32F-13740-29210

4 vaccinations 6 coded responses 23 check-ins 6 free-text entries 5 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 377 / TN
Registered: 2021-04-08

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

2021-03-09
Dose 1 — Moderna
2021-04-08
Registered in v-safe
2021-04-08
Dose 2 — Moderna
2021-04-08
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

no matching call case
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Redness · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-04-15
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Chills, Headache · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Report sent to call center — day 7, dose 2
Be unable to do your normal daily activities

no matching call case
2021-04-18
Pregnancy registry survey
Not pregnant at or since vaccination ·
2021-04-22
Survey response — day 14, dose 2
MedDRA: Eye swelling, Fatigue, Gastrointestinal motility disorder, Medical counselling, Periorbital swelling, Visual impairment — Feeling: Good · Be unable to do your normal daily activities

Free text: Doctors have said I look under the influence because of the way my eyes looked, swollen Plus loss of bowels very puffy eyes and partial loss of vision. Not sure if this is part of it or maybe getting covid or something else. No testing done, fatigu.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-04-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-09
Survey response — 6 months, dose 2
MedDRA: Diarrhoea, Dysgeusia, Dyspnoea, Medical counselling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Strange taste in mouth, diarrhea, very difficult to breathe and it's lasted for three weeks before I ride down in the car to Walgreens drive-thru. They don't come out you have to do the test yourself and the stick was short and thick so don't think I

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Dose 3 — Moderna
Co-administered: Flu
2022-04-08
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-04-08
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-13
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-04-20
Survey response — day 21, dose 3
MedDRA: Asthenia, Dyspnoea, Muscle spasms, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Weak and having trouble breathing. Fills like spasms. · Healthcare visit (other): Blood Dr

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Report sent to call center — day 21, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-21
Call 1 — Left Voicemail
2022-04-27
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-05-06
Survey response — day 35, dose 3
MedDRA: Asthenia, Blood iron decreased, Dyspnoea, Fatigue, Office visit, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Extremely low iron count. Very fatigued and weak with trouble breathing swallowing movements etc. · Healthcare visit (other): Oncology group

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Report sent to call center — day 35, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-15
Survey response — day 42, dose 3
MedDRA: Dyspnoea, Fatigue, Muscle spasms, Pain — Feeling: Poor · 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: Shortness of breath, spasms, extreme fatigue, difficult pain levels.

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Report sent to call center — day 42, 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)
2022-05-16
Call 1 — Left Voicemail
2022-06-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-09-28
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-18
Dose 4 — Moderna
Co-administered: Flu
2023-02-17
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-08	Moderna
3	2022-03-30	Moderna	Flu
4	2022-11-18	Moderna	Flu

Call center

5 call center cases

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

2 check-ins flagged for a call with no call center case on record

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Dizzy

Release 7 — day 14, dose 2

2021-04-22

Symptoms: Doctors have said I look under the influence because of the way my eyes looked, swollen Plus loss of bowels very puffy eyes and partial loss of vision. Not sure if this is part of it or maybe getting covid or something else. No testing done, fatigu. cut off by CDC

Release 10 — 6 months, dose 2

2021-10-09

Symptoms: Strange taste in mouth, diarrhea, very difficult to breathe and it's lasted for three weeks before I ride down in the car to Walgreens drive-thru. They don't come out you have to do the test yourself and the stick was short and thick so don't think I cut off by CDC

Release 11 — day 21, dose 3

2022-04-20

Symptoms: Weak and having trouble breathing. Fills like spasms.

Healthcare visit (other): Blood Dr

Release 11 — day 35, dose 3

2022-05-06

Symptoms: Extremely low iron count. Very fatigued and weak with trouble breathing swallowing movements etc.

Healthcare visit (other): Oncology group

Release 11 — day 42, dose 3

2022-05-15

Symptoms: Shortness of breath, spasms, extreme fatigue, difficult pain levels.

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	·	·	✓
SD	Asthenia	·	·	✓
SD	Blood iron decreased	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dysgeusia	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Eye swelling	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal motility disorder	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Pain	·	·	✓
SD	Periorbital swelling	✓	✓	✓
SD	Unevaluable event	·	·	✓
SD	Visual impairment	✓	✓	✓
SRO	Dizziness	✓	✓	✓

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