64T-63211-95666

3 vaccinations 10 coded responses 32 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 906 / CA
Registered: 2021-05-15

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Registered dependents

EH3-13452-14529 Child or adolescent in my care · Female · 2021-12-18

Timeline

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

2021-05-11
Dose 1 — Moderna
2021-05-15
Registered in v-safe
2021-05-15
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Slightly sore throat in the first 3 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-17
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: Rash on scalp due to hair coloring. But swollen with cortisone cream

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — day 7, dose 1
MedDRA: Hypersensitivity — Feeling: Poor · Site: Swelling · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Allergic reactions from hair dye. PCP reported. Rx received

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-08
Dose 2 — Moderna
2021-06-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-06-11
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Fatigue, Neck pain — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Free text: Back of neck and shoulder pain from the position of sleeping, secondary to the severe fatigue & protecting the injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Fair · Site: Pain

Free text: Lower back pain since shot #2. Didn't know it was one of side effects till my friend told me today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Survey response — days 1–6 daily, dose 2
MedDRA: Breast feeding, Mastitis — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches

Free text: Had clogged milk ducts from breastfeeding for 1.5 days. Resolved @11am.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Neck & shoulder stiffness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-06
Survey response — day 28, dose 2
MedDRA: Dizziness, Fatigue — Feeling: Good

Free text: Light headed, dizzy, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-12
Dose 3 — Pfizer-BioNTech
2022-04-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-04-19
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-04-28
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-05-03
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-05-10
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-05-11
Call 1 — Left Voicemail
2022-05-17
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-05-25
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-07-12
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-10-11
Survey response — 6 months, dose 3
MedDRA: Menstruation irregular — Feeling: Good

Free text: I noticed that after the vaccination my period comes a week early every month. I read an article that the vaccination causes it. I used to have 29-31 days cycle. Now 21-25 days cycle.

MedDRA releases: 2024-11 · check-in free text available
2023-04-12
Survey response — 12 months, dose 3
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-11	Moderna
2	2021-06-08	Moderna
3	2022-04-12	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-15

Systemic reaction (other): Slightly sore throat in the first 3 days.

2021-05-17

Systemic reaction (other): Rash on scalp due to hair coloring. But swollen with cortisone cream

Release 8 — day 7, dose 1

2021-05-18

Systemic reaction (other): Allergic reactions from hair dye. PCP reported. Rx received

Release 9 — days 1–6 daily, dose 2

2021-06-11

Systemic reaction (other): Back of neck and shoulder pain from the position of sleeping, secondary to the severe fatigue & protecting the injection site.

2021-06-12

Systemic reaction (other): Lower back pain since shot #2. Didn't know it was one of side effects till my friend told me today.

2021-06-13

Systemic reaction (other): Had clogged milk ducts from breastfeeding for 1.5 days. Resolved @11am.

2021-06-14

Systemic reaction (other): Neck & shoulder stiffness

Release 9 — day 28, dose 2

2021-07-06

Symptoms: Light headed, dizzy, fatigue

Release 12 — 6 months, dose 3

2022-10-11

Symptoms: I noticed that after the vaccination my period comes a week early every month. I read an article that the vaccination causes it. I used to have 29-31 days cycle. Now 21-25 days cycle.

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	COVID-19	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Menstruation irregular	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Breast feeding	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Mastitis	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Rash	✓	✓	✓

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