KSM-13029-17359

2 vaccinations 6 coded responses 23 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 338 / FL
Registered: 2021-06-02

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2021-06-02
Registered in v-safe
2021-06-02
Dose 1 — Moderna
2021-06-02
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling · Chills

Free text: Lightheadedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-06-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Diarrhea · Be unable to work

Adult check-in
2021-06-07
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-06-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea, Diarrhea

Adult check-in
2021-06-09
Health check-in — day 7, dose 1
Feeling: Fair · Site: Redness, Swelling, Itching · None

Adult check-in
2021-06-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-30
Dose 2 — Moderna
2021-06-30
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-07-01
Survey response — days 1–6 daily, dose 2
MedDRA: Mobility decreased, Renal pain, Specialist consultation, Spinal pain — Feeling: Poor · Site: Pain · Fever · 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, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Kidneys and entire spine hurts- can barely move · Healthcare visit (other): Had a gynecologist appointment today and bringing it to docs attention

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Report sent to call center — days 1–6 daily, 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)
2021-07-02
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Acid Reflux

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Diarrhea

Adult check-in
2021-07-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-07-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-07-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-07-07
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-07-08
Call 1 — Left Voicemail
2021-07-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-22
Survey response — day 21, dose 2
MedDRA: Pain, Pregnancy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Its hard to tell with all this since I am pregnant by 7 months. Ive been achy but its hard for me to figure out if its connected anymore. Definitely had some agonizing aches for days after the 2nd shot though and couldnt take anything

MedDRA releases: 2024-11 · check-in free text available
2021-07-28
Survey response — day 28, dose 2
MedDRA: Pregnancy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Probably connected to pregnancy- aches and pains muscle cramps

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-08-12
Survey response — day 42, dose 2
MedDRA: Pregnancy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Aches- but might be pregnancy related

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-06-30
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-02	Moderna
2	2021-06-30	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — day 0, dose 1

2021-06-02

Systemic reaction (other): Lightheadedness

Release 9 — days 1–6 daily, dose 2

2021-07-01

Systemic reaction (other): Kidneys and entire spine hurts- can barely move

Healthcare visit (other): Had a gynecologist appointment today and bringing it to docs attention

2021-07-02

Systemic reaction (other): Acid Reflux

Release 9 — day 21, dose 2

2021-07-22

Symptoms: Its hard to tell with all this since I am pregnant by 7 months. Ive been achy but its hard for me to figure out if its connected anymore. Definitely had some agonizing aches for days after the 2nd shot though and couldnt take anything

Release 9 — day 28, dose 2

2021-07-28

Symptoms: Probably connected to pregnancy- aches and pains muscle cramps

Release 9 — day 42, dose 2

2021-08-12

Symptoms: Aches- but might be pregnancy related

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	Specialist consultation	✓	✓	✓
SD	Pain	·	·	✓
SD	Pregnancy	✓	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Renal pain	✓	✓	✓
SRO	Spinal pain	✓	✓	✓

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