6JH-25944-77931

2 vaccinations 8 coded responses 22 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 870 / NM
Registered: 2021-01-27

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-26
Dose 1 — Moderna
2021-01-27
Registered in v-safe
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper, Arthralgia, Chills, Diarrhoea, Ear pain, Feeling hot, Flushing, Headache, Limb discomfort, Nausea, Self-medication, Throat irritation — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: During the day I had stomachache and lose stools. I also had sore thighs and arms. I had chills all day and my body felt flush or internally warm maiming in the evening. At 4 pm I became nauseous. At 6 pm my nausea went away, my throat and nasal cavity felt warm and odd like I had talked a lot and my throat felt odd. I also got a bad ear ache on the left side which felt as if it was draining to my left lymph node. My headache increased to moderate. I took one Tylenol extra strength 500 mg which helped with the headache, ear ache and my throat feels almost back to normal along with my nasal cavity.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Hormone replacement therapy, Palpitations, Pre-existing disease — Feeling: Good · Fatigue or tiredness

Free text: Prior to the vaccine I was getting heart palpitations due to my hormone therapy. I feel that the vaccine exacerbated the anxiety causing what felt like heart palpitations. I did get my harmon pellet three days later and the palpitations pretty much went away.

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 · Headache, Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-23
Dose 2 — Moderna
2021-02-23
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: My left ear kinda hurts but that was before the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Fever · Headache, Diarrhea

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Swelling · Abdominal pain

Free text: Sore throat, I think due to allergies.

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: Good · None

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Autoimmune thyroiditis, Eructation, Feeling abnormal, Lymphadenopathy, Oropharyngeal pain, Pre-existing disease, Sensation of foreign body, Throat irritation — Feeling: Poor · Site: Pain · Abdominal pain

Free text: I feel a lump in my throat and if feels as if my thyroid is now irritated. I also feel like a have reflex but without the reflex. I have also been burping a lot and I also had a sore throat after I got the shot. My lymph nodes feel like they are draining and feel weird. I do have Hashimotos.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — day 7, dose 2
MedDRA: Autoimmune thyroiditis, Oropharyngeal pain, Pain in extremity, Pre-existing disease, Sensation of foreign body, Swelling — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Diarrhea

Free text: My Hashimotos is now an issue. I have felt a lump in my throat due to goiter being swollen. I have had to increase my thyroid medication. I also had stomach aches and my left leg was achy. I have also had a mild sore throat that is getting better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-24
Survey response — day 28, dose 2
MedDRA: Condition aggravated, Eczema, Oral herpes, Pre-existing disease, Pruritus — Feeling: Fair

Free text: Fever blisters on lip more often than usual and eczema more often than usual. I also had itching around the arm site that went away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-23
Survey response — 12 months, dose 2
MedDRA: Condition aggravated, Nephrolithiasis, Pre-existing disease — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I want to report that literally 24 hours after I had my Moderna booster I had a kidney stone flare up.

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-02-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-23	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): During the day I had stomachache and lose stools. I also had sore thighs and arms. I had chills all day and my body felt flush or internally warm maiming in the evening. At 4 pm I became nauseous. At 6 pm my nausea went away, my throat and nasal cavity felt warm and odd like I had talked a lot and my throat felt odd. I also got a bad ear ache on the left side which felt as if it was draining to my left lymph node. My headache increased to moderate. I took one Tylenol extra strength 500 mg which helped with the headache, ear ache and my throat feels almost back to normal along with my nasal cavity.

Release 3 — days 1–6 daily, dose 1

2021-01-31

Systemic reaction (other): Prior to the vaccine I was getting heart palpitations due to my hormone therapy. I feel that the vaccine exacerbated the anxiety causing what felt like heart palpitations. I did get my harmon pellet three days later and the palpitations pretty much went away.

Release 4 — day 0, dose 2

2021-02-23

Systemic reaction (other): My left ear kinda hurts but that was before the vaccine.

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Sore throat, I think due to allergies.

2021-03-01

Systemic reaction (other): I feel a lump in my throat and if feels as if my thyroid is now irritated. I also feel like a have reflex but without the reflex. I have also been burping a lot and I also had a sore throat after I got the shot. My lymph nodes feel like they are draining and feel weird. I do have Hashimotos.

Release 4 — day 7, dose 2

2021-03-02

Systemic reaction (other): My Hashimotos is now an issue. I have felt a lump in my throat due to goiter being swollen. I have had to increase my thyroid medication. I also had stomach aches and my left leg was achy. I have also had a mild sore throat that is getting better.

Release 6 — day 28, dose 2

2021-03-24

Symptoms: Fever blisters on lip more often than usual and eczema more often than usual. I also had itching around the arm site that went away.

Release 11 — 12 months, dose 2

2022-02-23

Symptoms: I want to report that literally 24 hours after I had my Moderna booster I had a kidney stone flare up.

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	Condition aggravated	✓	✓	✓
SD	Eczema	✓	✓	✓
SD	Nephrolithiasis	·	·	✓
SD	Oral herpes	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Autoimmune thyroiditis	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Eructation	✓	✓	✓
SRO	Feeling abnormal	○	✓	○
SRO	Feeling hot	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hormone replacement therapy	○	✓	○
SRO	Limb discomfort	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sensation of foreign body	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Throat irritation	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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