XV2-15474-58125

4 vaccinations 11 coded responses 46 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 921 / CA
Registered: 2021-02-10

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

2021-01-30
Dose 1 — Moderna
2021-02-10
Registered in v-safe
2021-02-10
Survey response — 7 day, dose 1
MedDRA: Dizziness, Vertigo — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-13
Survey response — 14 day, dose 1
MedDRA: Dizziness, Lymphadenopathy, Vertigo — Feeling: Fair

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-20
Survey response — 21 day, dose 1
MedDRA: Arthralgia, Back pain, Pain in extremity — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-27
Health check-in — 28 day, dose 1
Feeling: Good

Adult check-in
2021-03-03
Dose 2 — Moderna
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Neck pain, Pain, Pain in extremity — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-03-10
Health check-in — 7 day, dose 2
Feeling: Good · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-17
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-03-24
Survey response — 21 day, dose 2
MedDRA: Chest pain — Feeling: Good · Be unable to work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-31
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — 35 day, dose 2
Feeling: Good

Adult check-in
2021-04-14
Survey response — 42 day, dose 2
MedDRA: Rash, Rash erythematous, Rash pruritic — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-06-02
Survey response — 3 month, dose 2
MedDRA: Epistaxis, Rash — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-09-01
Health check-in — 6 month, dose 2
Feeling: Good

Adult check-in
2021-12-07
Dose 3 — Moderna
2021-12-07
Health check-in — 0 day, dose 3
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-10
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain, Dyspnoea — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea

MedDRA releases: 2024-11 · check-in answers available
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-13
Survey response — days 1–6 daily, dose 3
MedDRA: Diarrhoea — Feeling: Good · Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-12-14
Health check-in — 7 day, dose 3
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-21
Health check-in — 14 day, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — 21 day, dose 3
Feeling: Good

Adult check-in
2022-01-04
Health check-in — 28 day, dose 3
Feeling: Good

Adult check-in
2022-01-13
Health check-in — 35 day, dose 3
Feeling: Good

Adult check-in
2022-01-18
Health check-in — 42 day, dose 3
Feeling: Good

Adult check-in
2022-03-08
Health check-in — 3 month, dose 3
Feeling: Fair

Adult check-in
2022-06-07
Survey response — 6 month, dose 3
MedDRA: Back pain — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-12-09
Health check-in — 12 month, dose 3
Feeling: Good

Adult check-in
2022-12-22
Dose 4 — Moderna
2022-12-22
Health check-in — 0 day, dose 4
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-12-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, 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
2022-12-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-12-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-12-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-12-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-12-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2022-12-29
Health check-in — 7 day, dose 4
Feeling: Good · Fever · Fatigue or tiredness

Adult check-in
2023-01-05
Health check-in — 14 day, dose 4
Feeling: Fair

Adult check-in
2023-01-12
Health check-in — 21 day, dose 4
Feeling: Good

Adult check-in
2023-01-26
Health check-in — 35 day, dose 4
Feeling: Good

Adult check-in
2023-02-02
Health check-in — 42 day, dose 4
Feeling: Good

Adult check-in
2023-06-22
Health check-in — 6 month, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Moderna
2	2021-03-03	Moderna
3	2021-12-07	Moderna	No
4	2022-12-22	Moderna	No

Free text

Release 3

Systemic reaction (other): dizziness, light-headed, vertigo

Release 4

Symptoms: Still having frequent vertigo episodes and dizziness. Developed these lumps above my left clavicle (on the same side as I got the vaccine shot). I'm thinking/going it's just swollen lymph nodes

Symptoms: Having another vertical episode, which isn't new. Also chronic pain in my right hip and leg and low back pain, not new but getting progressively worse this week. I broke down and finally took some pain relieving drugs besides the topical rubs

Release 5

Systemic reaction (other): Severe low back pain, shooting pain down legs and neck

Systemic reaction (other): Vertigo, dizziness

Release 6

Symptoms: Sharp pain in chest

Release 7

Symptoms: Rash with small red purple bumps on chest. I noticed then a couple weeks ago, but thought they may be pimples, but now I know it's a kind of rash, it's slowly going away

Release 8

Symptoms: Bloody noses, small rash on cheeks

Release 10

Systemic reaction (other): Yesterday, heavy breathing with some pain in chest lasting 20 min

Systemic reaction (other): Diarrhea yesterday too, but didn't know if it was connected

Release 11

Symptoms: Low back pain

Free-text releases are not linked to a specific 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	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Epistaxis	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chest pain	·	·	✓
SRO	Diarrhoea	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	·	·	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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