YXD-21986-44927

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 189 / PA
Registered: 2021-01-16

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

2021-01-15
Dose 1 — Moderna
2021-01-16
Registered in v-safe
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea, Faeces discoloured — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Diarrhea

Free text: Not quite diarrhea but loose formed orange burning stool. Leaves my bottom burning. Not severe but noticable, 1/16/17/18 2021 so far

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-01-29
Survey response — day 14, dose 1
MedDRA: Erythema — Feeling: Good

Free text: Red arm. Arm i was vaccinated on. Srarts at my shoulder and goes down toward elbow but not that far. 8 top to bottom. About 4 wide from front bicep to back tricep. No pain. No itch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-12
Dose 2 — Moderna
2021-02-12
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, 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
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Flatulence — Feeling: Good

Free text: Intestinal gasey, feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal discomfort, Abdominal distension — Feeling: Good

Free text: Still have a gasey feeling , but no gas, slight uncomfortable abdominal feel. I mentioned yesterday but i also had it monday and i failed to mention it then

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Abnormal faeces, Bowel movement irregularity — Feeling: Good · Abdominal pain

Free text: Havent gone the bathroom in 2 days no#2. Last time i did, like slivers. I just feel off bowel wise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — day 7, dose 2
MedDRA: Adverse reaction — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Reas on left side of my fash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-13
Survey response — 6 months, dose 2
MedDRA: Office visit, Periarthritis, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school

Free text: 1.Frozen shoulder and 2. a constant need to clear something from my chest. In the process of trying to figure it out with doctors now. Going for covid nasal swab aug 16th just in case.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-12
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-12	Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): Not quite diarrhea but loose formed orange burning stool. Leaves my bottom burning. Not severe but noticable, 1/16/17/18 2021 so far

Release 3 — day 14, dose 1

2021-01-29

Symptoms: Red arm. Arm i was vaccinated on. Srarts at my shoulder and goes down toward elbow but not that far. 8 top to bottom. About 4 wide from front bicep to back tricep. No pain. No itch.

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): Intestinal gasey, feeling

2021-02-17

Systemic reaction (other): Still have a gasey feeling , but no gas, slight uncomfortable abdominal feel. I mentioned yesterday but i also had it monday and i failed to mention it then

2021-02-18

Systemic reaction (other): Havent gone the bathroom in 2 days no#2. Last time i did, like slivers. I just feel off bowel wise

Release 4 — day 7, dose 2

2021-02-19

Systemic reaction (other): Reas on left side of my fash

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: 1.Frozen shoulder and 2. a constant need to clear something from my chest. In the process of trying to figure it out with doctors now. Going for covid nasal swab aug 16th just in case.

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	Erythema	✓	✓	✓
SD	Office visit	✓	·	✓
SD	Periarthritis	✓	·	✓
SD	Respiratory tract congestion	✓	·	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Abnormal faeces	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Bowel movement irregularity	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Faeces discoloured	✓	✓	✓
SRO	Flatulence	✓	✓	✓

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