Survey response — day 0, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain

Free text: I feel fair because of a health condition Ive had for two weeks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, Office visit, Unevaluable event — Feeling: Good · Site: Pain · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Other symptoms, but not caused by vaccine. · Healthcare visit (other): Left message with doctors office. Not urgent, not caused by vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain — Feeling: Fair · Abdominal pain

Free text: Abdominal pain is, I believe, from problem other than Covid vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal discomfort, Oesophageal discomfort, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Abdominal and esophageal discomfort-not likely related to Covid-19 vaccine. Follow-up medical appointment today. · Healthcare visit (other): In-person in office withnurse practitioner

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-22
Survey response — day 42, dose 2
MedDRA: Gastric disorder, Oesophageal disorder — Feeling: Good · Be unable to do your normal daily activities

Free text: The problem with my esophagus/stomach returned for one day, but is improved now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Survey response — 3 months, dose 2
MedDRA: Abdominal discomfort, Haemorrhoidal haemorrhage, Oesophageal discomfort, Office visit, Self-medication, Telemedicine — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Bleeding hemorrhoids. My esophagus & stomach discomfort that started 11 days after first Moderna injection and started me on daily Prilosec is improving. · Healthcare visit (other): Telehealth, in-office appointments, endoscopy (came out ok). Will see proctologist. (Not sure if conditions are related to vaccine.)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Call 1 — Left Voicemail
2021-06-21
Call 2 — Left Voicemail
2021-06-23
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-09-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-19
Dose 3 — Moderna
2022-03-13
Survey response — 12 months, dose 2
MedDRA: Burning sensation, Carpal tunnel syndrome, Office visit, Paraesthesia, Sleep disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Carpal tunnel both wrists. Burning, tingling in arm or hands were waking me up. Now wearing carpal tunnel night braces on both wrists/hands. · Healthcare visit (other): Office appointment with pain management dr. for testing. Orthopedic dr. appointment coming this week

MedDRA releases: 2024-11 · check-in free text available
2022-03-13
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-20
Survey response — 6 months, dose 3
MedDRA: Surgery — Feeling: Good · 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: Carpal tunnel surgery

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Report sent to call center — 6 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)
2022-05-24
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-19
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Moderna
2	2021-03-11	Moderna
3	2021-11-19	Moderna	No

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 4 — day 7, dose 1

2021-02-24

Systemic reaction (other): For a few days after injection, only soreness at site. Starting 2/22, Ive had intermittent abdominal pain/discomfort, decreased appetite, and am taking more breaks during normal activity, less energy. Temperature 98.7; I normally run at 97 degrees. Not sure that these symptoms are related to vaccine, but, they are not usual for me.

Release 5 — day 0, dose 2

2021-03-11

Systemic reaction (other): I feel fair because of a health condition Ive had for two weeks.

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Other symptoms, but not caused by vaccine.

Healthcare visit (other): Left message with doctors office. Not urgent, not caused by vaccine.

2021-03-14

Systemic reaction (other): Abdominal pain is, I believe, from problem other than Covid vaccine

2021-03-16

Systemic reaction (other): Abdominal and esophageal discomfort-not likely related to Covid-19 vaccine. Follow-up medical appointment today.

Healthcare visit (other): In-person in office withnurse practitioner

Release 7 — day 42, dose 2

2021-04-22

Symptoms: The problem with my esophagus/stomach returned for one day, but is improved now.

Release 9 — 3 months, dose 2

2021-06-12

Symptoms: Bleeding hemorrhoids. My esophagus & stomach discomfort that started 11 days after first Moderna injection and started me on daily Prilosec is improving.

Healthcare visit (other): Telehealth, in-office appointments, endoscopy (came out ok). Will see proctologist. (Not sure if conditions are related to vaccine.)

Release 11 — 12 months, dose 2

2022-03-13

Symptoms: Carpal tunnel both wrists. Burning, tingling in arm or hands were waking me up. Now wearing carpal tunnel night braces on both wrists/hands.

Healthcare visit (other): Office appointment with pain management dr. for testing. Orthopedic dr. appointment coming this week

Release 11 — 6 months, dose 3

2022-05-20

Symptoms: Carpal tunnel surgery

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	Office visit	✓	✓	✓
HCVO	Telemedicine	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Abdominal discomfort	✓	✓	✓
SD	Burning sensation	·	·	✓
SD	Carpal tunnel syndrome	·	·	✓
SD	Gastric disorder	✓	✓	✓
SD	Haemorrhoidal haemorrhage	✓	✓	✓
SD	Oesophageal discomfort	✓	✓	✓
SD	Oesophageal disorder	✓	✓	✓
SD	Paraesthesia	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Sleep disorder	·	·	✓
SD	Surgery	·	·	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Oesophageal discomfort	✓	✓	✓
SRO	Unevaluable event	✓	✓	○

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