2QY-54421-58657

2 vaccinations 11 coded responses 19 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 141 / NY
Registered: 2021-01-15

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

2021-01-08
Dose 1 — Moderna
2021-01-15
Registered in v-safe
2021-01-15
Survey response — day 7, dose 1
MedDRA: Ageusia, Anosmia, Chest discomfort, Chills, Headache, Pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Chills, body aches, headache, chest congestion, lost sense of smell & taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — day 7, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-24
Survey response — day 14, dose 1
MedDRA: SARS-CoV-2 test positive — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Tested positive

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-05
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-02-12
Survey response — day 35, dose 1
MedDRA: Ageusia, Anosmia, Back pain, Dry mouth, Fatigue, Musculoskeletal chest pain, Oral discomfort, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lost taste and smell again. Mid back pain, under ribs persists. Bi lateral phlebitis. Sinus congestion. Dry burning mouth. Fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Dose 2 — Moderna
2021-02-19
Survey response — day 0, dose 2
MedDRA: Ageusia, Anosmia, Back pain, Dyspnoea, Fatigue, Oral candidiasis, Phlebitis, SARS-CoV-2 test positive — Feeling: Fair · Site: Pain, Redness · Muscle or body aches · Be unable to do your normal daily activities

Free text: Still cant smell or taste, mid back pain. Just received 2nd vaccine a few hours ago so side effects not apparent yet. I tested positive for Covid after my 1st vaccine on 1/8/21. Covid test performed 1/17/21. Developed oral thrush, phlebitis & still short of breath with fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Ageusia, Anosmia, Chills, Dry eye, Dry mouth, Hyperhidrosis, Muscle spasms — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Still cant smell or taste anything. Leg cramps in both calves, dry eyes & mouth, bouts of the sweats after the chills.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Ageusia, Anosmia, Back pain, Dry eye, Dry mouth, Fatigue, Flank pain, Injected limb mobility decreased, Lymphadenopathy, Musculoskeletal chest pain, Pain in extremity, Periodontitis, Tooth infection — Feeling: Poor · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dental infection, dry mouth and eyes, no sense of smell or taste, mid back pain below rib cage on both sides, really tired today, cant lift my arm that had shot, its painful, glands in armpit on shot arm are puffy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Ageusia, Anosmia, Back pain, Dry mouth, Dyspnoea, Muscle spasms, Nasal congestion, Oropharyngeal pain, Paranasal sinus discomfort, Tooth abscess — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No smell or taste, mid back pain under ribs, sore throat, shortness of breath, dental abscess, dry mouth, leg & calf cramps, stuffy nose/sinus pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Ageusia, Anosmia, Back pain, Dry mouth, Dyspnoea, Fatigue, Headache, Hyperhidrosis, Musculoskeletal chest pain, Night sweats, Oropharyngeal pain, Pain, Sinus congestion — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still short of breath, no sense of taste or smell yet, fatigue, sinus congestion, sore throat, dry mouth, mid back pain at bottom of ribs, headache, body aches, experiencing sweats & night sweats, anxiety comes in waves.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Same symptoms stated in the previous few days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Experiencing same symptoms stated in previous days reportings

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — day 7, dose 2
MedDRA: Ageusia, Anosmia, Arthralgia, Dry mouth, Fatigue, Headache, Hyperhidrosis, Insomnia, Muscle spasms, Tooth abscess — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Previously reported symptoms linger: loss of taste & smell, dry mouth, fatigue, muscle cramps (calves mostly) & joint aches, unexpected sweats, headaches, dental abscess (is it related to Covid)?, trouble sleeping to name a few. Recovery is very slow.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-13
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-19
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-02
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-20
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna
2	2021-02-19	Moderna

Call center

1 call center case

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

See the call center timeline

Free text

Release 2 — day 7, dose 1

2021-01-15

Systemic reaction (other): Chills, body aches, headache, chest congestion, lost sense of smell & taste

Release 2 — day 14, dose 1

2021-01-24

Symptoms: Tested positive

Release 4 — day 35, dose 1

2021-02-12

Symptoms: Lost taste and smell again. Mid back pain, under ribs persists. Bi lateral phlebitis. Sinus congestion. Dry burning mouth. Fatigue.

Release 4 — day 0, dose 2

2021-02-19

Systemic reaction (other): Still cant smell or taste, mid back pain. Just received 2nd vaccine a few hours ago so side effects not apparent yet. I tested positive for Covid after my 1st vaccine on 1/8/21. Covid test performed 1/17/21. Developed oral thrush, phlebitis & still short of breath with fatigue.

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): Still cant smell or taste anything. Leg cramps in both calves, dry eyes & mouth, bouts of the sweats after the chills.

2021-02-21

Systemic reaction (other): Dental infection, dry mouth and eyes, no sense of smell or taste, mid back pain below rib cage on both sides, really tired today, cant lift my arm that had shot, its painful, glands in armpit on shot arm are puffy.

2021-02-22

Systemic reaction (other): No smell or taste, mid back pain under ribs, sore throat, shortness of breath, dental abscess, dry mouth, leg & calf cramps, stuffy nose/sinus pressure

2021-02-23

Systemic reaction (other): Still short of breath, no sense of taste or smell yet, fatigue, sinus congestion, sore throat, dry mouth, mid back pain at bottom of ribs, headache, body aches, experiencing sweats & night sweats, anxiety comes in waves.

2021-02-24

Systemic reaction (other): Same symptoms stated in the previous few days.

2021-02-25

Systemic reaction (other): Experiencing same symptoms stated in previous days reportings

Release 4 — day 7, dose 2

2021-02-28

Systemic reaction (other): Previously reported symptoms linger: loss of taste & smell, dry mouth, fatigue, muscle cramps (calves mostly) & joint aches, unexpected sweats, headaches, dental abscess (is it related to Covid)?, trouble sleeping to name a few. Recovery is very slow.

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	Ageusia	✓	✓	✓
SD	Anosmia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Dry mouth	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Musculoskeletal chest pain	✓	✓	✓
SD	Oral discomfort	✓	✓	✓
SD	SARS-CoV-2 test positive	✓	✓	✓
SD	Sinus congestion	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Ageusia	✓	✓	✓
SRO	Anosmia	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dry eye	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Flank pain	○	✓	○
SRO	Headache	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Injected limb mobility decreased	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Musculoskeletal chest pain	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Oral candidiasis	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Periodontitis	○	✓	○
SRO	Phlebitis	✓	✓	✓
SRO	SARS-CoV-2 test positive	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓
SRO	Tooth abscess	✓	✓	✓
SRO	Tooth infection	✓	·	✓
SRO	Unevaluable event	✓	✓	✓

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