YKB-31841-83045

3 vaccinations 10 coded responses 33 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 403 / KY
Registered: 2021-01-29

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

2021-01-28
Dose 1 — Moderna
2021-01-29
Registered in v-safe
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal discomfort — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Severe Lin in the Back of my Neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Site: Redness, Swelling · Headache, Fatigue or tiredness

Free text: Some of these symptoms are similar to the HSP I have been diagnosed with.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — day 7, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Joint pains, Diarrhea, Abdominal pain

Free text: Typical symptoms associated with my auto immune disease.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-18
Survey response — day 21, dose 1
MedDRA: Fatigue, Inflammation, Insomnia, Malaise — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue and sleeplessness has continued since vaccination. I was very ill for 3-4 days. Arm was inflamed for 6-7 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Dose 2 — Moderna
2021-03-04
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Nausea

Free text: Just got the vaccine not an hour ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-03-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-03
Survey response — day 28, dose 2
MedDRA: Alopecia, Fatigue, Onychoclasis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Great Loss of hair, nails are splitting, extreme fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-15
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-09-20
Dose 3 — Moderna
2021-09-21
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-22
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-09-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-09-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-09-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-09-27
Health check-in — day 7, dose 3
Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-04
Survey response — day 14, dose 3
MedDRA: Dizziness — Feeling: Good · Be unable to work or attend school

Free text: I have had an unexplained light-headedness. I thought maybe my blood pressure was too low at first, but it has continued for days, without my Blood Pressure changing.

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Survey response — day 21, dose 3
MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activities

Free text: I've had a light headed feeling that's only increased over the last 3 weeks. It started so lightly that I didn't think it was important.

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-25
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-01
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-22
Survey response — 3 months, dose 3
MedDRA: Fatigue, Insomnia, Parosmia, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Runny nose, congestion, weird scent changes, increased fatigue, sleeplessness

MedDRA releases: 2024-11 · check-in free text available
2022-03-21
Survey response — 6 months, dose 3
MedDRA: Asthenia, Brain fog, Headache — Feeling: Fair

Free text: Headaches, low energy, brain fog

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Moderna
2	2021-03-04	Moderna
3	2021-09-20	Moderna	No

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Severe Lin in the Back of my Neck

2021-02-02

Systemic reaction (other): Some of these symptoms are similar to the HSP I have been diagnosed with.

Release 3 — day 7, dose 1

2021-02-04

Systemic reaction (other): Typical symptoms associated with my auto immune disease.

Release 4 — day 21, dose 1

2021-02-18

Symptoms: Extreme fatigue and sleeplessness has continued since vaccination. I was very ill for 3-4 days. Arm was inflamed for 6-7 days.

Release 5 — day 0, dose 2

2021-03-04

Systemic reaction (other): Just got the vaccine not an hour ago

Release 6 — day 28, dose 2

2021-04-03

Symptoms: Great Loss of hair, nails are splitting, extreme fatigue.

Release 10 — day 14, dose 3

2021-10-04

Symptoms: I have had an unexplained light-headedness. I thought maybe my blood pressure was too low at first, but it has continued for days, without my Blood Pressure changing.

Release 10 — day 21, dose 3

2021-10-13

Symptoms: I've had a light headed feeling that's only increased over the last 3 weeks. It started so lightly that I didn't think it was important.

Release 10 — 3 months, dose 3

2021-12-22

Symptoms: Runny nose, congestion, weird scent changes, increased fatigue, sleeplessness

Release 11 — 6 months, dose 3

2022-03-21

Symptoms: Headaches, low energy, brain fog

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	Alopecia	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Brain fog	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Inflammation	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Onychoclasis	✓	✓	✓
SD	Parosmia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Musculoskeletal discomfort	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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