6PX-18792-24457

2 vaccinations 10 coded responses 17 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 983 / WA
Registered: 2021-05-14

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

2021-05-14
Registered in v-safe
2021-05-14
Dose 1 — Moderna
2021-05-14
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-19
Survey response — days 1–6 daily, dose 1
MedDRA: Paranasal sinus discomfort, Sneezing — Feeling: Good · Diarrhea

Free text: Ive been sneezing a lot. Little sinus pressure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — day 7, dose 1
MedDRA: Abdominal pain, Diarrhoea, Head discomfort, Headache, Malaise, Middle insomnia, Nausea, Retching, Vomiting — Feeling: Fair · Fever · Nausea, Vomiting, Diarrhea, Abdominal pain

Free text: Vomited in the middle of the night until dry heave woke up at random. abdominal pain and nausea probably from how violently I vomited. Very slight head pressure ache. No known reason for random wake up. Have had diarrhea for last couple of days. I dont feel flu sick, but something seems off.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-06-04
Survey response — day 21, dose 1
MedDRA: Eye swelling, Self-medication, Swelling face — Feeling: Fair

Free text: Left side of Face/eye swelling unknown exact cause, antibiotics, ice and ibuprofen are helping it go down.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Dose 2 — Moderna
2021-06-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · 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
2021-06-13
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Injection site swelling — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizziness, swelling around sight is the size of a softball.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Survey response — days 1–6 daily, dose 2
MedDRA: Renal pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Kidney pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Survey response — days 1–6 daily, dose 2
MedDRA: Breast swelling, Breast tenderness, Renal pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Kidneys have some pains. Also injection side, side breast is swollen and tender

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Survey response — days 1–6 daily, dose 2
MedDRA: Breast swelling — Feeling: Good · Site: Redness, Swelling, Itching · Fever · Headache, Abdominal pain

Free text: Side breast swelling on same side of injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Survey response — days 1–6 daily, dose 2
MedDRA: Breast swelling — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Diarrhea, Abdominal pain

Free text: Left side breast swollen, same side as shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Survey response — day 7, dose 2
MedDRA: Breast swelling — Feeling: Good · Site: Redness, Swelling, Itching · Diarrhea

Free text: Left side boob still swollen. Same side as injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-12-10
Survey response — 6 months, dose 2
MedDRA: Heavy menstrual bleeding, Menstruation irregular — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My menstrual cycle has been completely disturbed. I was religiously 28 days and ever since I've gotten the shot it has dramatically changed. My last one was 52 days. The menstrual cycles I've had Have been completely different than normal.

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-14	Moderna
2	2021-06-11	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-19

Systemic reaction (other): Ive been sneezing a lot. Little sinus pressure.

Release 8 — day 7, dose 1

2021-05-21

Systemic reaction (other): Vomited in the middle of the night until dry heave woke up at random. abdominal pain and nausea probably from how violently I vomited. Very slight head pressure ache. No known reason for random wake up. Have had diarrhea for last couple of days. I dont feel flu sick, but something seems off.

Release 8 — day 21, dose 1

2021-06-04

Symptoms: Left side of Face/eye swelling unknown exact cause, antibiotics, ice and ibuprofen are helping it go down.

Release 9 — days 1–6 daily, dose 2

2021-06-13

Systemic reaction (other): Dizziness, swelling around sight is the size of a softball.

2021-06-14

Systemic reaction (other): Kidney pains

2021-06-15

Systemic reaction (other): Kidneys have some pains. Also injection side, side breast is swollen and tender

2021-06-16

Systemic reaction (other): Side breast swelling on same side of injection site

2021-06-17

Systemic reaction (other): Left side breast swollen, same side as shot

Release 9 — day 7, dose 2

2021-06-20

Systemic reaction (other): Left side boob still swollen. Same side as injection site.

Release 10 — 6 months, dose 2

2021-12-10

Symptoms: My menstrual cycle has been completely disturbed. I was religiously 28 days and ever since I've gotten the shot it has dramatically changed. My last one was 52 days. The menstrual cycles I've had Have been completely different than normal.

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	Eye swelling	✓	✓	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Swelling face	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Breast swelling	✓	✓	✓
SRO	Breast tenderness	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Middle insomnia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Renal pain	✓	✓	✓
SRO	Retching	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Vomiting	✓	✓	✓

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