24E-43628-91083

3 vaccinations 8 coded responses 10 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 113 / NY
Registered: 2021-04-19

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

Registered dependents

FSC-12080-28781 Other · Female · 2022-07-20

Timeline

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

2021-03-19
Dose 1 — Moderna
2021-04-16
Dose 2 — Moderna
2021-04-19
Registered in v-safe
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Chills, Headache, Nausea, Pain, Pyrexia, Vomiting — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Got 2nd shot at 5pm Friday. Exactly 14 hours later, starting 7am Saturday, vomiting, nausea, headaches, fever, chills, body aches. All lasting until 8pm Saturday. Now just body aches and foggy

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: Feeling abnormal — Feeling: Fair · Fatigue or tiredness

Free text: Brain fog

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: Asthenia, Dizziness — Feeling: Fair · Fatigue or tiredness

Free text: Some Dizziness, light headed and weakness overall

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: Dysarthria, Fatigue — Feeling: Poor · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: The fatigue is extreme. It has been in the afternoon that i am literally unable to stand. So tired that i was almost slurring and had to lay down. I feel like it may be getting worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 7, dose 2
MedDRA: Brain fog, Dizziness, Dysarthria, Dysstasia, Fatigue — Feeling: Poor · Fever · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: The fatigue has been extreme for the past few days - to where Im slurring and almost dizzy. unable to stand and napping for a few hours in the afternoons. Feel really foggy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-10-17
Survey response — 6 months, dose 2
MedDRA: Brain fog, Disturbance in attention — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I continue to feel foggy and have trouble concentrating. Is anyone actually reading this? Why do this when no one has ever helped me or contacted after my questions.

MedDRA releases: 2024-11 · check-in free text available
2022-01-19
Dose 3 — Moderna
2022-04-18
Survey response — 12 months, dose 2
MedDRA: Brain fog, Confusional state, Dyspnoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Continuing brain fog and confusion, frequently winded. Why do I fill these out no one ever responds to anything.

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-19
Call 1 — Left Voicemail
2022-07-20
Survey response — 6 months, dose 3
MedDRA: Abdominal pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: mystery abdominal pain

MedDRA releases: 2024-11 · check-in free text available
2022-07-20
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-21
Call 2 — Requested Callback
2022-07-21
Call 1 — Requested Callback
2022-07-22
Call 3 — Left Voicemail
2022-07-22
Call 2 — Left Voicemail
2022-07-22
Callback requested for
08:00AM ET

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Moderna
2	2021-04-16	Moderna
3	2022-01-19	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-19

Systemic reaction (other): Got 2nd shot at 5pm Friday. Exactly 14 hours later, starting 7am Saturday, vomiting, nausea, headaches, fever, chills, body aches. All lasting until 8pm Saturday. Now just body aches and foggy

2021-04-20

Systemic reaction (other): Brain fog

2021-04-21

Systemic reaction (other): Some Dizziness, light headed and weakness overall

2021-04-22

Systemic reaction (other): The fatigue is extreme. It has been in the afternoon that i am literally unable to stand. So tired that i was almost slurring and had to lay down. I feel like it may be getting worse.

Release 7 — day 7, dose 2

2021-04-23

Systemic reaction (other): The fatigue has been extreme for the past few days - to where Im slurring and almost dizzy. unable to stand and napping for a few hours in the afternoons. Feel really foggy.

Release 10 — 6 months, dose 2

2021-10-17

Symptoms: I continue to feel foggy and have trouble concentrating. Is anyone actually reading this? Why do this when no one has ever helped me or contacted after my questions.

Release 11 — 12 months, dose 2

2022-04-18

Symptoms: Continuing brain fog and confusion, frequently winded. Why do I fill these out no one ever responds to anything.

Release 12 — 6 months, dose 3

2022-07-20

Symptoms: mystery abdominal pain

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	Abdominal pain	·	·	✓
SD	Brain fog	·	·	✓
SD	Confusional state	·	·	✓
SD	Disturbance in attention	·	·	✓
SD	Dyspnoea	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysarthria	✓	✓	✓
SRO	Dysstasia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Vomiting	✓	✓	✓

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