ZAC-80669-36649

2 vaccinations 7 coded responses 16 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 481 / MI
Registered: 2021-03-27

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

2021-03-26
Dose 1 — Moderna
2021-03-27
Registered in v-safe
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Dysgeusia, Immediate post-injection reaction, Sensitisation — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Odd taste in mouth within first 20 minutes or so after receiving vax; slight light headed feeling, a sensation on the left side of my head as if i had gotten dental novocaine were wearing off

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Hypoaesthesia, Joint stiffness, Rhinorrhoea, Self-medication — Feeling: Good · Site: Pain · Joint pains, Rash, not including the immediate area around the injection site

Free text: Sniffles, continuing from yesterday. Facial/head numb kind of sensation may still be hanging on a little. Energy level better. Took benadryl and motrin last evening to sleep comfortably, feel much better today; more joint stiffness present than actual pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia — Feeling: Good · Fatigue or tiredness

Free text: Still a little bit of that strange numbness in the left side of my face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Myalgia — Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: The joint and muscle aches are likely not exclusively from the vax; (although the vax aggravated my current inflamatory state)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-04-02
Survey response — day 7, dose 1
MedDRA: Arthritis, Self-medication — Feeling: Good · Joint pains · Be unable to do your normal daily activities

Free text: I am currently having to take 800mg ibuprophen a couple times a day to deal with the ongoing inflammation post vax; my sacral and hip joints have taken the hardest hit with other areas also snapping and aggravated, uncomfortable. When not on the medicine, its very difficult to climb stairs and I havent been able to walk for exercise or with my dog. Gonna try again today. A bit discouraging

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

Adult check-in
2021-04-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-23
Dose 2 — Moderna
2021-05-07
Survey response — day 14, dose 2
MedDRA: Arthralgia, Fatigue, Inflammation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worsening imflamation; joint pain and fatigue. This could easily also be due to my recent diet and is not atypical when I stray from low carb and clean eating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-06
Survey response — day 42, dose 2
MedDRA: Facial pain, Headache — Feeling: Good

Free text: Head pain; but I *think* it is a sinus issue, not sure though. Left side of my upper face hurt for about five days, seems to be resolving

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-23
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Moderna
2	2021-04-23	Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-27

Systemic reaction (other): Odd taste in mouth within first 20 minutes or so after receiving vax; slight light headed feeling, a sensation on the left side of my head as if i had gotten dental novocaine were wearing off

2021-03-28

Systemic reaction (other): Sniffles, continuing from yesterday. Facial/head numb kind of sensation may still be hanging on a little. Energy level better. Took benadryl and motrin last evening to sleep comfortably, feel much better today; more joint stiffness present than actual pain

2021-03-29

Systemic reaction (other): Still a little bit of that strange numbness in the left side of my face

2021-03-30

Systemic reaction (other): The joint and muscle aches are likely not exclusively from the vax; (although the vax aggravated my current inflamatory state)

Release 6 — day 7, dose 1

2021-04-02

Systemic reaction (other): I am currently having to take 800mg ibuprophen a couple times a day to deal with the ongoing inflammation post vax; my sacral and hip joints have taken the hardest hit with other areas also snapping and aggravated, uncomfortable. When not on the medicine, its very difficult to climb stairs and I havent been able to walk for exercise or with my dog. Gonna try again today. A bit discouraging

Release 8 — day 14, dose 2

2021-05-07

Symptoms: Worsening imflamation; joint pain and fatigue. This could easily also be due to my recent diet and is not atypical when I stray from low carb and clean eating

Release 8 — day 42, dose 2

2021-06-06

Symptoms: Head pain; but I *think* it is a sinus issue, not sure though. Left side of my upper face hurt for about five days, seems to be resolving

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	Facial pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Inflammation	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Arthritis	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Joint stiffness	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sensitisation	✓	✓	✓

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