2NR-22246-06134

3 vaccinations 22 coded responses 37 check-ins 22 free-text entries 7 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 482 / MI
Registered: 2021-04-07

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-07
Registered in v-safe
2021-04-07
Dose 1 — Moderna
2021-04-07
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Confusional state, Decreased appetite, Disorientation, Dyspnoea, Oropharyngeal discomfort — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Very disoriented, difficulty focusing (confusion), throat discomfort (mild), loss of appetite, breathing issues

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

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-28
Survey response — day 21, dose 1
MedDRA: Decreased appetite, Fatigue, Nausea, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Still very tired, nauseous, and extremely poor appetite. Thought all of these would have completely dissipated by now, but to no avail, I'm STILL experiencing them. · Healthcare visit (other): Doctor visit with PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Dose 2 — Moderna
2021-05-06
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Disorientation — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Disorientation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Disorientation, Self-medication — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Advil helps but the problems are still obvious. Still have disorientation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Disorientation, Dizziness — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work

Free text: Dizzy, disorientation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Confusional state, Disorientation — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Confusion, disorientation - noticeable

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-05-15
Survey response — day 7, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to work

Free text: Keep experiencing stiff neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — day 14, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: Itchy all over

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-03
Survey response — day 28, dose 2
MedDRA: Abdominal pain, Dehydration, Dizziness, Fatigue — Feeling: Fair · Be unable to work

Free text: Exhaustion has been intense, out of no where lately. Also, very dehydrated and dizzy, with abdominal pains. Not sure if related, but I did not recover for two days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Survey response — day 35, dose 2
MedDRA: Headache, Insomnia — Feeling: Good · Be unable to do your normal daily activities

Free text: Exhaustion. Most days it's unbearabl. makes staying awake/alert hard. It does make it difficult for me to function in school, work, and at home, especially because sleeping all day is not ideal. Started after 1st and definitely after 2nd shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-05
Survey response — 3 months, dose 2
MedDRA: Confusional state, Decreased appetite, Depression, Fatigue, Memory impairment, Musculoskeletal stiffness, Office visit, Pre-existing disease — 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 · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Constant forgetfulness and moderate confusion, stiff neck, zero appetite, exhaustion continues, depression symptoms are increased more than usual · Healthcare visit (other): Regular doctor visits

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
Report sent to call center — 3 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)
2021-08-14
Call 1 — Left Voicemail
2021-12-26
Dose 3 — Moderna
2021-12-28
Survey response — days 1–6 daily, dose 3
MedDRA: Decreased appetite, Respiratory tract congestion, Upper-airway cough syndrome — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Congestion, no appetite, post nasal drip

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion, Rhinorrhoea, Throat irritation — Feeling: Poor · Site: Pain, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Congestion itchy throat nasal drip

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Survey response — days 1–6 daily, dose 3
MedDRA: Office visit, Respiratory tract congestion — Feeling: Poor · Site: Pain, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · 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: Systemic reaction (other): Severe Congestion · Healthcare visit (other): Face to face visit with PCP

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Report sent to call center — days 1–6 daily, dose 3
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 · 1 call case(s)
2021-12-31
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea, Office visit, Respiratory tract congestion, Upper airway obstruction — Feeling: Poor · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, 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: Systemic reaction (other): Congestion in head and chest (severe), blocked air passages, could not breath · Healthcare visit (other): PCP visit, under their care with medications

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Report sent to call center — days 1–6 daily, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-01
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion — Feeling: Poor · Site: Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Congestion severe

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Survey response — day 7, dose 3
MedDRA: Respiratory tract congestion — Feeling: Poor · Site: Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Congestion in head and chest, severe

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Call 1 — Left Voicemail
2022-01-09
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-16
Survey response — day 21, dose 3
MedDRA: Cough, Dyspnoea, Fatigue, Headache, Pain, Respiratory tract congestion, Tremor — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still exhausted, cannot get rid of this body shaking cough, shortness of breath, headaches, body aches, and congestion in chest

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Survey response — day 28, dose 3
MedDRA: Appetite disorder, Cough, Diarrhoea, Dizziness, Fatigue, Nausea, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough remains with dizziness and fatigue. Appetite is terrible. Always nauseous with and with vomiting. Still have diarrhea when I'm able to eat

MedDRA releases: 2024-11 · check-in free text available
2022-01-30
Survey response — day 35, dose 3
MedDRA: Ageusia, Cough, Diarrhoea, Discomfort, Dizziness, Fatigue, Headache, Insomnia, Pain, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Extremely fatigue. Body too heavy to move. Starting to lose my taste. Still have diarrhea, headaches, coughing, moderate body pain, insomnia despite fatigue. Dizzy often. Just finished second round of antibiotic and steroids · Healthcare visit (other): Did not keep me due to unavailability of bed

MedDRA releases: 2024-11 · check-in free text available
2022-01-30
Report sent to call center — day 35, 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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-01-31
Call 1 — Left Voicemail
2022-02-08
Survey response — day 42, dose 3
MedDRA: Abdominal pain, Asthenia, Blood glucose abnormal, Brain fog, Cough, Decreased appetite, Dehydration, Diarrhoea, Dizziness, Fatigue, Feeling cold, Headache, Infertility, Nausea, Pre-existing disease, Respiratory tract congestion, Taste disorder — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Fatigue, dehydration, bad headaches, no appetite, dizzy, very weak, cough, congestion, taste comes and goes, diarrhea, foggy cognition, nausea, ab pain, & always cold. Dx: COVID long haulers. Now have Blood glucose problems. Infertile permanent

MedDRA releases: 2024-11 · check-in free text available
2022-02-08
Report sent to call center — day 42, 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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-02-09
Call 1 — Left Voicemail
2022-03-27
Survey response — 3 months, dose 3
MedDRA: Confusional state, Disturbance in attention, Dizziness, Fatigue, Gastrointestinal disorder, Migraine, Nausea, Pain, Pharyngeal disorder, Type 2 diabetes mellitus, Unevaluable event, Visual impairment, Vomiting, Weight decreased — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Diagnosed with type II diabetes; constant dizziness, nausea, vomiting, unexplained weight loss (-45-55lbs in 3 months), migraines, body pain, fatigue, confusion, poor concentration, throat issues, changes in vision not due to diabetes, gastric probs · Healthcare visit (other): No beds available

MedDRA releases: 2024-11 · check-in free text available
2022-03-27
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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-03-29
Call 1 — Left Voicemail
2022-06-28
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Moderna
2	2021-05-06	Moderna
3	2021-12-26	Moderna	No

Call center

7 call center cases

7 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): Very disoriented, difficulty focusing (confusion), throat discomfort (mild), loss of appetite, breathing issues

Release 8 — day 21, dose 1

2021-04-28

Symptoms: Still very tired, nauseous, and extremely poor appetite. Thought all of these would have completely dissipated by now, but to no avail, I'm STILL experiencing them.

Healthcare visit (other): Doctor visit with PCP

Release 8 — days 1–6 daily, dose 2

2021-05-07

Systemic reaction (other): Disorientation

2021-05-08

Systemic reaction (other): Advil helps but the problems are still obvious. Still have disorientation

2021-05-09

Systemic reaction (other): Dizzy, disorientation

2021-05-10

Systemic reaction (other): Confusion, disorientation - noticeable

Release 8 — day 7, dose 2

2021-05-15

Systemic reaction (other): Keep experiencing stiff neck

Release 8 — day 14, dose 2

2021-05-20

Symptoms: Itchy all over

Release 8 — day 28, dose 2

2021-06-03

Symptoms: Exhaustion has been intense, out of no where lately. Also, very dehydrated and dizzy, with abdominal pains. Not sure if related, but I did not recover for two days

Release 9 — day 35, dose 2

2021-06-10

Symptoms: Exhaustion. Most days it's unbearabl. makes staying awake/alert hard. It does make it difficult for me to function in school, work, and at home, especially because sleeping all day is not ideal. Started after 1st and definitely after 2nd shot

Release 9 — 3 months, dose 2

2021-08-05

Symptoms: Constant forgetfulness and moderate confusion, stiff neck, zero appetite, exhaustion continues, depression symptoms are increased more than usual

Healthcare visit (other): Regular doctor visits

Release 10 — days 1–6 daily, dose 3

2021-12-28

Systemic reaction (other): Congestion, no appetite, post nasal drip

2021-12-29

Systemic reaction (other): Congestion itchy throat nasal drip

2021-12-30

Systemic reaction (other): Severe Congestion

Healthcare visit (other): Face to face visit with PCP

2021-12-31

Systemic reaction (other): Congestion in head and chest (severe), blocked air passages, could not breath

Healthcare visit (other): PCP visit, under their care with medications

2022-01-01

Systemic reaction (other): Congestion severe

Release 10 — day 7, dose 3

2022-01-02

Systemic reaction (other): Congestion in head and chest, severe

Release 10 — day 21, dose 3

2022-01-16

Symptoms: Still exhausted, cannot get rid of this body shaking cough, shortness of breath, headaches, body aches, and congestion in chest

Release 11 — day 28, dose 3

2022-01-24

Symptoms: Cough remains with dizziness and fatigue. Appetite is terrible. Always nauseous with and with vomiting. Still have diarrhea when I'm able to eat

Release 11 — day 35, dose 3

2022-01-30

Symptoms: Extremely fatigue. Body too heavy to move. Starting to lose my taste. Still have diarrhea, headaches, coughing, moderate body pain, insomnia despite fatigue. Dizzy often. Just finished second round of antibiotic and steroids

Healthcare visit (other): Did not keep me due to unavailability of bed

Release 11 — day 42, dose 3

2022-02-08

Symptoms: Fatigue, dehydration, bad headaches, no appetite, dizzy, very weak, cough, congestion, taste comes and goes, diarrhea, foggy cognition, nausea, ab pain, & always cold. Dx: COVID long haulers. Now have Blood glucose problems. Infertile permanent

Release 11 — 3 months, dose 3

2022-03-27

Symptoms: Diagnosed with type II diabetes; constant dizziness, nausea, vomiting, unexplained weight loss (-45-55lbs in 3 months), migraines, body pain, fatigue, confusion, poor concentration, throat issues, changes in vision not due to diabetes, gastric probs cut off by CDC

Healthcare visit (other): No beds available

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	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Abdominal pain	✓	✓	✓
SD	Ageusia	·	·	✓
SD	Appetite disorder	·	·	✓
SD	Asthenia	·	·	✓
SD	Blood glucose abnormal	·	·	✓
SD	Brain fog	·	·	✓
SD	Confusional state	✓	·	✓
SD	Cough	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Dehydration	✓	✓	✓
SD	Depression	✓	·	✓
SD	Diarrhoea	·	·	✓
SD	Discomfort	·	·	✓
SD	Disturbance in attention	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling cold	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	✓	✓	✓
SD	Infertility	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Memory impairment	✓	·	✓
SD	Migraine	·	·	✓
SD	Musculoskeletal stiffness	✓	·	✓
SD	Nausea	✓	✓	✓
SD	Pain	·	·	✓
SD	Pharyngeal disorder	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Pruritus	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Taste disorder	·	·	✓
SD	Tremor	·	·	✓
SD	Type 2 diabetes mellitus	·	·	✓
SD	Visual impairment	·	·	✓
SD	Vomiting	·	·	✓
SD	Weight decreased	·	·	✓
SRO	Confusional state	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Disorientation	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Oropharyngeal discomfort	✓	✓	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Self-medication	✓	✓	✓
SRO	Throat irritation	·	·	✓
SRO	Upper airway obstruction	·	·	✓
SRO	Upper-airway cough syndrome	·	·	✓

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