2EY-13822-98554

2 vaccinations 9 coded responses 19 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 689 / NE
Registered: 2020-12-29

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Moderna
2020-12-29
Survey response — day 0, dose 1
MedDRA: Dizziness, Eye pain, Pain — Feeling: Good · Site: Pain, Redness, 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

Free text: Dizziness, painful to move eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-29
Report sent to call center — day 0, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Chest pain, Cough, Rhinorrhoea — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Sqeazing Pain around chest and back, runny nose, and coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Eye disorder, Eye pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: My eyes hurt and make a swooshing sound when I move them

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Rhinorrhoea — Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Runny nose and feeling the need to cough, but is not productive

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-01-05
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-26
Survey response — day 28, dose 1
MedDRA: Alopecia, Hypogeusia, Parosmia — Feeling: Good

Free text: More hairloss, still very little taste and smell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Dose 2 — Moderna
2021-02-10
Survey response — day 7, dose 2
MedDRA: Alopecia, Anosmia, Dyspepsia, Hypogeusia — Feeling: Good

Free text: Continued Hairloss, poor digestion, and no smell, barely any taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-27
Survey response — day 28, dose 2
MedDRA: Abdominal discomfort, Ageusia, Anosmia, Dyspepsia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still loss of taste and smell stomach upset and lots of digestive issues since 2bd vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 35, dose 2
MedDRA: Dyspepsia, Fatigue, Headache, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Terrible headaches and digestive troubles, daily nausea, extreme fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-04-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-30
Survey response — 6 months, dose 2
MedDRA: Brain fog, Dysgeusia, Parosmia, Taste disorder — Feeling: Good · Be unable to do your normal daily activities

Free text: Brain fog.A lot of foods and beverages taste terrible.The same chemical taste and can only taste sweet, sour,definitely salty.Certain things have an awful smell, like the chemical taste.Onions,green peppers,bananas,pop,bacon,eggs, cereal & oth

MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-29	Moderna

Call center

3 call center cases

3 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-29

Systemic reaction (other): Dizziness, painful to move eyes

Release 1 — days 1–6 daily, dose 1

2020-12-30

Systemic reaction (other): Sqeazing Pain around chest and back, runny nose, and coughing

2020-12-31

Systemic reaction (other): My eyes hurt and make a swooshing sound when I move them

2021-01-01

Systemic reaction (other): Runny nose and feeling the need to cough, but is not productive

Release 2 — day 28, dose 1

2021-01-26

Symptoms: More hairloss, still very little taste and smell

Release 4 — day 7, dose 2

2021-02-10

Systemic reaction (other): Continued Hairloss, poor digestion, and no smell, barely any taste

Release 4 — day 28, dose 2

2021-02-27

Symptoms: Still loss of taste and smell stomach upset and lots of digestive issues since 2bd vaccine

Release 5 — day 35, dose 2

2021-03-05

Symptoms: Terrible headaches and digestive troubles, daily nausea, extreme fatigue.

Release 9 — 6 months, dose 2

2021-07-30

Symptoms: Brain fog.A lot of foods and beverages taste terrible.The same chemical taste and can only taste sweet, sour,definitely salty.Certain things have an awful smell, like the chemical taste.Onions,green peppers,bananas,pop,bacon,eggs, cereal & oth

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 discomfort	✓	✓	✓
SD	Ageusia	✓	✓	✓
SD	Alopecia	✓	✓	✓
SD	Anosmia	✓	✓	✓
SD	Brain fog	✓	·	✓
SD	Dysgeusia	✓	·	✓
SD	Dyspepsia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypogeusia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Parosmia	✓	✓	✓
SD	Taste disorder	✓	·	✓
SRO	Alopecia	✓	✓	✓
SRO	Anosmia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Eye disorder	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Hypogeusia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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