ZZ4-30692-49259

2 vaccinations 13 coded responses 24 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 946 / CA
Registered: 2021-06-15

Relationship: Self
Race: Multiracial
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

2021-06-14
Dose 1 — Moderna
2021-06-15
Registered in v-safe
2021-06-15
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Free text: Dizziness

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

Free text: Slightly feel itchy at times

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-06-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-06-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-06-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-07-05
Survey response — day 21, dose 1
MedDRA: Muscle spasms, Muscle strain, Myalgia, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Constant leg pain since approximately june 28, right leg and thigh areas. Like a strain from a muscle spasms, but i hadn't done anything to cause it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-07-19
Dose 2 — Moderna
2021-07-19
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-07-20
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: The pain also goes up my neck on the left side

MedDRA releases: 2024-11 · check-in free text available
2021-07-21
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Tingly sensations in my feet,fingers,arm&leg

MedDRA releases: 2024-11 · check-in free text available
2021-07-22
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Mental disorder — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Dizziness and feeling loopy, like the effects of a sleeping pill

MedDRA releases: 2024-11 · check-in free text available
2021-07-24
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Back and forth dizziness like vertigo

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizziness like vertigo

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-08-02
Survey response — day 14, dose 2
MedDRA: Fatigue, Muscle spasms, Muscle strain — Feeling: Good

Free text: Fluctuating leg spasms&cramps. They come&they go. Continued fatigue. Back strain.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-08-16
Survey response — day 28, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Fatigue

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
Survey response — day 35, dose 2
MedDRA: Muscle spasms — Feeling: Good

Free text: Spasms in my hands and fingers

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-30
Survey response — day 42, dose 2
MedDRA: Paraesthesia — Feeling: Good

Free text: Tingling in my hands and fingers

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-18
Survey response — 3 months, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Drawn out Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-14	Moderna
2	2021-07-19	Moderna	No

Free text

Release 9 — days 1–6 daily, dose 1

2021-06-15

Systemic reaction (other): Dizziness

2021-06-16

Systemic reaction (other): Slightly feel itchy at times

Release 9 — day 21, dose 1

2021-07-05

Symptoms: Constant leg pain since approximately june 28, right leg and thigh areas. Like a strain from a muscle spasms, but i hadn't done anything to cause it.

Release 9 — days 1–6 daily, dose 2

2021-07-20

Systemic reaction (other): The pain also goes up my neck on the left side

2021-07-21

Systemic reaction (other): Tingly sensations in my feet,fingers,arm&leg

2021-07-22

Systemic reaction (other): Dizziness and feeling loopy, like the effects of a sleeping pill

2021-07-24

Systemic reaction (other): Back and forth dizziness like vertigo

2021-07-25

Systemic reaction (other): Dizziness like vertigo

Release 9 — day 14, dose 2

2021-08-02

Symptoms: Fluctuating leg spasms&cramps. They come&they go. Continued fatigue. Back strain.

Release 9 — day 28, dose 2

2021-08-16

Symptoms: Fatigue

Release 9 — day 35, dose 2

2021-08-23

Symptoms: Spasms in my hands and fingers

Release 9 — day 42, dose 2

2021-08-30

Symptoms: Tingling in my hands and fingers

Release 10 — 3 months, dose 2

2021-10-18

Symptoms: Drawn out Fatigue

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	Muscle spasms	✓	✓	✓
SD	Muscle strain	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	✓	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Mental disorder	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Paraesthesia	·	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Vertigo	✓	·	✓

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