Y8H-23113-92265

2 vaccinations 11 coded responses 15 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 972 / OR
Registered: 2021-02-24

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-16
Dose 1 — Moderna
2021-02-24
Registered in v-safe
2021-03-09
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-16
Dose 2 — Moderna
2021-03-16
Survey response — day 0, dose 2
MedDRA: Feeling abnormal, Muscle spasms, Tendon pain, Tremor — Feeling: Fair · Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Sharp very painful spasms in area of achilles tendon, eyes felt weard, mildly shaky

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Very painful Spasms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Crying, Hypoaesthesia — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Finger tip numbness feel weepy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Gingival pain, Insomnia, Mood swings — Feeling: Fair · Site: Itching · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Couldnt sleep until 4 AM this AM, gums hurt, weakness, & volatile mood swings

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Depressed mood, Pain, Rhinorrhoea, Self-medication — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Before my covid 19 vaccines I took 1 Ibuprofen pill in the year now I take one every day and still have pain. Is this likely to go away? My nose is running constantly & my mood is dismal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Loss of personal independence in daily activities, Nasal congestion, Pre-existing disease, Rhinorrhoea, Urinary incontinence — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Having bladder control issues! Had to change twice today. Nose has been congested and drippy for the whole time but I didnt mention it because I already had some congestion issues but its much worse. Can not make myself do what needs to be done

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 7, dose 2
MedDRA: Asthenia, Nervousness, Pre-existing disease, Rhinorrhoea, Sneezing — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Felt shaky and weak nose running, sneezing previous years my reaction to spring pollen has not been bad enough to take anything for

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-13
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-21
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-28
Survey response — day 42, dose 2
MedDRA: Asthenia, Pain, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: I have a tooth that needs to be pulled tomorrow morning I was having minortooth pain before the shots the pain went entirely away until this last weekend and came back with a vengeance. My energy is still below my baseline. I still have pain fo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Survey response — 3 months, dose 2
MedDRA: Asthenia, Balance disorder, Brain fog, Inflammation, Office visit, Peripheral swelling, Tooth extraction — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Inflamation/swelling hands and feet and legs. Mental fog. Low energy and balance issues still persist. Had to have two teeth pulled · Healthcare visit (other): Saw my doctor and dentist each twice

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-24
Call 1 — Left Voicemail
2021-09-14
Survey response — 6 months, dose 2
MedDRA: Balance disorder, Brain fog, Depressed mood, Dizziness, Feeling abnormal, Incontinence, Rhinorrhoea, Sneezing, Vertigo, Vision blurred — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Trouble focusing my eyes. Virtigo and incontinence are new. The dizziness, reduced balance, brain fog, sneezing, nasal discharge and low spirits persist. I get a bit of energy and get some things done then feel awful for several days.

MedDRA releases: 2024-11 · check-in free text available
2022-03-16
Survey response — 12 months, dose 2
MedDRA: Abdominal pain, Anosmia, Apathy, Asthenia, Blood glucose abnormal, Brain fog, Depression, Food craving, Herpes zoster, Sleep disorder, Unevaluable event, Urinary incontinence — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Blood sugar problems that I didn't recognize as such brain fog, no energy, poor urine control, no smell, carb cravings, no creativity, shingles, depression, sleep issues, abdominal pain all began to resolve when I went on a very low carb diet · Healthcare visit (other): Xray, ultra sound, MRI

MedDRA releases: 2024-11 · check-in free text available
2022-03-16
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-17
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-16	Moderna
2	2021-03-16	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-06-16	Successful	Does not wish to fill out VAERS report
2022-03-16	Successful 2022-03-17	Does not wish to fill out VAERS report

Free text

Release 5 — day 0, dose 2

2021-03-16

Systemic reaction (other): Sharp very painful spasms in area of achilles tendon, eyes felt weard, mildly shaky

Release 5 — days 1–6 daily, dose 2

2021-03-17

Systemic reaction (other): Very painful Spasms

2021-03-18

Systemic reaction (other): Finger tip numbness feel weepy

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Couldnt sleep until 4 AM this AM, gums hurt, weakness, & volatile mood swings

2021-03-21

Systemic reaction (other): Before my covid 19 vaccines I took 1 Ibuprofen pill in the year now I take one every day and still have pain. Is this likely to go away? My nose is running constantly & my mood is dismal

2021-03-22

Systemic reaction (other): Having bladder control issues! Had to change twice today. Nose has been congested and drippy for the whole time but I didnt mention it because I already had some congestion issues but its much worse. Can not make myself do what needs to be done

Release 6 — day 7, dose 2

2021-03-24

Systemic reaction (other): Felt shaky and weak nose running, sneezing previous years my reaction to spring pollen has not been bad enough to take anything for

Release 8 — day 42, dose 2

2021-04-28

Symptoms: I have a tooth that needs to be pulled tomorrow morning I was having minortooth pain before the shots the pain went entirely away until this last weekend and came back with a vengeance. My energy is still below my baseline. I still have pain fo cut off by CDC

Release 9 — 3 months, dose 2

2021-06-16

Symptoms: Inflamation/swelling hands and feet and legs. Mental fog. Low energy and balance issues still persist. Had to have two teeth pulled

Healthcare visit (other): Saw my doctor and dentist each twice

Release 9 — 6 months, dose 2

2021-09-14

Symptoms: Trouble focusing my eyes. Virtigo and incontinence are new. The dizziness, reduced balance, brain fog, sneezing, nasal discharge and low spirits persist. I get a bit of energy and get some things done then feel awful for several days.

Release 11 — 12 months, dose 2

2022-03-16

Symptoms: Blood sugar problems that I didn't recognize as such brain fog, no energy, poor urine control, no smell, carb cravings, no creativity, shingles, depression, sleep issues, abdominal pain all began to resolve when I went on a very low carb diet

Healthcare visit (other): Xray, ultra sound, MRI

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	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Abdominal pain	·	·	✓
SD	Anosmia	·	·	✓
SD	Apathy	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Blood glucose abnormal	·	·	✓
SD	Brain fog	✓	✓	✓
SD	Depressed mood	·	·	✓
SD	Depression	·	·	✓
SD	Dizziness	·	·	✓
SD	Feeling abnormal	·	·	✓
SD	Food craving	·	·	✓
SD	Herpes zoster	·	·	✓
SD	Incontinence	·	·	✓
SD	Inflammation	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sleep disorder	·	·	✓
SD	Sneezing	·	·	✓
SD	Tooth extraction	✓	✓	✓
SD	Urinary incontinence	·	·	✓
SD	Vertigo	·	·	✓
SD	Vision blurred	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Crying	✓	✓	✓
SRO	Depressed mood	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Gingival pain	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Mood swings	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Nervousness	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Tendon pain	✓	✓	✓
SRO	Tremor	✓	✓	✓
SRO	Urinary incontinence	✓	✓	✓

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