YCV-18497-47596

2 vaccinations 6 coded responses 26 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 972 / OR
Registered: 2021-04-22

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

2021-04-21
Dose 1 — Moderna
2021-04-22
Registered in v-safe
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 1
MedDRA: Cystitis, Flatulence, Fluid retention, Hepatic pain, Skin odour abnormal — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Body odor, extremely uncommon bladder infection, gas, water retention, liver ache. Excretory issues no doubt related to the adjuvants. Treating successfully with celery juice, cranberry juice & healing herbs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 1
MedDRA: Cystitis — Feeling: Good · Site: Pain · Chills, Fatigue or tiredness

Free text: Bladder infection 75% better, Edema, controlling arrythmias all week with magnesium, but thats only a small uptick from normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 1
MedDRA: Cystitis — Feeling: Good

Free text: Still recovering from bladder infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 1
MedDRA: Self-medication, Urinary tract infection — Feeling: Good

Free text: If anyone cares: I tried several methods for dealing with the UTI, but what worked in 2 doses was medicinal mushroom powder drank as a tea with raw honey & coconut milk. Going to be proactive with the detox when i get the second shot as i am a slow acetylator

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-05
Survey response — day 14, dose 1
MedDRA: Arrhythmia, Dyspepsia, Fluid retention, Hypotension, Self-medication — Feeling: Good

Free text: Heart arrhythmia, water retention, low blood pressure, which is abnormal, heartburn which is abnormalWe bought a blood pressure monitor.I am taking magnesium, avoiding caffeine, alcohol & sugarAvoiding shot2 until back to baseline

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-05-26
Dose 2 — Moderna
2021-05-26
Health check-in — day 0, dose 2
Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-27
Survey response — days 1–6 daily, dose 2
MedDRA: Sinus pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Sinus pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-06-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-26
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-21	Moderna
2	2021-05-26	Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-24

Systemic reaction (other): Body odor, extremely uncommon bladder infection, gas, water retention, liver ache. Excretory issues no doubt related to the adjuvants. Treating successfully with celery juice, cranberry juice & healing herbs

2021-04-25

Systemic reaction (other): Bladder infection 75% better, Edema, controlling arrythmias all week with magnesium, but thats only a small uptick from normal

Release 8 — days 1–6 daily, dose 1

2021-04-26

Systemic reaction (other): Still recovering from bladder infection

2021-04-27

Systemic reaction (other): If anyone cares: I tried several methods for dealing with the UTI, but what worked in 2 doses was medicinal mushroom powder drank as a tea with raw honey & coconut milk. Going to be proactive with the detox when i get the second shot as i am a slow acetylator

Release 8 — day 14, dose 1

2021-05-05

Symptoms: Heart arrhythmia, water retention, low blood pressure, which is abnormal, heartburn which is abnormalWe bought a blood pressure monitor.I am taking magnesium, avoiding caffeine, alcohol & sugarAvoiding shot2 until back to baseline

Release 8 — days 1–6 daily, dose 2

2021-05-27

Systemic reaction (other): Sinus pain

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	Arrhythmia	✓	✓	✓
SD	Dyspepsia	✓	✓	✓
SD	Fluid retention	✓	✓	✓
SD	Hypotension	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Cystitis	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Fluid retention	✓	✓	✓
SRO	Hepatic pain	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sinus pain	✓	✓	✓
SRO	Skin odour abnormal	✓	✓	✓
SRO	Urinary tract infection	✓	✓	✓

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