6XU-33378-99874

2 vaccinations 11 coded responses 24 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 309 / GA
Registered: 2020-12-29

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2020-12-28
Dose 1 — Moderna
2020-12-29
Registered in v-safe
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperaesthesia teeth, Sneezing, Upper-airway cough syndrome — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site

Free text: Sneezing,post nasal drainage, upper teeth sensitivity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-04
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-11
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-18
Survey response — day 21, dose 1
MedDRA: Alopecia, Arthralgia, Fatigue — Feeling: Fair

Free text: Continuous joint pains and fatigue.Have lost a lot of hair since vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Dose 2 — Moderna
2021-01-25
Survey response — day 0, dose 2
MedDRA: Tinnitus — Feeling: Good · Site: Pain, Redness · Fever · Headache, Joint pains, Fatigue or tiredness

Free text: Ringing in my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ringing in my ears,severe

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · 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
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Gingival bleeding — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Bleeding gums after first and second shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Rash, Tinnitus — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Still have ringing in my ears, quite bothersome, some rash on chest, not itchy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Alopecia, Eye infection, Migraine — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Eye infection,hair loss, migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — day 7, dose 2
MedDRA: Alopecia, Rash, Tinnitus — Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Ringing in the ears,hair loss,chest rash, not itchy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — day 14, dose 2
MedDRA: Rash — Feeling: Fair

Free text: Rashy bumps chest and back,not itchy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — day 21, dose 2
MedDRA: Arthralgia, Injection site pain, Migraine, Myalgia, Pain in extremity, Rash, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

Free text: More migraine headaches,left arm pain and burning at the injection site,rash on trunk, back and upper arms.ringing in ears mod severe, still muscle aching,worse joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-01
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-08
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-04-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-26
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Fatigue, Heart rate irregular, Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still very tired,skin rashes, recurrence, feel change in heartbeat.Joint pain

MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-25	Moderna

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-30

Systemic reaction (other): Sneezing,post nasal drainage, upper teeth sensitivity

Release 2 — day 21, dose 1

2021-01-18

Symptoms: Continuous joint pains and fatigue.Have lost a lot of hair since vaccine.

Release 2 — day 0, dose 2

2021-01-25

Systemic reaction (other): Ringing in my ears

Release 2 — days 1–6 daily, dose 2

2021-01-26

Systemic reaction (other): Ringing in my ears,severe

2021-01-28

Systemic reaction (other): Bleeding gums after first and second shot

Release 3 — days 1–6 daily, dose 2

2021-01-30

Systemic reaction (other): Still have ringing in my ears, quite bothersome, some rash on chest, not itchy

2021-01-31

Systemic reaction (other): Eye infection,hair loss, migraine

Release 3 — day 7, dose 2

2021-02-01

Systemic reaction (other): Ringing in the ears,hair loss,chest rash, not itchy

Release 3 — day 14, dose 2

2021-02-08

Symptoms: Rashy bumps chest and back,not itchy

Release 4 — day 21, dose 2

2021-02-15

Symptoms: More migraine headaches,left arm pain and burning at the injection site,rash on trunk, back and upper arms.ringing in ears mod severe, still muscle aching,worse joint pain

Release 9 — 6 months, dose 2

2021-07-26

Symptoms: Still very tired,skin rashes, recurrence, feel change in heartbeat.Joint pain

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	Alopecia	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Heart rate irregular	✓	·	✓
SD	Injection site pain	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SRO	Alopecia	✓	✓	✓
SRO	Eye infection	✓	✓	✓
SRO	Gingival bleeding	✓	✓	✓
SRO	Hyperaesthesia teeth	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Sinus operation	○	○	○
SRO	Sneezing	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Upper-airway cough syndrome	✓	✓	✓

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