28E-10783-38600

2 vaccinations 6 coded responses 22 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 180 / PA
Registered: 2021-02-10

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

2021-02-10
Registered in v-safe
2021-02-10
Dose 1 — Moderna
2021-02-10
Survey response — day 0, dose 1
MedDRA: Cough — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

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

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-17
Survey response — day 7, dose 1
MedDRA: Cough, Productive cough — Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Coughing up a lot of phlegm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-09
Dose 2 — Moderna
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-16
Health check-in — day 7, dose 2
Feeling: Fair · Site: Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Dyspnoea, Fatigue, Headache, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarrhea, shortness of breath and e tremendous fatigue along with headaches and body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-06
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-13
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-20
Survey response — day 42, dose 2
MedDRA: Dyspnoea, Fatigue, Headache, Myalgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Having extreme muscle aches back of neck and shoulders like I had when I had COVID in December and felt like someone was beating me up. This lasted several hours. Still have headaches, shortness breathextreme fatigue but after shots cough went away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-09
Survey response — 3 months, dose 2
MedDRA: Blood glucose increased, Cough, Diabetes mellitus, Dyspnoea, Fatigue, Headache, Heart rate increased, Pre-existing disease — Feeling: Fair · 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: Increase heart rate. I am diabetic and had always had my BG around 106-108. It is now in the high 200s. Not sure if this is related. Still short of breath, extremely fatigued ongoing headaches. What has stopped after the the 2nd vaccine is my cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-04
Call 1 — Left Voicemail
2021-09-08
Survey response — 6 months, dose 2
MedDRA: Cough, Diplopia, Dizziness, Dyspnoea, Fatigue, Headache, Nausea, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, 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: Not related to vaccines but I think from COViD, I had in December. I guess I am a long hauler - fatigue, shortness of breath, headaches, but after vaccines my cough went away. Now having dizziness and bouts of Double Vision. Makes me nauseous.

MedDRA releases: 2024-11 · check-in free text available
2021-09-08
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-10	Moderna
2	2021-03-09	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-10

Systemic reaction (other): Cough

Release 4 — day 7, dose 1

2021-02-17

Systemic reaction (other): Coughing up a lot of phlegm

Release 6 — day 14, dose 2

2021-03-23

Symptoms: Diarrhea, shortness of breath and e tremendous fatigue along with headaches and body aches

Release 7 — day 42, dose 2

2021-04-20

Symptoms: Having extreme muscle aches back of neck and shoulders like I had when I had COVID in December and felt like someone was beating me up. This lasted several hours. Still have headaches, shortness breathextreme fatigue but after shots cough went away. cut off by CDC

Release 9 — 3 months, dose 2

2021-06-09

Symptoms: Increase heart rate. I am diabetic and had always had my BG around 106-108. It is now in the high 200s. Not sure if this is related. Still short of breath, extremely fatigued ongoing headaches. What has stopped after the the 2nd vaccine is my cough cut off by CDC

Release 9 — 6 months, dose 2

2021-09-08

Symptoms: Not related to vaccines but I think from COViD, I had in December. I guess I am a long hauler - fatigue, shortness of breath, headaches, but after vaccines my cough went away. Now having dizziness and bouts of Double Vision. Makes me nauseous.

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	Blood glucose increased	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diabetes mellitus	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Diplopia	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Productive cough	✓	✓	✓

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