2SV-84354-67261

2 vaccinations 6 coded responses 20 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 207 / MD
Registered: 2021-03-20

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

2021-03-15
Dose 1 — Moderna
2021-03-20
Registered in v-safe
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Feeling abnormal, Office visit — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, 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): Brain fogginess since I received the shot. it is 3/20/21 and I still am not myself and feeling scared, anxious and not feeling or acting like myself. Someone please help me because I am scared that these effects will become permanent. · Healthcare visit (other): I saw an urgent care doctor on 3/19/21 and he assured me that this would go away. I am still unsure of his statement because today on 3/20/21, I still feel brain foggy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — days 1–6 daily, dose 1
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)
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Paranoia — Feeling: Poor · Headache, Fatigue or tiredness, Diarrhea · 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: My brain still feels foggy and it is scaring me and I am feel ing paranoid.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-22
Survey response — day 7, dose 1
MedDRA: Feeling abnormal, Unevaluable event — Feeling: Poor · Fatigue or tiredness · 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): I am still feeling foggy in the head. Please contact me · Healthcare visit (other): Help me please.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-12
Dose 2 — Moderna
2021-04-12
Survey response — day 0, dose 2
MedDRA: Somnolence — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to work

Free text: Just very sleepy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-10
Survey response — day 28, dose 2
MedDRA: Asthma, Hypersensitivity, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Allergies and asthma is acting up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-24
Survey response — day 42, dose 2
MedDRA: Hypersensitivity, Sensitivity to weather change — Feeling: Fair

Free text: Allergies are acting up with pollen in the air.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-15	Moderna
2	2021-04-12	Moderna

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Brain fogginess since I received the shot. it is 3/20/21 and I still am not myself and feeling scared, anxious and not feeling or acting like myself. Someone please help me because I am scared that these effects will become permanent.

Healthcare visit (other): I saw an urgent care doctor on 3/19/21 and he assured me that this would go away. I am still unsure of his statement because today on 3/20/21, I still feel brain foggy.

2021-03-21

Systemic reaction (other): My brain still feels foggy and it is scaring me and I am feel ing paranoid.

Release 6 — day 7, dose 1

2021-03-22

Systemic reaction (other): I am still feeling foggy in the head. Please contact me

Healthcare visit (other): Help me please.

Release 7 — day 0, dose 2

2021-04-12

Systemic reaction (other): Just very sleepy.

Release 8 — day 28, dose 2

2021-05-10

Symptoms: Allergies and asthma is acting up.

Release 8 — day 42, dose 2

2021-05-24

Symptoms: Allergies are acting up with pollen in the air.

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	Feeling abnormal	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Asthma	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sensitivity to weather change	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Paranoia	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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