32C-38767-00230

2 vaccinations 13 coded responses 25 check-ins 13 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 993 / WA
Registered: 2021-04-24

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

2021-04-24
Registered in v-safe
2021-04-24
Dose 1 — Moderna
2021-04-24
Survey response — day 0, dose 1
MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Runny nose

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

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog, Rhinorrhoea — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Runny nose. Foggy brain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-01
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-08
Survey response — day 14, dose 1
MedDRA: Contusion, Headache — Feeling: Fair

Free text: Large bruising under where my shot occurred. (Not at the vaccine sight, but where there was swelling). Headaches all week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — day 21, dose 1
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: One random day of absolute fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Dose 2 — Moderna
2021-05-22
Survey response — day 0, dose 2
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain

Free text: Runny nose about 3 hours after shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — days 1–6 daily, dose 2
MedDRA: Paranasal sinus discomfort — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Really severe sinus pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-26
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Gait disturbance, Loss of personal independence in daily activities — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Free text: Extreme dizziness that comes for a couple of hours then goes. Hard to walk, read, write.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — days 1–6 daily, dose 2
MedDRA: Heavy menstrual bleeding, Menstruation irregular — Feeling: Fair · Muscle or body aches

Free text: Early period and very, very heavy flow.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Fatigue — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Really dizzy again, so tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache · Be unable to work

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-26
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-07-03
Survey response — day 42, dose 2
MedDRA: Dizziness, Feeling drunk, Gait inability, Vertigo — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Really random, severe dizziness. The room spins and I feel drunk when it hits (I drink alcohol like 3 times a year). I can't walk and need to lay down.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-22
Survey response — 6 months, dose 2
MedDRA: Abdominal pain upper, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: More frequent headaches and stomach pain.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-24	Moderna
2	2021-05-22	Moderna

Free text

Release 7 — day 0, dose 1

2021-04-24

Systemic reaction (other): Runny nose

Release 7 — days 1–6 daily, dose 1

2021-04-25

Systemic reaction (other): Runny nose

Release 8 — days 1–6 daily, dose 1

2021-04-27

Systemic reaction (other): Runny nose. Foggy brain

Release 8 — day 14, dose 1

2021-05-08

Symptoms: Large bruising under where my shot occurred. (Not at the vaccine sight, but where there was swelling). Headaches all week.

Release 8 — day 21, dose 1

2021-05-15

Symptoms: One random day of absolute fatigue.

Release 8 — day 0, dose 2

2021-05-22

Systemic reaction (other): Runny nose about 3 hours after shot

Release 8 — days 1–6 daily, dose 2

2021-05-23

Systemic reaction (other): Really severe sinus pressure

2021-05-26

Systemic reaction (other): Extreme dizziness that comes for a couple of hours then goes. Hard to walk, read, write.

2021-05-27

Systemic reaction (other): Early period and very, very heavy flow.

2021-05-28

Systemic reaction (other): Really dizzy again, so tired.

Release 8 — day 7, dose 2

2021-05-29

Systemic reaction (other): Dizzy

Release 9 — day 42, dose 2

2021-07-03

Symptoms: Really random, severe dizziness. The room spins and I feel drunk when it hits (I drink alcohol like 3 times a year). I can't walk and need to lay down.

Release 10 — 6 months, dose 2

2021-11-22

Symptoms: More frequent headaches and stomach pain.

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	Abdominal pain upper	·	·	✓
SD	Contusion	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling drunk	✓	✓	✓
SD	Gait inability	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Heavy menstrual bleeding	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Menstruation irregular	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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