CRA-53657-23902

3 vaccinations 6 coded responses 31 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 794 / TX
Registered: 2021-01-15

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-14
Dose 1 — Moderna
2021-01-15
Registered in v-safe
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Movement disorder, Neck pain, Pain in extremity — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: Pain throughout shoulder, neck, and arm to the elbow that persists. Inability to raise arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-01-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-11
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Tingly muscles throughout body, but mostly in lower back down to butt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 42, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Not sure if this is worth mentioning, but after receiving the vaccine I got my period & had not had it for several months prior. My friend had a similar experience, but it seems doubtful its related to vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-12
Survey response — 6 months, dose 2
MedDRA: Abnormal menstrual clots, Heavy menstrual bleeding — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Heavy period with extreme clotting that has only occurred since being vaccinated. I have written in about this several times and Im not the only person dealing with this.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-29
Dose 3 — Moderna
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-27
Survey response — day 28, dose 3
MedDRA: Dyspepsia, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, indigestion, headache

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-30
Survey response — 3 months, dose 3
MedDRA: Abdominal pain upper, Fatigue — 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 · Telehealth, virtual health, or email health consultation

Free text: Stomach cramping and fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-30
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-31
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna
3	2021-10-29	Moderna	No

Call center

4 call center cases

1 unsuccessful · 3 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Pain throughout shoulder, neck, and arm to the elbow that persists. Inability to raise arm.

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Tingly muscles throughout body, but mostly in lower back down to butt

Release 6 — day 42, dose 2

2021-03-25

Symptoms: Not sure if this is worth mentioning, but after receiving the vaccine I got my period & had not had it for several months prior. My friend had a similar experience, but it seems doubtful its related to vaccine.

Release 9 — 6 months, dose 2

2021-08-12

Symptoms: Heavy period with extreme clotting that has only occurred since being vaccinated. I have written in about this several times and Im not the only person dealing with this.

Release 10 — day 28, dose 3

2021-11-27

Symptoms: Fatigue, indigestion, headache

Release 11 — 3 months, dose 3

2022-01-30

Symptoms: Stomach cramping and fatigue

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	Abdominal pain upper	·	·	✓
SD	Abnormal menstrual clots	✓	·	✓
SD	Dyspepsia	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Heavy menstrual bleeding	✓	·	✓
SD	Unevaluable event	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Movement disorder	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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