CYJ-20418-31389

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 982 / WA
Registered: 2021-04-19

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

2021-04-18
Dose 1 — Moderna
2021-04-19
Registered in v-safe
2021-04-19
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Faint bruising on inner elbow of injected/left arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Diarrhea

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-02
Survey response — day 14, dose 1
MedDRA: Headache, Self-medication — Feeling: Good

Free text: Throbbing headaches daily. They respond to Tylenol. No other symptoms or issues noted. No idea if related to vaccine or not, but I do not typically suffer from headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-16
Dose 2 — Moderna
2021-05-16
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-17
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Immunisation reaction — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Rapid heart rate during the night. Distinctive Covid arm rash on the arm used for the injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Headache

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Headache

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Headache

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-05-23
Survey response — day 7, dose 2
MedDRA: Trigeminal neuralgia — Feeling: Good · Joint pains

Free text: Trigeminal neuralgia; most likely unrelated to vaccine, but reporting just in case

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-06
Survey response — day 21, dose 2
MedDRA: Lymph node pain — Feeling: Good

Free text: Lymph node pain in the neck of the side I received my vaccine. May have nothing to do with the vaccine, but I dont know the cause. Its been going on for four days with no other symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-22
Survey response — day 35, dose 2
MedDRA: Heavy menstrual bleeding, Menstruation irregular — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Heavy and irregular menstrual bleeding the past 2-3 months with no explanation or known cause. May have nothing to do with the vaccine, but I mention in case its relevant.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-29
Call 1 — Left Voicemail
2021-07-08
Call 2 — Left Voicemail
2021-08-15
Survey response — 3 months, dose 2
MedDRA: Haemorrhage in pregnancy, Office visit — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Pregnancy with threatened miscarriage- heavy bleeding. No apparent subchorionic hematoma on ultrasound and pregnant with PGS normal embryo. · Healthcare visit (other): Fertility clinic/urgent appointment

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-15
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-18
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-18	Moderna
2	2021-05-16	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-06-22	Unsuccessful
2021-08-15	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-19

Systemic reaction (other): Faint bruising on inner elbow of injected/left arm

Release 8 — day 14, dose 1

2021-05-02

Symptoms: Throbbing headaches daily. They respond to Tylenol. No other symptoms or issues noted. No idea if related to vaccine or not, but I do not typically suffer from headaches.

Release 8 — days 1–6 daily, dose 2

2021-05-17

Systemic reaction (other): Rapid heart rate during the night. Distinctive Covid arm rash on the arm used for the injection.

Release 8 — day 7, dose 2

2021-05-23

Systemic reaction (other): Trigeminal neuralgia; most likely unrelated to vaccine, but reporting just in case

Release 8 — day 21, dose 2

2021-06-06

Symptoms: Lymph node pain in the neck of the side I received my vaccine. May have nothing to do with the vaccine, but I dont know the cause. Its been going on for four days with no other symptoms.

Release 9 — day 35, dose 2

2021-06-22

Symptoms: Heavy and irregular menstrual bleeding the past 2-3 months with no explanation or known cause. May have nothing to do with the vaccine, but I mention in case its relevant.

Release 9 — 3 months, dose 2

2021-08-15

Symptoms: Pregnancy with threatened miscarriage- heavy bleeding. No apparent subchorionic hematoma on ultrasound and pregnant with PGS normal embryo.

Healthcare visit (other): Fertility clinic/urgent appointment

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
HCVO	Office visit	✓	·	✓
SD	Haemorrhage in pregnancy	✓	·	✓
SD	Headache	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Menstruation irregular	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Immunisation reaction	✓	✓	✓
SRO	Trigeminal neuralgia	✓	✓	✓

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