CH8-11322-08065

3 vaccinations 7 coded responses 15 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 917 / CA
Registered: 2021-04-06

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Registered dependents

SCY-12039-07307 Child or adolescent in my care · Female · 2022-06-26

4D3-28207-22356 Child or adolescent in my care · Male · 2022-06-26

Timeline

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

2021-03-09
Dose 1 — Moderna
2021-04-06
Registered in v-safe
2021-04-06
Dose 2 — Moderna
2021-04-06
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety, Feeling abnormal, Flushing, Memory impairment, Reaction to previous exposure to any vaccine, Thinking abnormal — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Flush in the face. Cloudiness to were it's hard to form thoughts and I space out and forget things. Also, random waves of anxiety. However, I will say that the second dose had been much easier for me than the first dose. With the first dose I felt: My whole body was cold n numb, vision was a little blurry, muscles ached, really lethargic, so nauseous, neck was really stiff, weird taste, tingly lips, stomach was crampy, couldn't form thoughts, kind of anxious, and a bit gaspy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety — Feeling: Good · Fatigue or tiredness

Free text: Random anxiety wave

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Survey response — day 7, dose 2
MedDRA: Pregnancy — Feeling: Good · Abdominal pain

Free text: These abdominal pains could be from pregnancy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 14, dose 2
MedDRA: Pregnancy — Feeling: Good · Be unable to do your normal daily activities

Free text: Extreme fatigue and nauseas. However, this could be due to pregnancy and the prenatal vitamin I was taking not having had any iron.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-04-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-11
Survey response — day 35, dose 2
MedDRA: Nausea, Pregnancy, Vomiting — Feeling: Good · Be unable to do your normal daily activities

Free text: Nausea is much worst with increased vomiting, but I'm sure that's having to do more with the pregnancy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-06
Survey response — 3 months, dose 2
MedDRA: Hypersensitivity, Hypotension, Pre-existing disease, Pregnancy — Feeling: Good · Be unable to do your normal daily activities

Free text: Low BP and it's symptoms, worsted allergies (these could all be due to my pregnancy)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-05
Survey response — 6 months, dose 2
MedDRA: Hypotension, Pregnancy — Feeling: Good · Be unable to do your normal daily activities

Free text: I have a few symptoms. One of which being low BP. However, I believe my symptoms are related to my pregnancy and not the vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Dose 3 — Moderna
2022-04-08
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-06	Moderna
3	2021-11-30	Moderna	No

Call center

2 call center cases

2 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): Flush in the face. Cloudiness to were it's hard to form thoughts and I space out and forget things. Also, random waves of anxiety. However, I will say that the second dose had been much easier for me than the first dose. With the first dose I felt: My whole body was cold n numb, vision was a little blurry, muscles ached, really lethargic, so nauseous, neck was really stiff, weird taste, tingly lips, stomach was crampy, couldn't form thoughts, kind of anxious, and a bit gaspy.

2021-04-11

Systemic reaction (other): Random anxiety wave

Release 7 — day 7, dose 2

2021-04-13

Systemic reaction (other): These abdominal pains could be from pregnancy.

Release 7 — day 14, dose 2

2021-04-22

Symptoms: Extreme fatigue and nauseas. However, this could be due to pregnancy and the prenatal vitamin I was taking not having had any iron.

Release 8 — day 35, dose 2

2021-05-11

Symptoms: Nausea is much worst with increased vomiting, but I'm sure that's having to do more with the pregnancy.

Release 9 — 3 months, dose 2

2021-07-06

Symptoms: Low BP and it's symptoms, worsted allergies (these could all be due to my pregnancy)

Release 10 — 6 months, dose 2

2021-10-05

Symptoms: I have a few symptoms. One of which being low BP. However, I believe my symptoms are related to my pregnancy and not the vaccine.

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	Hypersensitivity	✓	✓	✓
SD	Hypotension	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pregnancy	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Memory impairment	✓	✓	✓
SRO	Pregnancy	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	✓	✓	✓
SRO	Thinking abnormal	✓	✓	✓

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