39P-19732-12571

2 vaccinations 11 coded responses 15 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 019 / MA
Registered: 2021-02-23

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

2021-02-23
Registered in v-safe
2021-02-23
Dose 1 — Moderna
2021-02-23
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-24
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus, Vision blurred — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ringing i ears. Blurry vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sweats off & on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — day 7, dose 1
MedDRA: Hyperhidrosis — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — day 14, dose 1
MedDRA: Blood pressure decreased, Fatigue, Feeling cold, Headache, Hyperhidrosis, Malaise, Nausea, Taste disorder, Thirst, Tinnitus, Tremor — Feeling: Fair · Be unable to do your normal daily activities

Free text: Didn't realize my taste has been off & always thirsty. Smell is fine. Headaches still, sweats off & on & feeling cold, not shaking. Nausea still. Fatigue still bad. Bad ringing in ears since day 2 or 3 doesn't stop. don't feel well bp is lower than

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 21, dose 1
MedDRA: Abdominal pain upper, Fatigue, Headache, Nausea, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Horrible crippling headache all week. Nausea. Fatigue stomach pains. Body pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Dose 2 — Moderna
2021-03-31
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Survey response — day 14, dose 2
MedDRA: Decreased appetite, Fatigue, Headache, Medical counselling, Nausea — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Low blood pressure nausea, cant eat ,fatigued headache · Healthcare visit (other): Med tec. Came to me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-13
Survey response — day 21, dose 2
MedDRA: Chest discomfort, Chest pain, Fatigue, Headache, Insomnia, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Chest pains & hard time breathing. Heavy chest nausea, fatigue headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-27
Survey response — day 35, dose 2
MedDRA: Diarrhoea, Vomiting — Feeling: Poor · Be unable to do your normal daily activities

Free text: Vomiting & diarea for 4 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 42, dose 2
MedDRA: Diarrhoea, Headache, Nausea — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Headaches mad diarea naseass

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-22
Survey response — 3 months, dose 2
MedDRA: Diarrhoea, Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Constant headaches diareaha.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-21
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-23
Survey response — 12 months, dose 2
MedDRA: Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very tired feel run down. Body hurts.

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-23	Moderna
2	2021-03-23	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-24

Systemic reaction (other): Ringing i ears. Blurry vision

2021-02-25

Systemic reaction (other): Sweats off & on

Release 4 — day 7, dose 1

2021-03-02

Systemic reaction (other): Sweats

Release 5 — day 14, dose 1

2021-03-09

Symptoms: Didn't realize my taste has been off & always thirsty. Smell is fine. Headaches still, sweats off & on & feeling cold, not shaking. Nausea still. Fatigue still bad. Bad ringing in ears since day 2 or 3 doesn't stop. don't feel well bp is lower than cut off by CDC

Release 5 — day 21, dose 1

2021-03-16

Symptoms: Horrible crippling headache all week. Nausea. Fatigue stomach pains. Body pain

Release 7 — day 14, dose 2

2021-04-08

Symptoms: Low blood pressure nausea, cant eat ,fatigued headache

Healthcare visit (other): Med tec. Came to me.

Release 7 — day 21, dose 2

2021-04-13

Symptoms: Chest pains & hard time breathing. Heavy chest nausea, fatigue headache

Release 8 — day 35, dose 2

2021-04-27

Symptoms: Vomiting & diarea for 4 days

Release 8 — day 42, dose 2

2021-05-04

Symptoms: Headaches mad diarea naseass

Release 9 — 3 months, dose 2

2021-06-22

Symptoms: Constant headaches diareaha.

Release 11 — 12 months, dose 2

2022-03-23

Symptoms: Very tired feel run down. Body hurts.

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	Medical counselling	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Blood pressure decreased	✓	·	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling cold	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Malaise	✓	·	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Taste disorder	✓	✓	✓
SD	Thirst	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SD	Tremor	○	✓	○
SD	Vomiting	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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