ZFR-24197-12130

2 vaccinations 11 coded responses 17 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 926 / CA
Registered: 2021-05-11

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

2021-04-23
Dose 1 — Moderna
2021-05-11
Registered in v-safe
2021-05-11
Survey response — day 14, dose 1
MedDRA: Arthralgia, Back pain, Dizziness, Haemorrhage, Immediate post-injection reaction, Menstrual clots, Muscle spasms, Pelvic pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: 15 min after 1st moderna shot, I was dizzy, and started cramping. Later that day, bleeding for the next 24 hours, although I was also ovulating. The next 3 days intense bone ache in back, hips, and pelvis. 10 days later, very clotted period

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — day 21, dose 1
MedDRA: Bone pain, Headache, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: This is week 3 after first moderna shot. Last week the bone pain went away, and this week I get low grade fever and headaches. But not so bad that I cant function normally. Except each weekend since the shot I slept thru Sat & Sun w/o getting up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Dose 2 — Moderna
2021-05-21
Survey response — day 0, dose 2
MedDRA: Abdominal pain upper, Back pain, Chest pain, Pelvic pain, Uterine spasm — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: A minute after the shot, I got uterine cramps and my back and pelvis started hurting, same s as after first shot. This time I also had chest pain and worse stomach ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Survey response — days 1–6 daily, dose 2
MedDRA: Uterine spasm — 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: Uterine cramping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension, Hypoaesthesia, Uterine spasm — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Nausea, Abdominal pain

Free text: Uterine cramps and bloating again, but no bleeding like after first shot. Also, last night my hands and feet kept going almost numb, but I used a heating pad to keep them warm, and they felt normal this morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Fever · Chills, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-05-26
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain — Feeling: Good · Fatigue or tiredness

Free text: Chest pain the last 2 days

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: Chest pain — Feeling: Good · Headache, Fatigue or tiredness

Free text: Chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 7, dose 2
MedDRA: Chest pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-23
Survey response — day 28, dose 2
MedDRA: Menstruation delayed — Feeling: Fair

Free text: Missed period

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Survey response — day 35, dose 2
MedDRA: Chest pain, Palpitations — Feeling: Fair

Free text: Random racing heart and chest pain, more than ever in my life. Have not seen doc for this. I still have not gotten my period since the second shot. Pregnancy tests negative 5 times, so that means my period is a month late so far

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Survey response — day 42, dose 2
MedDRA: Chest pain, Menstruation delayed — Feeling: Fair

Free text: I finally got my period again (5 weeks late), but the chest pain has been worse. The next question asks if Ive gone to a dr regarding this symptom yet. I havent, but I plan to if this pain persists and worsens further.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-20
Health check-in — 6 months, dose 2
Feeling: Good

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

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-23	Moderna
2	2021-05-21	Moderna

Free text

Release 8 — day 14, dose 1

2021-05-11

Symptoms: 15 min after 1st moderna shot, I was dizzy, and started cramping. Later that day, bleeding for the next 24 hours, although I was also ovulating. The next 3 days intense bone ache in back, hips, and pelvis. 10 days later, very clotted period

Release 8 — day 21, dose 1

2021-05-17

Symptoms: This is week 3 after first moderna shot. Last week the bone pain went away, and this week I get low grade fever and headaches. But not so bad that I cant function normally. Except each weekend since the shot I slept thru Sat & Sun w/o getting up

Release 8 — day 0, dose 2

2021-05-21

Systemic reaction (other): A minute after the shot, I got uterine cramps and my back and pelvis started hurting, same s as after first shot. This time I also had chest pain and worse stomach ache

Release 8 — days 1–6 daily, dose 2

2021-05-22

Systemic reaction (other): Uterine cramping

2021-05-23

Systemic reaction (other): Uterine cramps and bloating again, but no bleeding like after first shot. Also, last night my hands and feet kept going almost numb, but I used a heating pad to keep them warm, and they felt normal this morning.

2021-05-26

Systemic reaction (other): Chest pain the last 2 days

2021-05-27

Systemic reaction (other): Chest pain

Release 8 — day 7, dose 2

2021-05-28

Systemic reaction (other): Chest pain

Release 9 — day 28, dose 2

2021-06-23

Symptoms: Missed period

Release 9 — day 35, dose 2

2021-06-25

Symptoms: Random racing heart and chest pain, more than ever in my life. Have not seen doc for this. I still have not gotten my period since the second shot. Pregnancy tests negative 5 times, so that means my period is a month late so far

Release 9 — day 42, dose 2

2021-07-02

Symptoms: I finally got my period again (5 weeks late), but the chest pain has been worse. The next question asks if Ive gone to a dr regarding this symptom yet. I havent, but I plan to if this pain persists and worsens further.

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	Back pain	✓	✓	✓
SD	Bone pain	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Haemorrhage	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Immediate post-injection reaction	✓	✓	✓
SD	Menstrual clots	✓	✓	✓
SD	Menstruation delayed	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Pelvic pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Pelvic pain	✓	✓	✓
SRO	Uterine spasm	✓	✓	✓

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