68R-17172-28576

2 vaccinations 7 coded responses 24 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 983 / WA
Registered: 2021-04-14

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

2021-04-14
Registered in v-safe
2021-04-14
Dose 1 — Moderna
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Injection site swelling — Feeling: Good · Site: Pain, Swelling

Free text: Injection site tender and swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 1
MedDRA: Epistaxis — Feeling: Good · Joint pains

Free text: Bloody nose (I have never had a bloody nose in 37 years)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-12
Dose 2 — Moderna
2021-05-12
Survey response — day 0, dose 2
MedDRA: Myalgia — Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Free text: Muscle aches relegated to my upper arm, elbow, and pinky finger (on the shot site arm).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Paraesthesia, Peripheral swelling, Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Red toes, very itchy soles, accompanied with a tingling swollen feeling (like the skin was stretching); there is no visible rash; onset was about 6 hours after injection, and lasted well into the night. When I woke up today (16 hours after shot), my toes are still red, but the itchy and tingling feeling has stopped.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body aches

Adult check-in
2021-05-15
Survey response — days 1–6 daily, dose 2
MedDRA: Epistaxis — Feeling: Good · Site: Pain · Headache

Free text: Another nose bleed in both nostrils (2nd one in life, 1st one occurred after the 1st dose)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-02
Survey response — day 21, dose 2
MedDRA: Migraine with aura, Pre-existing disease, Tenderness — Feeling: Good · Be unable to do your normal daily activities

Free text: I had a migraine (with aura) yesterday evening (4pm). I was okay in the morning (6am) after rest, only with mild tenderness on left side of head. I feel fine now (2pm). I havent had a migraine in about 2 years. May or may not be vaccine caused.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-16
Survey response — day 35, dose 2
MedDRA: Adnexa uteri pain, Condition aggravated, Dyspareunia, Haemorrhage, Nodule, Pre-existing disease, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Ultrasound diagnosed ovarian cyst (2015). No pain has been associated with cyst until recent weeks. Mild bleeding & mod. pain during intercourse (2 out of 6x's). Bean-sized nodule outside my pelvis abdominal muscles. Period normal. Dr appt scheduled. · Healthcare visit (other): Scheduled - Outcome TBD

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-23
Call 1 — Left Voicemail
2021-08-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-12
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-14	Moderna
2	2021-05-12	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-16

Systemic reaction (other): Injection site tender and swollen

2021-04-17

Systemic reaction (other): Bloody nose (I have never had a bloody nose in 37 years)

Release 8 — day 0, dose 2

2021-05-12

Systemic reaction (other): Muscle aches relegated to my upper arm, elbow, and pinky finger (on the shot site arm).

Release 8 — days 1–6 daily, dose 2

2021-05-13

Systemic reaction (other): Red toes, very itchy soles, accompanied with a tingling swollen feeling (like the skin was stretching); there is no visible rash; onset was about 6 hours after injection, and lasted well into the night. When I woke up today (16 hours after shot), my toes are still red, but the itchy and tingling feeling has stopped.

2021-05-15

Systemic reaction (other): Another nose bleed in both nostrils (2nd one in life, 1st one occurred after the 1st dose)

Release 8 — day 21, dose 2

2021-06-02

Symptoms: I had a migraine (with aura) yesterday evening (4pm). I was okay in the morning (6am) after rest, only with mild tenderness on left side of head. I feel fine now (2pm). I havent had a migraine in about 2 years. May or may not be vaccine caused.

Release 9 — day 35, dose 2

2021-06-16

Symptoms: Ultrasound diagnosed ovarian cyst (2015). No pain has been associated with cyst until recent weeks. Mild bleeding & mod. pain during intercourse (2 out of 6x's). Bean-sized nodule outside my pelvis abdominal muscles. Period normal. Dr appt scheduled. cut off by CDC

Healthcare visit (other): Scheduled - Outcome TBD

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	Unevaluable event	✓	✓	✓
SD	Adnexa uteri pain	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Dyspareunia	✓	✓	✓
SD	Haemorrhage	✓	✓	✓
SD	Migraine with aura	✓	✓	✓
SD	Nodule	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Tenderness	✓	✓	✓
SRO	Epistaxis	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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