65G-32905-59304

3 vaccinations 7 coded responses 22 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 750 / TX
Registered: 2021-03-29

Relationship: Self
Race: Black or African American
Ethnicity: Not 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

2021-03-17
Dose 1 — Moderna
2021-03-29
Registered in v-safe
2021-03-29
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-08
Survey response — day 21, dose 1
MedDRA: Abdominal pain, Arthralgia, Diarrhoea — Feeling: Fair

Free text: Joint pain, abdominal cramps, diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Dose 2 — Moderna
2021-04-13
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-20
Health check-in — day 7, dose 2
Feeling: Fair · None

Adult check-in
2021-04-27
Survey response — day 14, dose 2
MedDRA: Heavy menstrual bleeding — Feeling: Fair

Free text: Heavier bleeding with extremely large swaths of uterine tissue during period, so much so that my iud was expelled still attached to a hand-sized swath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-11
Survey response — day 28, dose 2
MedDRA: Tooth disorder, X-ray — Feeling: Fair

Free text: My dental x-rays showed 8 or 9 cavities, up from no cavities at the previous checkup. I don't recall ever having more than one or two cavities at once. I haven't changed my diet or hygiene habits. Also noticed thick tongue coating since vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-27
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Dose 3 — Moderna
2021-10-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-12
Survey response — day 42, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worsening fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Survey response — 3 months, dose 3
MedDRA: Brain fog, Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Extreme fatigue, brain-fog

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Chills, Headache, Myalgia, Nausea, Parosmia, Pyrexia, Taste disorder — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever, chills, muscle and joint pain, headache, nausea, taste changes, phantom smells (smelling strong odors that no one else could smell)

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Survey response — 12 months, dose 3
MedDRA: Decreased appetite, Headache, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore throat, fever, headache, loss of appetite Tested positive for covid

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-13	Moderna
3	2021-10-01	Moderna	No

Free text

Release 7 — day 21, dose 1

2021-04-08

Symptoms: Joint pain, abdominal cramps, diarrhea

Release 8 — day 14, dose 2

2021-04-27

Symptoms: Heavier bleeding with extremely large swaths of uterine tissue during period, so much so that my iud was expelled still attached to a hand-sized swath

Release 8 — day 28, dose 2

2021-05-11

Symptoms: My dental x-rays showed 8 or 9 cavities, up from no cavities at the previous checkup. I don't recall ever having more than one or two cavities at once. I haven't changed my diet or hygiene habits. Also noticed thick tongue coating since vaccine.

Release 10 — day 42, dose 3

2021-11-12

Symptoms: Worsening fatigue

Release 10 — 3 months, dose 3

2021-12-31

Symptoms: Extreme fatigue, brain-fog

Release 11 — 6 months, dose 3

2022-04-01

Symptoms: Fever, chills, muscle and joint pain, headache, nausea, taste changes, phantom smells (smelling strong odors that no one else could smell)

Release 12 — 12 months, dose 3

2022-10-04

Symptoms: Sore throat, fever, headache, loss of appetite Tested positive for covid

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	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Chills	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Parosmia	·	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Taste disorder	·	·	✓
SD	Tooth disorder	✓	✓	✓
SD	X-ray	✓	✓	✓

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