YRK-14495-40242

3 vaccinations 11 coded responses 26 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 900 / CA
Registered: 2021-05-22

Relationship: Self
Race: Black or African American
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

2021-04-24
Dose 1 — Moderna
2021-05-22
Registered in v-safe
2021-05-22
Dose 2 — Moderna
2021-05-22
Survey response — day 0, dose 2
MedDRA: Dry mouth — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Dry mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-25
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis, Nausea — Feeling: Good · Site: Swelling · Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: I awakened with a very sweaty,/wet chest, neck and arms. I did NOT have a fever. Also, when lying down I don't feel as nauseated; stranding up causes me to gag, spit and want to vomit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Mobility decreased — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Shortness of breath upon minimal movement or talking.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — days 1–6 daily, dose 2
MedDRA: Depressed mood, Dyspnoea, Mood altered — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: I get winded quickly/short of breath and I feel very sad/moody

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — days 1–6 daily, dose 2
MedDRA: Nausea — Feeling: Good · Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Sitting upwards I feel like vomiting.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Health check-in — day 7, dose 2
Feeling: Good · Nausea

Adult check-in
2021-06-05
Survey response — day 14, dose 2
MedDRA: Crying, Depression, Postmenopausal haemorrhage — Feeling: Fair · Be unable to do your normal daily activities

Free text: I feel very depressed; I cry almost everday since being vaccinated. I am 48 years old and menopausal; had no menstraul since Feb., 2020. My cycle came on 5/3/21 post 1st dose. 2nd dose 5/22/21 &cycle began 6/3/23; it's ongoing and very heavy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Survey response — day 21, dose 2
MedDRA: Initial insomnia, Insomnia, Terminal insomnia, Visual impairment, Vitreous floaters — Feeling: Fair · Be unable to do your normal daily activities

Free text: Insomnia; it's very hard to fall asleep and I awaken too soon after falling asleep. I see floaters/ spots; sometimes shadows

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Survey response — day 28, dose 2
MedDRA: Fatigue, Insomnia — Feeling: Fair · Be unable to do your normal daily activities

Free text: I stay tired and often I can't sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Survey response — day 35, dose 2
MedDRA: Depression, Dysmenorrhoea, Heavy menstrual bleeding, Insomnia, Memory impairment, Mood swings, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: Painful leg and foot cramps during sleep; mood swings/depression; insomnia; forgetfulness; PREMENSTRUAL CRAMPS AND HEAVY MESTRUAL BLEEDING

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-21
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Confusional state, Depression, Muscle spasms, Vision blurred — Feeling: Poor · Be unable to do your normal daily activities

Free text: DEPRESSION, NOCTURNAL LOWER EXTREMITY CRAMPS, JOINT PAINS, BLURRED VISION, CONFUSION

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-20
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-05-23
Dose 3 — Moderna
2022-05-24
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches

Adult check-in
2022-05-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · None

Adult check-in
2022-05-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-05-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-06-01
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-06-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-06-21
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-06-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-08-22
Survey response — 3 months, dose 3
MedDRA: Muscle spasms — Feeling: Good · Be unable to do your normal daily activities

Free text: Intermittent leg cramps; entire leg from groin to feet

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-24	Moderna
2	2021-05-22	Moderna
3	2022-05-23	Moderna	No

Free text

Release 8 — day 0, dose 2

2021-05-22

Systemic reaction (other): Dry mouth

Release 8 — days 1–6 daily, dose 2

2021-05-25

Systemic reaction (other): I awakened with a very sweaty,/wet chest, neck and arms. I did NOT have a fever. Also, when lying down I don't feel as nauseated; stranding up causes me to gag, spit and want to vomit.

2021-05-26

Systemic reaction (other): Shortness of breath upon minimal movement or talking.

2021-05-27

Systemic reaction (other): I get winded quickly/short of breath and I feel very sad/moody

2021-05-28

Systemic reaction (other): Sitting upwards I feel like vomiting.

Release 8 — day 14, dose 2

2021-06-05

Symptoms: I feel very depressed; I cry almost everday since being vaccinated. I am 48 years old and menopausal; had no menstraul since Feb., 2020. My cycle came on 5/3/21 post 1st dose. 2nd dose 5/22/21 &cycle began 6/3/23; it's ongoing and very heavy.

Release 9 — day 21, dose 2

2021-06-12

Symptoms: Insomnia; it's very hard to fall asleep and I awaken too soon after falling asleep. I see floaters/ spots; sometimes shadows

Release 9 — day 28, dose 2

2021-06-19

Symptoms: I stay tired and often I can't sleep.

Release 9 — day 35, dose 2

2021-06-27

Symptoms: Painful leg and foot cramps during sleep; mood swings/depression; insomnia; forgetfulness; PREMENSTRUAL CRAMPS AND HEAVY MESTRUAL BLEEDING

Release 9 — 3 months, dose 2

2021-08-21

Symptoms: DEPRESSION, NOCTURNAL LOWER EXTREMITY CRAMPS, JOINT PAINS, BLURRED VISION, CONFUSION

Release 12 — 3 months, dose 3

2022-08-22

Symptoms: Intermittent leg cramps; entire leg from groin to feet

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	Confusional state	✓	·	✓
SD	Crying	✓	✓	✓
SD	Depression	✓	✓	✓
SD	Dysmenorrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Initial insomnia	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Memory impairment	✓	✓	✓
SD	Mood swings	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Postmenopausal haemorrhage	✓	✓	✓
SD	Terminal insomnia	·	·	✓
SD	Vision blurred	✓	·	✓
SD	Visual impairment	·	·	✓
SD	Vitreous floaters	✓	✓	✓
SRO	Depressed mood	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Mood altered	✓	✓	✓
SRO	Nausea	✓	✓	✓

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