YSA-15050-74797

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 790 / TX
Registered: 2021-02-06

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

2021-02-05
Dose 1 — Moderna
2021-02-06
Registered in v-safe
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Enlarged uvula — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lower back pain, mucous and uvula feels enlarged

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-05
Survey response — day 28, dose 1
MedDRA: Fatigue, Hypotension, Migraine — Feeling: Good

Free text: Have had Migraine headache, low blood pressure, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Dose 2 — Moderna
2021-03-08
Survey response — day 0, dose 2
MedDRA: Anxiety, Dizziness, Flushing, Hypertension — Feeling: Fair · Site: Pain · Abdominal pain · Be unable to do your normal daily activities

Free text: Flushing, dizziness, anxiety, high BP

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

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Palpitations — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Heart palpitations, shortness of breath, slightly elevated d dimer

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Palpitations, Pre-existing disease — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Elevated heart rate, palpitations, slightly elevated d-dimer, low blood panel and platelets

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still having elevated heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — day 7, dose 2
MedDRA: Heart rate increased — Feeling: Good · Fatigue or tiredness

Free text: Elevated heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — day 14, dose 2
MedDRA: Hot flush — Feeling: Good

Free text: I dont know if its related but I have been experiencing hot flashes more consistently.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-10
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Moderna
2	2021-03-08	Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-06

Systemic reaction (other): Lower back pain, mucous and uvula feels enlarged

Release 5 — day 28, dose 1

2021-03-05

Symptoms: Have had Migraine headache, low blood pressure, fatigue

Release 5 — day 0, dose 2

2021-03-08

Systemic reaction (other): Flushing, dizziness, anxiety, high BP

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Heart palpitations, shortness of breath, slightly elevated d dimer

2021-03-13

Systemic reaction (other): Elevated heart rate, palpitations, slightly elevated d-dimer, low blood panel and platelets

2021-03-14

Systemic reaction (other): Still having elevated heart rate

Release 5 — day 7, dose 2

2021-03-15

Systemic reaction (other): Elevated heart rate

Release 6 — day 14, dose 2

2021-03-22

Symptoms: I dont know if its related but I have been experiencing hot flashes more consistently.

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	Fatigue	✓	✓	✓
SD	Hot flush	✓	✓	✓
SD	Hypotension	✓	✓	✓
SD	Migraine	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Enlarged uvula	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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