ZX2-23149-53007

2 vaccinations 12 coded responses 20 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 751 / TX
Registered: 2021-03-22

Relationship: Self
Race: Black or African American
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

2021-03-22
Registered in v-safe
2021-03-22
Dose 1 — Moderna
2021-03-22
Survey response — day 0, dose 1
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain

Free text: Some pain in right leg then moved to left leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Gastrooesophageal reflux disease — Feeling: Fair · Site: Pain · Abdominal pain

Free text: Some chest pains from Acid Reflux

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper, Chest pain, Fatigue, Gastrooesophageal reflux disease, Irritability — Feeling: Poor · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Continued chest pains from acid reflux, stomach cramps, super tired, cranky

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: Still having some chest pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Abdominal pain

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-19
Dose 2 — Moderna
2021-04-19
Survey response — day 0, dose 2
MedDRA: Dry throat, Rhinorrhoea, Sleep disorder, Sneezing — Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain

Free text: I have a dry throat, like cotton mouth but in the throat. Sneezing a lot that make my throat feel so dry. Hard to sleep as I have to keep swallowing. Running nose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Dry throat, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Runny nose and dry throat; loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Injection site erythema, Injection site swelling, Rhinorrhoea, Toothache — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness

Free text: Teethe hurting, runny nose, cough, red swollen mark on arm below injection that itches (about 3 inches around).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Lacrimation increased, Toothache — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Free text: Teethe still hurts but much better. Last night left eye wartering a lot which my left teethe are hurting. Not sure if there's a connection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Toothache — Feeling: Good · Site: Redness

Free text: Cough and teethe hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Toothache — Feeling: Good · Site: Redness · Diarrhea

Free text: Teethe hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Teething — Feeling: Good

Free text: Left side teethe pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — day 7, dose 2
Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 21, dose 2
MedDRA: Fatigue, Headache, Pollakiuria — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: It's like starting all over again. Headache is back, I'm super tired, and new is frequent urination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Moderna
2	2021-04-19	Moderna

Free text

Release 6 — day 0, dose 1

2021-03-22

Systemic reaction (other): Some pain in right leg then moved to left leg

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): Some chest pains from Acid Reflux

2021-03-24

Systemic reaction (other): Continued chest pains from acid reflux, stomach cramps, super tired, cranky

2021-03-25

Systemic reaction (other): Still having some chest pains

Release 7 — day 0, dose 2

2021-04-19

Systemic reaction (other): I have a dry throat, like cotton mouth but in the throat. Sneezing a lot that make my throat feel so dry. Hard to sleep as I have to keep swallowing. Running nose.

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): Runny nose and dry throat; loss of appetite

2021-04-21

Systemic reaction (other): Teethe hurting, runny nose, cough, red swollen mark on arm below injection that itches (about 3 inches around).

2021-04-22

Systemic reaction (other): Teethe still hurts but much better. Last night left eye wartering a lot which my left teethe are hurting. Not sure if there's a connection.

2021-04-23

Systemic reaction (other): Cough and teethe hurts

2021-04-24

Systemic reaction (other): Teethe hurts

2021-04-25

Systemic reaction (other): Left side teethe pain

Release 8 — day 21, dose 2

2021-05-11

Symptoms: It's like starting all over again. Headache is back, I'm super tired, and new is frequent urination.

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	Headache	✓	✓	✓
SD	Pollakiuria	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dry throat	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Gastrooesophageal reflux disease	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Lacrimation increased	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Teething	✓	✓	✓
SRO	Toothache	✓	✓	✓

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