698-62766-63225

2 vaccinations 10 coded responses 18 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 945 / CA
Registered: 2021-01-31

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-30
Dose 1 — Moderna
2021-01-31
Registered in v-safe
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Feeling hot, Headache, Immediate post-injection reaction, Sensory disturbance, Skin warm — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Free text: 3 minutes after receiving vaccine I felt my back glushed with warmth twice then I felt a rush of what felt like the vacinne racing through my back then up to my head then I got really dizzy and thought I would pass out but it went away within a few minutes then after that I just had a head ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Chills

Free text: allergy symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-02-06
Survey response — day 7, dose 1
MedDRA: Dysphonia — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Hoarse throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — day 14, dose 1
MedDRA: Back pain, Hypersensitivity, Muscle spasms, Vertigo — Feeling: Good · Be unable to work

Free text: Really bad back pain. I thin it was from the initial allergic reaction I got right after I received the vaccine when I felt heated back muscle spasms and then felt the warm vaccine push up through my back up to my head then I got the virtigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Dose 2 — Moderna
2021-02-27
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper, Back pain — Feeling: Fair · Headache, Abdominal pain · Be unable to do your normal daily activities

Free text: Sharp stomach and back pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — day 7, dose 2
MedDRA: Abdominal pain upper, Back pain — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Sharp back and stomach pains

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

Adult check-in
2021-04-12
Survey response — day 42, dose 2
MedDRA: Pain — Feeling: Good

Free text: I still get some sharp pains in my front and back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Survey response — 3 months, dose 2
MedDRA: Abdominal pain upper, Back pain, Chest pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Some chest pains and stomach pains and back pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-01
Survey response — 12 months, dose 2
MedDRA: Abdominal pain upper, Chest pain, Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: sharp pains in my. stomach and chest area and head. I had severe sharp pains after the vaccination but still getting them. I don't know if they are related to the vaccination.

MedDRA releases: 2024-11 · check-in free text available
2022-03-01
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)
2022-03-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Moderna
2	2021-02-27	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-31

Systemic reaction (other): 3 minutes after receiving vaccine I felt my back glushed with warmth twice then I felt a rush of what felt like the vacinne racing through my back then up to my head then I got really dizzy and thought I would pass out but it went away within a few minutes then after that I just had a head ache

2021-02-02

Systemic reaction (other): allergy symptoms.

Release 3 — day 7, dose 1

2021-02-06

Systemic reaction (other): Hoarse throat

Release 4 — day 14, dose 1

2021-02-13

Symptoms: Really bad back pain. I thin it was from the initial allergic reaction I got right after I received the vaccine when I felt heated back muscle spasms and then felt the warm vaccine push up through my back up to my head then I got the virtigo

Release 4 — day 0, dose 2

2021-02-27

Systemic reaction (other): Lightheaded

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Sharp stomach and back pains

Release 5 — day 7, dose 2

2021-03-06

Systemic reaction (other): Sharp back and stomach pains

Release 7 — day 42, dose 2

2021-04-12

Symptoms: I still get some sharp pains in my front and back

Release 8 — 3 months, dose 2

2021-05-29

Symptoms: Some chest pains and stomach pains and back pain.

Release 11 — 12 months, dose 2

2022-03-01

Symptoms: sharp pains in my. stomach and chest area and head. I had severe sharp pains after the vaccination but still getting them. I don't know if they are related to the vaccination.

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 pain	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Headache	·	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysphonia	✓	✓	✓
SRO	Feeling hot	✓	·	✓
SRO	Headache	✓	·	✓
SRO	Immediate post-injection reaction	✓	·	✓
SRO	Sensory disturbance	✓	·	✓
SRO	Skin warm	○	✓	○
SRO	Unevaluable event	✓	✓	✓

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