YGC-81538-06226

2 vaccinations 9 coded responses 17 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 017 / MA
Registered: 2021-02-26

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

2021-02-26
Registered in v-safe
2021-02-26
Dose 1 — Moderna
2021-02-26
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Back pain, Bladder pain, Cough, Cystitis, Groin pain, Musculoskeletal chest pain, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Severe pain in left ribs, lower back, groin and left knee. Side which I got the shot. Severe bladder pain-I have a history of interstitial cystitis. Dry cough.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-19
Survey response — day 21, dose 1
MedDRA: Vaccination site pain — Feeling: Good

Free text: Mild arm pain on and off in vaccination site. This occurred last week as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Dose 2 — Moderna
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Gait disturbance, Injection site warmth, Pain, Pain in extremity, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Injection site feels hot to the touch. Any previous chronic pain worsens to the point of agony. Left calf pain hard to walk with leg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Musculoskeletal stiffness, Myalgia, Pain in extremity, Pruritus, Pyrexia — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Left calf muscle still stiff and painful, itchy over every part of my body including in my ears and eyes. Newer knee pain that didnt present before. Previous day didnt get to report but had a fever of 102.7. Severe muscle aches tiredness and pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Eczema, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Nausea

Free text: Eczema flare, on scalp and whole body.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Extreme brain fog, blank mind.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 7, dose 2
MedDRA: Feeling abnormal, Salivary gland pain — Feeling: Poor · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Extreme brain fog, flaring of chronic conditions, salivary gland pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-03-28
Survey response — 12 months, dose 2
MedDRA: Tinnitus — Feeling: Fair

Free text: Tinnitus. High pitched ringing in ears.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-26	Moderna

Free text

Release 4 — day 0, dose 1

2021-02-26

Systemic reaction (other): Dizziness

Release 4 — days 1–6 daily, dose 1

2021-02-27

Systemic reaction (other): Severe pain in left ribs, lower back, groin and left knee. Side which I got the shot. Severe bladder pain-I have a history of interstitial cystitis. Dry cough.

Release 5 — day 21, dose 1

2021-03-19

Symptoms: Mild arm pain on and off in vaccination site. This occurred last week as well.

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Injection site feels hot to the touch. Any previous chronic pain worsens to the point of agony. Left calf pain hard to walk with leg.

2021-03-29

Systemic reaction (other): Left calf muscle still stiff and painful, itchy over every part of my body including in my ears and eyes. Newer knee pain that didnt present before. Previous day didnt get to report but had a fever of 102.7. Severe muscle aches tiredness and pain.

2021-03-30

Systemic reaction (other): Eczema flare, on scalp and whole body.

2021-04-01

Systemic reaction (other): Extreme brain fog, blank mind.

Release 6 — day 7, dose 2

2021-04-02

Systemic reaction (other): Extreme brain fog, flaring of chronic conditions, salivary gland pain.

Release 11 — 12 months, dose 2

2022-03-28

Symptoms: Tinnitus. High pitched ringing in ears.

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	Tinnitus	·	·	✓
SD	Vaccination site pain	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Bladder pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Cystitis	○	✓	○
SRO	Dizziness	✓	✓	✓
SRO	Eczema	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Groin pain	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Musculoskeletal chest pain	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Salivary gland pain	✓	✓	✓

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