ZG3-49556-66999

3 vaccinations 10 coded responses 37 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 712 / LA
Registered: 2021-05-14

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

USG-25287-11861 Child or adolescent in my care · Female · 2021-12-16

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-05-14
Registered in v-safe
2021-05-14
Dose 1 — Moderna
2021-05-14
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-15
Survey response — days 1–6 daily, dose 1
MedDRA: Mobility decreased, Myalgia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Limited mobility in injected arm due to muscle pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Survey response — days 1–6 daily, dose 1
MedDRA: Muscular weakness — Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Free text: Muscles in arm on injection side are weakened

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-19
Survey response — days 1–6 daily, dose 1
MedDRA: Intermenstrual bleeding — Feeling: Good · Headache

Free text: My menstrual cycle is still going/ spotting (day 9). I usually only have it 3 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Headache

Adult check-in
2021-05-21
Health check-in — day 7, dose 1
Feeling: Good · Headache, Nausea

Adult check-in
2021-05-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-04
Survey response — day 21, dose 1
MedDRA: Dysgeusia — Feeling: Good

Free text: Occasionally taste like I have been sucking on a penny

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Dose 2 — Moderna
2021-06-11
Survey response — day 0, dose 2
MedDRA: Limb mass, Pain in extremity, Peripheral swelling — Feeling: Good

Free text: Pain and swelling in forearm making a soft lump (below elbow).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-06-13
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal discomfort, Abdominal pain — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Abdominal pain feels like my stomach burns

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-06-15
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper, Injection site pain, Muscular weakness — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Free text: Injection site burns like a wasp sting, same arm is weak & stomach still having cramps like I ate something bad

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches

Adult check-in
2021-06-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · Muscle or body aches

Adult check-in
2021-06-18
Survey response — day 7, dose 2
MedDRA: Abdominal pain upper — Feeling: Good · Site: Itching · Abdominal pain

Free text: Same Stomach ache since day 1

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-05
Dose 3 — Moderna
2022-01-06
Survey response — days 1–6 daily, dose 3
MedDRA: Menstruation irregular — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Menstrual cycle came a week early

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache · Be unable to do your normal daily activities

Adult check-in
2022-01-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Itching · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-01-12
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-20
Survey response — day 14, dose 3
MedDRA: Injection site pain, Muscular weakness, Musculoskeletal disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tbe arm muscle that recieved the booster is still sore. There is weakness and weariness of that arm starting early in the day.

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-02
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-17
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-06
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-01-07
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-14	Moderna
2	2021-06-11	Moderna
3	2022-01-05	Moderna	No

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-15

Systemic reaction (other): Limited mobility in injected arm due to muscle pain

2021-05-16

Systemic reaction (other): Muscles in arm on injection side are weakened

2021-05-19

Systemic reaction (other): My menstrual cycle is still going/ spotting (day 9). I usually only have it 3 days.

Release 8 — day 21, dose 1

2021-06-04

Symptoms: Occasionally taste like I have been sucking on a penny

Release 9 — day 0, dose 2

2021-06-11

Systemic reaction (other): Pain and swelling in forearm making a soft lump (below elbow).

Release 9 — days 1–6 daily, dose 2

2021-06-13

Systemic reaction (other): Abdominal pain feels like my stomach burns

2021-06-15

Systemic reaction (other): Injection site burns like a wasp sting, same arm is weak & stomach still having cramps like I ate something bad

Release 9 — day 7, dose 2

2021-06-18

Systemic reaction (other): Same Stomach ache since day 1

Release 10 — days 1–6 daily, dose 3

2022-01-06

Systemic reaction (other): Menstrual cycle came a week early

Release 10 — day 14, dose 3

2022-01-20

Symptoms: Tbe arm muscle that recieved the booster is still sore. There is weakness and weariness of that arm starting early in the day.

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	Dysgeusia	✓	✓	✓
SD	Injection site pain	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Musculoskeletal disorder	·	·	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Intermenstrual bleeding	✓	✓	✓
SRO	Limb mass	✓	✓	✓
SRO	Menstruation irregular	·	·	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓

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