YCX-31572-63092

3 vaccinations 12 coded responses 26 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 921 / CA
Registered: 2021-03-10

Relationship: Self
Race: Black or African American
Ethnicity: 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

2021-02-01
Dose 1 — Moderna
2021-03-10
Registered in v-safe
2021-03-10
Dose 2 — Moderna
2021-03-10
Survey response — day 0, dose 2
MedDRA: Headache, Nausea, Pain in extremity — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: For a quick moment I may have felt slightly queasy and possibly a slight headache about 1:25pm. And at about 2:15pm 2 hr so hours after my shot my arm started to feel mildly sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Headache, Injection site pain — Feeling: Good · Site: Pain

Free text: I forgot to note that 3/11 I did have some joint aches. Today my headache is gone and on scale 1-10. My injection site pain is a 1 and is always faded.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Good · Headache

Free text: Yesterday, I also had headache that came and went about 2 time. My headache today does not last long and its always on the left side. It comes and last less than 15 seconds and went a way about twice today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Survey response — day 14, dose 2
MedDRA: Headache, Productive cough — Feeling: Good

Free text: Same left side headache that comes and goes for short period. Some phlegm but no other symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-14
Survey response — day 35, dose 2
MedDRA: Headache — Feeling: Good

Free text: I am continuing to have left side headaches off and on. Very inconsistently since I got the vaccine. I have never had this many headaches so freaky and I feel as if it is linked to the vaccine since this is when they started.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 42, dose 2
MedDRA: Headache — Feeling: Good

Free text: Occasionally left side headache that not constant but comes and goes. This has been present since getting the second dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-14
Dose 3 — Moderna
2022-01-18
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Under arm pain on side of shot

MedDRA releases: 2024-11 · check-in free text available
2022-01-19
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Underarm/armpit pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Arm pit pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Survey response — day 7, dose 3
MedDRA: Axillary pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Underarm pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-30
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-05
Survey response — day 21, dose 3
MedDRA: Abdominal pain, Abdominal pain upper, Back pain, Heavy menstrual bleeding, Menstruation irregular — Feeling: Fair · Be unable to do your normal daily activities

Free text: epigastric pain- I have noticed abdomen pain, back pain, I originally did not notice that it started after getting vaccination. Not sure if it is linked. Period came earlier and last additional days

MedDRA releases: 2024-11 · check-in free text available
2022-02-13
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-25
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-17
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-07-15
Survey response — 6 months, dose 3
MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend school

Free text: Caught a cold

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Moderna
2	2021-03-10	Moderna
3	2022-01-14	Moderna	No

Free text

Release 5 — day 0, dose 2

2021-03-10

Systemic reaction (other): For a quick moment I may have felt slightly queasy and possibly a slight headache about 1:25pm. And at about 2:15pm 2 hr so hours after my shot my arm started to feel mildly sore.

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): I forgot to note that 3/11 I did have some joint aches. Today my headache is gone and on scale 1-10. My injection site pain is a 1 and is always faded.

2021-03-14

Systemic reaction (other): Yesterday, I also had headache that came and went about 2 time. My headache today does not last long and its always on the left side. It comes and last less than 15 seconds and went a way about twice today.

Release 6 — day 14, dose 2

2021-03-24

Symptoms: Same left side headache that comes and goes for short period. Some phlegm but no other symptoms.

Release 7 — day 35, dose 2

2021-04-14

Symptoms: I am continuing to have left side headaches off and on. Very inconsistently since I got the vaccine. I have never had this many headaches so freaky and I feel as if it is linked to the vaccine since this is when they started.

Release 7 — day 42, dose 2

2021-04-21

Symptoms: Occasionally left side headache that not constant but comes and goes. This has been present since getting the second dose.

Release 10 — days 1–6 daily, dose 3

2022-01-18

Systemic reaction (other): Under arm pain on side of shot

2022-01-19

Systemic reaction (other): Underarm/armpit pain

2022-01-20

Systemic reaction (other): Arm pit pain

Release 11 — day 7, dose 3

2022-01-21

Systemic reaction (other): Underarm pain

Release 11 — day 21, dose 3

2022-02-05

Symptoms: epigastric pain- I have noticed abdomen pain, back pain, I originally did not notice that it started after getting vaccination. Not sure if it is linked. Period came earlier and last additional days

Release 12 — 6 months, dose 3

2022-07-15

Symptoms: Caught a cold

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	Abdominal pain	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Back pain	·	·	✓
SD	Headache	✓	✓	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Productive cough	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Axillary pain	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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