2G7-31228-96017

3 vaccinations 9 coded responses 30 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 038 / NH
Registered: 2021-01-20

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

2021-01-19
Dose 1 — Moderna
2021-01-20
Registered in v-safe
2021-01-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · 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
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain, Redness

Free text: Lightheadedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-26
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-18
Dose 2 — Moderna
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 14, dose 2
Feeling: Poor

Adult check-in
2021-03-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-01
Survey response — day 42, dose 2
MedDRA: Derealisation, Dissociation, Office visit — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Dissociation/derealization · Healthcare visit (other): In office visit with psych and PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-08
Call 1 — Left Voicemail
2021-08-22
Survey response — 6 months, dose 2
MedDRA: Autonomic nervous system imbalance — Feeling: Fair · Be unable to work or attend school, 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: Autonomic dysfunction

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-24
Call 1 — Left Voicemail
2021-11-30
Dose 3 — Moderna
2021-12-01
Survey response — days 1–6 daily, dose 3
MedDRA: Brain fog, Discomfort, Ear discomfort, Head discomfort, Rash macular, Skin discolouration, Somnolence — Feeling: Poor · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Groggy/brain fog, ear fullness, head & facial pressure, EXTREMELY red & splotchy/discolored hands & feet

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-13
Health check-in — day 7, dose 3
Feeling: Good · None

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

Adult check-in
2021-12-22
Survey response — day 21, dose 3
MedDRA: Blood bicarbonate increased, Blood glucose increased, Dizziness, Hypersomnia, Urine output decreased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Elevated bicarbonate, low urine output, hypersomnia, lightheadedness, elevated glucose

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Survey response — day 28, dose 3
MedDRA: Discomfort, Ear discomfort — Feeling: Good

Free text: Inner ear and throat pressure

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Survey response — day 35, dose 3
MedDRA: Autonomic nervous system imbalance, Dizziness, Erythromelalgia, Tonsillolith — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Worsening dysautonomia, worsening lightheadedness, worsening erythromelalgia, tonsil stones (all of these conditions are ongoing or recurrent)

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Survey response — day 42, dose 3
MedDRA: Heavy menstrual bleeding, Menstruation delayed — Feeling: Fair

Free text: Menstrual period was one day late, heavier, lasted longer, and my typical hygiene products did not fit as comfortably as they normally do

MedDRA releases: 2024-11 · check-in free text available
2022-03-02
Survey response — 3 months, dose 3
MedDRA: Back pain, Blood potassium decreased, Blood pressure inadequately controlled, Heart rate abnormal, Neck pain, Oedema — Feeling: Good · Be unable to work or attend school, 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, Emergency room or emergency department visit

Free text: Worsening back and neck pain, uncontrollable heart rate & blood pressure, edema, low potassium

MedDRA releases: 2024-11 · check-in free text available
2022-03-02
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-03-03
Call 1 — Left Voicemail
2022-12-04
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Moderna
2	2021-02-18	Moderna
3	2021-11-30	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Lightheadedness

Release 6 — day 42, dose 2

2021-04-01

Symptoms: Dissociation/derealization

Healthcare visit (other): In office visit with psych and PCP

Release 9 — 6 months, dose 2

2021-08-22

Symptoms: Autonomic dysfunction

Release 10 — days 1–6 daily, dose 3

2021-12-01

Systemic reaction (other): Groggy/brain fog, ear fullness, head & facial pressure, EXTREMELY red & splotchy/discolored hands & feet

Release 10 — day 21, dose 3

2021-12-22

Symptoms: Elevated bicarbonate, low urine output, hypersomnia, lightheadedness, elevated glucose

Release 10 — day 28, dose 3

2021-12-28

Symptoms: Inner ear and throat pressure

Release 10 — day 35, dose 3

2022-01-04

Symptoms: Worsening dysautonomia, worsening lightheadedness, worsening erythromelalgia, tonsil stones (all of these conditions are ongoing or recurrent)

Release 10 — day 42, dose 3

2022-01-11

Symptoms: Menstrual period was one day late, heavier, lasted longer, and my typical hygiene products did not fit as comfortably as they normally do

Release 11 — 3 months, dose 3

2022-03-02

Symptoms: Worsening back and neck pain, uncontrollable heart rate & blood pressure, edema, low potassium

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
HCVO	Office visit	✓	✓	✓
SD	Autonomic nervous system imbalance	✓	·	✓
SD	Back pain	·	·	✓
SD	Blood bicarbonate increased	·	·	✓
SD	Blood glucose increased	·	·	✓
SD	Blood potassium decreased	·	·	✓
SD	Blood pressure inadequately controlled	·	·	✓
SD	Derealisation	✓	✓	✓
SD	Discomfort	·	·	✓
SD	Dissociation	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Ear discomfort	·	·	✓
SD	Erythromelalgia	·	·	✓
SD	Heart rate abnormal	·	·	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Hypersomnia	·	·	✓
SD	Menstruation delayed	·	·	✓
SD	Neck pain	·	·	✓
SD	Oedema	·	·	✓
SD	Tonsillolith	·	·	✓
SD	Urine output decreased	·	·	✓
SRO	Brain fog	·	·	✓
SRO	Discomfort	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear discomfort	·	·	✓
SRO	Head discomfort	·	·	✓
SRO	Rash macular	·	·	✓
SRO	Skin discolouration	·	·	✓
SRO	Somnolence	·	·	✓

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