23J-51034-57685

3 vaccinations 6 coded responses 41 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 481 / MI
Registered: 2020-12-28

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

Timeline

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

2020-12-28
Registered in v-safe
2020-12-28
Dose 1 — Moderna
2020-12-28
Survey response — day 0, dose 1
MedDRA: Dysgeusia, Immediate post-injection reaction — Feeling: Good · Site: Pain

Free text: Metalic taste in mouth within minutes of receiving vaccine. Short lived, less than 1 hour

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Abnormal sensation in eye, Pruritus, Self-medication — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: I wouldn't necessarily say a rash but legs were very itchy last night. Took oral antihistamines. Also upon awakening this morning and for about 6 hours, my eye felt like an electric shock when I blinked. No loss of vision and frequency became less as time passed until it finally stopped

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-18
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-01-25
Dose 2 — Moderna
2021-01-25
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-26
Survey response — 3 months, dose 2
MedDRA: Menstruation irregular — Feeling: Fair

Free text: Irregular menstrual cycle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-02
Dose 3 — Moderna
2021-11-02
Survey response — day 0, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain

Free text: Lightheaded about 90 mins after

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · Headache

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Itching · Fever · Diarrhea, Abdominal pain

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2021-11-09
Survey response — day 7, dose 3
MedDRA: Brain fog — Feeling: Good · Fatigue or tiredness

Free text: Brain fog

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Survey response — day 14, dose 3
MedDRA: Sciatica — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sciatica

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Report sent to call center — day 14, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-17
Call 1 — Left Voicemail
2021-11-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-02
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-25	Moderna
3	2021-11-02	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-28

Systemic reaction (other): Metalic taste in mouth within minutes of receiving vaccine. Short lived, less than 1 hour

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): I wouldn't necessarily say a rash but legs were very itchy last night. Took oral antihistamines. Also upon awakening this morning and for about 6 hours, my eye felt like an electric shock when I blinked. No loss of vision and frequency became less as time passed until it finally stopped

Release 8 — 3 months, dose 2

2021-04-26

Symptoms: Irregular menstrual cycle

Release 10 — day 0, dose 3

2021-11-02

Systemic reaction (other): Lightheaded about 90 mins after

Release 10 — day 7, dose 3

2021-11-09

Systemic reaction (other): Brain fog

Release 10 — day 14, dose 3

2021-11-16

Symptoms: Sciatica

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	Menstruation irregular	✓	✓	✓
SD	Sciatica	·	·	✓
SRO	Abnormal sensation in eye	✓	✓	✓
SRO	Brain fog	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Eye pain	○	○	○
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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