YMW-21686-59673

2 vaccinations 12 coded responses 17 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 783 / TX
Registered: 2021-03-12

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

2021-03-06
Dose 1 — Moderna
2021-03-12
Registered in v-safe
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Survey response — day 7, dose 1
MedDRA: Ear pain — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Earache since injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — day 14, dose 1
MedDRA: Arthralgia, Fatigue, Headache, Nausea, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ankle pain where I had surgery twice. Headaches, nausea, just tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-31
Dose 2 — Moderna
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Toothache — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Earache and toothache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Earache

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

Free text: Earache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Influenza, Influenza like illness — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Flu symptoms, earache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Dry eye, Ear pain — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Earache on both ears, eyes dryness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 7, dose 2
MedDRA: Dizziness, Ear pain — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Double earache, dizziness,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 14, dose 2
MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activities

Free text: A lot of stress ...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 21, dose 2
MedDRA: Arthralgia, Back pain, Fatigue, Headache, Muscle spasms, Myalgia, Procedural pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue,headaches, muscle pain, cramping all over body and a lot of pain to previous surgical area on my right ankle that I had last year. Hip/ back pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 28, dose 2
MedDRA: Abdominal pain, Ear pain, Fatigue, Headache, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: Just cramping on my torso and legs . Still with headaches and earache and so much fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-12
Survey response — day 42, dose 2
MedDRA: Dysmenorrhoea, Hysterectomy, Vaginal haemorrhage — Feeling: Fair

Free text: Still bleed like menstrual cycle and cramping a lot . I had a hysterectomy 6 yrs ago. No uterus ,1 tube removed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Moderna
2	2021-03-31	Moderna

Free text

Release 5 — day 7, dose 1

2021-03-13

Systemic reaction (other): Earache since injection

Release 6 — day 14, dose 1

2021-03-20

Symptoms: Ankle pain where I had surgery twice. Headaches, nausea, just tired

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Earache and toothache

2021-04-02

Systemic reaction (other): Earache

2021-04-03

Systemic reaction (other): Earache

2021-04-05

Systemic reaction (other): Flu symptoms, earache

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Earache on both ears, eyes dryness

Release 7 — day 7, dose 2

2021-04-07

Systemic reaction (other): Double earache, dizziness,

Release 7 — day 14, dose 2

2021-04-14

Symptoms: A lot of stress ...

Release 7 — day 21, dose 2

2021-04-23

Symptoms: Fatigue,headaches, muscle pain, cramping all over body and a lot of pain to previous surgical area on my right ankle that I had last year. Hip/ back pain.

Release 8 — day 28, dose 2

2021-04-28

Symptoms: Just cramping on my torso and legs . Still with headaches and earache and so much fatigue

Release 8 — day 42, dose 2

2021-05-12

Symptoms: Still bleed like menstrual cycle and cramping a lot . I had a hysterectomy 6 yrs ago. No uterus ,1 tube removed.

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	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Dysmenorrhoea	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hysterectomy	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Procedural pain	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SD	Vaginal haemorrhage	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dry eye	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Influenza	·	·	✓
SRO	Influenza like illness	✓	✓	○
SRO	Toothache	✓	✓	✓

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