2UF-23445-58115

2 vaccinations 10 coded responses 26 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 833 / ID
Registered: 2021-04-02

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-04-02
Registered in v-safe
2021-04-02
Dose 1 — Moderna
2021-04-02
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Night sweats — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Super sore armpit on the same arm as shot. Night sweats last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good

Free text: I've been healing from a concussion. Since my vaccine, my concussion symptoms have felt worse. I don't know if they could be related but thought I'd mention it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Survey response — day 14, dose 1
MedDRA: Cough, Nasal congestion, Oropharyngeal pain, Pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work

Free text: Stuffy nose, body aches, sore throat, cough. Took a covid test. Came out negative

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-30
Dose 2 — Moderna
2021-04-30
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, 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
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Concussion, Disturbance in attention, Dizziness, Head discomfort — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Free text: Ive been recovering from a concussion. My symptoms feel much more heightened since the vaccine. Brain fog, dizziness, head pressure, difficulty focusing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Dizziness, Feeling abnormal, Headache, Pre-existing disease — Feeling: Fair · Headache

Free text: Still feeling a flare up in concussion symptoms. Headache, brain fog, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Concussion, Condition aggravated, Pre-existing disease — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Concussion symptoms still flared up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Ageusia, Anosmia — Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I had covid in March 2020. Lost taste and smell. Both have been coming back but today my taste is noticeably better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Post concussion symptoms are still flared up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-14
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-29
Survey response — day 28, dose 2
MedDRA: Brain fog, Concussion, Condition aggravated, Dizziness, Headache, IIIrd nerve disorder, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Been dealing with post concussion symptoms since February. My symptoms majorly flared up and got way worse after my vaccine and they still havent calmed down much. Brain fog, headaches, dizziness, my ocular motor function went way down.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-11
Survey response — day 42, dose 2
MedDRA: Menstruation delayed — Feeling: Fair

Free text: Delayed menstrual cycle. Late by 5 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-01
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Moderna
2	2021-04-30	Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-04

Systemic reaction (other): Super sore armpit on the same arm as shot. Night sweats last night

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): I've been healing from a concussion. Since my vaccine, my concussion symptoms have felt worse. I don't know if they could be related but thought I'd mention it

Release 7 — day 14, dose 1

2021-04-16

Symptoms: Stuffy nose, body aches, sore throat, cough. Took a covid test. Came out negative

Release 8 — days 1–6 daily, dose 2

2021-05-02

Systemic reaction (other): Ive been recovering from a concussion. My symptoms feel much more heightened since the vaccine. Brain fog, dizziness, head pressure, difficulty focusing

2021-05-03

Systemic reaction (other): Still feeling a flare up in concussion symptoms. Headache, brain fog, dizziness

2021-05-04

Systemic reaction (other): Concussion symptoms still flared up

2021-05-05

Systemic reaction (other): I had covid in March 2020. Lost taste and smell. Both have been coming back but today my taste is noticeably better

2021-05-06

Systemic reaction (other): Post concussion symptoms are still flared up

Release 8 — day 28, dose 2

2021-05-29

Symptoms: Been dealing with post concussion symptoms since February. My symptoms majorly flared up and got way worse after my vaccine and they still havent calmed down much. Brain fog, headaches, dizziness, my ocular motor function went way down.

Release 9 — day 42, dose 2

2021-06-11

Symptoms: Delayed menstrual cycle. Late by 5 days

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	Brain fog	✓	✓	✓
SD	Concussion	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Headache	✓	✓	✓
SD	IIIrd nerve disorder	✓	✓	✓
SD	Menstruation delayed	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SRO	Ageusia	✓	✓	✓
SRO	Anosmia	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Concussion	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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