6G3-23189-32752

2 vaccinations 14 coded responses 26 check-ins 14 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 959 / CA
Registered: 2021-03-17

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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Moderna
2021-03-17
Survey response — day 0, dose 1
MedDRA: Hypervigilance — Feeling: Good

Free text: Too soon to tell - hyper aware

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Depressed mood — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Little low mood - low affect

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Pain — Feeling: Good · Site: Pain, Swelling

Free text: Sore - but unable to tell if related to vaccine or my activity for the day- did note that arm was sore at injection site when riding bicycle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Nausea, Abdominal pain

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain, Chills — Feeling: Good · Site: Pain · Joint pains

Free text: Late last night I had some chills and abdominal pain- it resolved by morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Survey response — day 7, dose 1
MedDRA: Dry mouth, Injection site pain, Middle insomnia, Oropharyngeal pain, Tongue dry — Feeling: Good · Site: Pain

Free text: Arm sore at injection site from bike ride. last night woke up with severe dry mouth and tongue. Today throat feels sore at glands

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

Adult check-in
2021-04-07
Survey response — day 21, dose 1
MedDRA: Abdominal pain upper, Diarrhoea, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tiredness, sore stomach left side, diarrhea type symptoms off and on for a few days. Headache but may be related to seasonal allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Dose 2 — Moderna
2021-04-14
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain, Rash — Feeling: Fair · Site: Pain, Swelling · Headache, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Neck is sore; unsure if its a rash looks like poison oak type bumps (havent been around poison oak) these marks are on my the sides of my stomach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches

Free text: Many of these symptoms occurred late in the evening and throughout night (after my check in yesterday)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fever · Joint pains, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Respiratory tract congestion, Vision blurred — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Difficulty focusing; congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety, Disturbance in attention, Insomnia — Feeling: Poor · Site: Pain · Be unable to do your normal daily activities

Free text: High anxiety; poor concentration- extreme insomnia last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 7, dose 2
Feeling: Poor · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-04-28
Survey response — day 14, dose 2
MedDRA: Confusional state, Fatigue, Headache — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: General tiredness and fatigue , headaches, general confusion- just not feeling great

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

Adult check-in
2021-05-12
Survey response — day 28, dose 2
MedDRA: Depressed mood, Memory impairment, Mood altered — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased memory issues and regulation of moods - very forgetful- and increased depressed like moods.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-26
Survey response — day 42, dose 2
MedDRA: Disturbance in attention, Fatigue, Memory impairment — Feeling: Fair · Be unable to do your normal daily activities

Free text: Difficulty concentrating- tired often- memory issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Survey response — 3 months, dose 2
MedDRA: Headache, Lethargy, Oligomenorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Infrequent periods; frequently lethargic; headache I am not sure if these changes to health are related to vaccine- I said yes below but its more like maybe. I just dont know.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-23
Call 1 — Left Voicemail
2021-10-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-14
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-17

Systemic reaction (other): Too soon to tell - hyper aware

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Little low mood - low affect

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Sore - but unable to tell if related to vaccine or my activity for the day- did note that arm was sore at injection site when riding bicycle

2021-03-22

Systemic reaction (other): Late last night I had some chills and abdominal pain- it resolved by morning

Release 6 — day 7, dose 1

2021-03-24

Systemic reaction (other): Arm sore at injection site from bike ride. last night woke up with severe dry mouth and tongue. Today throat feels sore at glands

Release 7 — day 21, dose 1

2021-04-07

Symptoms: Tiredness, sore stomach left side, diarrhea type symptoms off and on for a few days. Headache but may be related to seasonal allergies.

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Neck is sore; unsure if its a rash looks like poison oak type bumps (havent been around poison oak) these marks are on my the sides of my stomach

2021-04-16

Systemic reaction (other): Many of these symptoms occurred late in the evening and throughout night (after my check in yesterday)

2021-04-19

Systemic reaction (other): Difficulty focusing; congestion

2021-04-20

Systemic reaction (other): High anxiety; poor concentration- extreme insomnia last night

Release 8 — day 14, dose 2

2021-04-28

Symptoms: General tiredness and fatigue , headaches, general confusion- just not feeling great

Release 8 — day 28, dose 2

2021-05-12

Symptoms: Increased memory issues and regulation of moods - very forgetful- and increased depressed like moods.

Release 8 — day 42, dose 2

2021-05-26

Symptoms: Difficulty concentrating- tired often- memory issues

Release 9 — 3 months, dose 2

2021-07-14

Symptoms: Infrequent periods; frequently lethargic; headache I am not sure if these changes to health are related to vaccine- I said yes below but its more like maybe. I just dont know.

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	Confusional state	✓	✓	✓
SD	Depressed mood	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Disturbance in attention	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Lethargy	✓	✓	✓
SD	Memory impairment	✓	✓	✓
SD	Mood altered	✓	✓	✓
SD	Oligomenorrhoea	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Depressed mood	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Hypervigilance	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Middle insomnia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Tongue dry	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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