27K-25488-58141

2 vaccinations 9 coded responses 23 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 837 / ID
Registered: 2021-01-17

Relationship: Self
Race: Multiracial
Ethnicity: N/A

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-01-17
Registered in v-safe
2021-01-17
Dose 1 — Moderna
2021-01-17
Survey response — day 0, dose 1
MedDRA: Arthralgia — Feeling: Good

Free text: My wrist veins hurt following injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-31
Survey response — day 14, dose 1
MedDRA: Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: I am so tired! I know it is related to the vaccine. I have been tired for 2 weeks. Its tiredness thats hard to explain. Im exhausted carrying groceries. Exhausted cooking dinner, standing up, etc. My instinct tells me It is related to the va

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — day 21, dose 1
MedDRA: Dyspnoea, Fatigue, Flatulence, Loss of personal independence in daily activities — Feeling: Good · Be unable to do your normal daily activities

Free text: I have been more tired than I have almost every felt from regular activities. My instincts TELL ME this is VACCINE RELATED. I have been winded or exhausted from simple daily activities like simple chores for weeks. It began after the vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Dose 2 — Moderna
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Cough and congestion .... Im not the only one. I have others I know reporting these after their immunization as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 7, dose 2
MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: Cough runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Survey response — day 21, dose 2
MedDRA: Asthenia, Memory impairment — Feeling: Fair · Be unable to do your normal daily activities

Free text: Im having memory and energy issues and I believe they are related to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-13
Survey response — 3 months, dose 2
MedDRA: Fatigue, Memory impairment — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Ongoing extreme tiredness I correlate to the covid vaccine. I also had serious memory issues I relate to the tiredness. I am positive it is connected to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-12
Survey response — 6 months, dose 2
MedDRA: Memory impairment — Feeling: Good

Free text: I said it before and Ill say it again. Im 100% sure that the vaccine gave me memory issues. Im sure of it. I am a healthy young teacher. I take great care of myself.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-12
Survey response — 12 months, dose 2
MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Covid

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-17	Moderna
2	2021-02-11	Moderna

Free text

Release 2 — day 0, dose 1

2021-01-17

Systemic reaction (other): My wrist veins hurt following injection

Release 3 — day 14, dose 1

2021-01-31

Symptoms: I am so tired! I know it is related to the vaccine. I have been tired for 2 weeks. Its tiredness thats hard to explain. Im exhausted carrying groceries. Exhausted cooking dinner, standing up, etc. My instinct tells me It is related to the va

Release 3 — day 21, dose 1

2021-02-07

Symptoms: I have been more tired than I have almost every felt from regular activities. My instincts TELL ME this is VACCINE RELATED. I have been winded or exhausted from simple daily activities like simple chores for weeks. It began after the vaccination.

Release 4 — days 1–6 daily, dose 2

2021-02-17

Systemic reaction (other): Cough and congestion .... Im not the only one. I have others I know reporting these after their immunization as well.

Release 4 — day 7, dose 2

2021-02-18

Systemic reaction (other): Cough runny nose

Release 5 — day 21, dose 2

2021-03-04

Symptoms: Im having memory and energy issues and I believe they are related to the vaccine.

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: Ongoing extreme tiredness I correlate to the covid vaccine. I also had serious memory issues I relate to the tiredness. I am positive it is connected to the vaccine.

Release 9 — 6 months, dose 2

2021-08-12

Symptoms: I said it before and Ill say it again. Im 100% sure that the vaccine gave me memory issues. Im sure of it. I am a healthy young teacher. I take great care of myself.

Release 11 — 12 months, dose 2

2022-02-12

Symptoms: Covid

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	Asthenia	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Flatulence	○	✓	○
SD	Loss of personal independence in daily activities	✓	·	✓
SD	Memory impairment	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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