6LY-31643-34995

2 vaccinations 7 coded responses 19 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 721 / AR
Registered: 2021-05-01

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

2021-04-28
Dose 1 — Moderna
2021-05-01
Registered in v-safe
2021-05-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-02
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion, Feeling hot, Induration — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Hard areas about the size of silver dollar and bruise. Its kind of hot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion, Erythema, Induration — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Its hard in about a two inch circle. Bruised . Red around that area. The hard tissue feels deep not liquid just a very hard area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 7, dose 1
Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-12
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-06-08
Dose 2 — Moderna
2021-06-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-06-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-06-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-15
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Survey response — day 14, dose 2
MedDRA: Dizziness, Headache — Feeling: Fair

Free text: Very dizzy. Headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-07-06
Survey response — day 28, dose 2
MedDRA: Dizziness, Headache, Loss of personal independence in daily activities — Feeling: Poor · Be unable to do your normal daily activities

Free text: Since my shot Ivey got dizzy spells. They have got worse. If I bend over at all I feel so dizzy . I feel like Im going to pass out. I thought they would go away. But have got worse. And still have headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-20
Survey response — day 42, dose 2
MedDRA: Blepharospasm, Lacrimation increased, Muscle twitching, Trismus — Feeling: Fair

Free text: Ive been having twitching on the corner of my outside left eye and left jaw and arm. And twitching in my right eye. And a lot of weeping out of my eye on that side. With twitching on muscle of right arm between shoulder and elbow.

MedDRA releases: 2024-11 · check-in free text available
2021-09-07
Survey response — 3 months, dose 2
MedDRA: Decreased appetite, Dry mouth, Fatigue, Fear, Headache, Insomnia, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have constant fatigue. Cant sleep. My mouth is so dry . I cant hardly swallow without drinking water. Headaches. Im not hungry. I know I should have a booster. Im 64. And have 4 autoimmune diseases. But now Im scared. And dont kno

MedDRA releases: 2024-11 · check-in free text available
2021-09-07
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-28	Moderna
2	2021-06-08	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-02

Systemic reaction (other): Hard areas about the size of silver dollar and bruise. Its kind of hot.

2021-05-03

Systemic reaction (other): Its hard in about a two inch circle. Bruised . Red around that area. The hard tissue feels deep not liquid just a very hard area.

Release 9 — day 7, dose 2

2021-06-15

Systemic reaction (other): Dizzy

Release 9 — day 14, dose 2

2021-06-22

Symptoms: Very dizzy. Headaches

Release 9 — day 28, dose 2

2021-07-06

Symptoms: Since my shot Ivey got dizzy spells. They have got worse. If I bend over at all I feel so dizzy . I feel like Im going to pass out. I thought they would go away. But have got worse. And still have headaches.

Release 9 — day 42, dose 2

2021-07-20

Symptoms: Ive been having twitching on the corner of my outside left eye and left jaw and arm. And twitching in my right eye. And a lot of weeping out of my eye on that side. With twitching on muscle of right arm between shoulder and elbow.

Release 9 — 3 months, dose 2

2021-09-07

Symptoms: I have constant fatigue. Cant sleep. My mouth is so dry . I cant hardly swallow without drinking water. Headaches. Im not hungry. I know I should have a booster. Im 64. And have 4 autoimmune diseases. But now Im scared. And dont kno

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	Blepharospasm	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dry mouth	·	·	✓
SD	Fatigue	·	·	✓
SD	Fear	·	·	✓
SD	Headache	✓	✓	✓
SD	Insomnia	·	·	✓
SD	Lacrimation increased	·	·	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Muscle twitching	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Trismus	·	·	✓
SRO	Contusion	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Induration	✓	✓	✓

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