YDM-19551-88592

4 vaccinations 7 coded responses 33 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 100 / NY
Registered: 2021-03-08

Relationship: Self
Race: White
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

2021-03-07
Dose 1 — Moderna
2021-03-08
Registered in v-safe
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Nausea — Feeling: Good · Site: Pain · Nausea

Free text: Very slight and occasional nausea - comes and goes

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

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-04
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-06
Dose 3 — Moderna
2022-04-08
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Peritoneal disorder, Pruritus — Feeling: Good

Free text: Increasing joint pain, peritoneal dryness and itching.

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Dose 4 — Moderna
2022-05-26
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-05-27
Survey response — days 1–6 daily, dose 4
MedDRA: Heart rate decreased, Heart rate increased, Palpitations — Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pounding heart, variable pulse rate. High at night, very low during parts of the day.

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-29
Survey response — days 1–6 daily, dose 4
MedDRA: Palpitations — Feeling: Good · Site: Pain, Itching

Free text: Occasional heart pounding or acceleration.

MedDRA releases: 2024-11 · check-in free text available
2022-05-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · None

Adult check-in
2022-05-31
Survey response — days 1–6 daily, dose 4
MedDRA: Palpitations — Feeling: Good · Site: Itching

Free text: Occasional pounding heart 3-4 times daily for a few minutes

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · Fever · None

Adult check-in
2022-06-02
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-09
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-17
Survey response — day 21, dose 4
MedDRA: Muscle strain — Feeling: Good

Free text: Heart strain after light exertion continues.

MedDRA releases: 2024-11 · check-in free text available
2022-06-23
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-02
Survey response — day 35, dose 4
MedDRA: Heart rate increased, Palpitations — Feeling: Good

Free text: Continued periodic rapid or pounding heartbeat, with no obvious cause. Passes within a few minutes.

MedDRA releases: 2024-11 · check-in free text available
2022-07-07
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-05-28
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-07	Moderna
2	2021-04-08	Moderna
3	2021-12-06	Moderna	No
4	2022-05-26	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): Very slight and occasional nausea - comes and goes

Release 11 — 12 months, dose 2

2022-04-08

Symptoms: Increasing joint pain, peritoneal dryness and itching.

Release 11 — days 1–6 daily, dose 4

2022-05-27

Systemic reaction (other): Pounding heart, variable pulse rate. High at night, very low during parts of the day.

2022-05-29

Systemic reaction (other): Occasional heart pounding or acceleration.

2022-05-31

Systemic reaction (other): Occasional pounding heart 3-4 times daily for a few minutes

Release 12 — day 21, dose 4

2022-06-17

Symptoms: Heart strain after light exertion continues.

Release 12 — day 35, dose 4

2022-07-02

Symptoms: Continued periodic rapid or pounding heartbeat, with no obvious cause. Passes within a few minutes.

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	Arthralgia	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Muscle strain	·	·	✓
SD	Palpitations	·	·	✓
SD	Peritoneal disorder	·	·	✓
SD	Pruritus	·	·	✓
SRO	Heart rate decreased	·	·	✓
SRO	Heart rate increased	·	·	✓
SRO	Nausea	✓	✓	✓
SRO	Palpitations	·	·	✓

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