3B5-15333-40382

3 vaccinations 16 coded responses 30 check-ins 16 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 914 / CA
Registered: 2021-03-03

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

2021-03-03
Registered in v-safe
2021-03-04
Dose 1 — Moderna
2021-03-04
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Feeling abnormal — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Free text: Feeling spacey, out of it. Decreased appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Diarrhea

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tiredness

Free text: Tenderness at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness, Diarrhea

Free text: Decreased appetite the last few days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Poor · Headache, Fatigue or tiredness, Nausea, Diarrhea

Free text: Decreased appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Good · Headache, Fatigue or tiredness

Free text: Decreased appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 7, dose 1
MedDRA: Decreased appetite, Dry mouth — Feeling: Fair · Fatigue or tiredness

Free text: Decreased appetite. I can taste food but it just seems very dry and very dry mouth this week now that I think about it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Moderna
2021-04-01
Survey response — day 0, dose 2
MedDRA: Feeling abnormal, Malaise — Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Free text: Feel a little spacey or out of it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · 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
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Bradykinesia, Fatigue, Tremor — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Hands are shaky, appetite is a little better, moving very slwly, feel wiped out.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Skin sensitisation — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Skin sensitivity on face and thighs but not an actual rash with raised bumps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Genital herpes, Oral herpes — Feeling: Fair · Headache, Diarrhea

Free text: Two cold sores and genital herpes got reactivated .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 7, dose 2
MedDRA: Oral herpes, Sensitive skin — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Got new cold sore, some skin sensitivity on face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 14, dose 2
MedDRA: Arthralgia, Discomfort — Feeling: Fair

Free text: Some increased joint pain in hands and feet but also decreased my immunosuppressant medication over the last week so not clear which is causing the increased discomfort.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-06
Survey response — day 35, dose 2
MedDRA: Confusional state, Fatigue, Nausea — Feeling: Fair

Free text: Felt very nauseous yesterday and somewhat today. Almost threw up yesterday and felt confused and fatigued. A little better today but still off my game. Temperature only went up 1 degree yesterday and today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 42, dose 2
MedDRA: Blood thyroid stimulating hormone increased — Feeling: Good

Free text: My TSH score is elevated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-15
Dose 3 — Moderna
2021-10-21
Survey response — days 1–6 daily, dose 3
MedDRA: Brain fog, Decreased appetite — Feeling: Fair · Site: Pain · Headache, Nausea, Diarrhea

Free text: Decreased appetite, foggy mind

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Health check-in — day 7, dose 3
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-10-29
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-07
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-12
Survey response — day 28, dose 3
MedDRA: Fungal infection, Herpes virus infection, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Yeast infection, UTIs, herpes outbreak.

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-17
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-01	Moderna
3	2021-10-15	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Feeling spacey, out of it. Decreased appetite.

2021-03-07

Systemic reaction (other): Tenderness at injection site

2021-03-08

Systemic reaction (other): Decreased appetite the last few days

2021-03-09

Systemic reaction (other): Decreased appetite

2021-03-10

Systemic reaction (other): Decreased appetite

Release 5 — day 7, dose 1

2021-03-11

Systemic reaction (other): Decreased appetite. I can taste food but it just seems very dry and very dry mouth this week now that I think about it.

Release 6 — day 0, dose 2

2021-04-01

Systemic reaction (other): Feel a little spacey or out of it

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): Hands are shaky, appetite is a little better, moving very slwly, feel wiped out.

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Skin sensitivity on face and thighs but not an actual rash with raised bumps

2021-04-07

Systemic reaction (other): Two cold sores and genital herpes got reactivated .

Release 7 — day 7, dose 2

2021-04-08

Systemic reaction (other): Got new cold sore, some skin sensitivity on face

Release 7 — day 14, dose 2

2021-04-15

Symptoms: Some increased joint pain in hands and feet but also decreased my immunosuppressant medication over the last week so not clear which is causing the increased discomfort.

Release 8 — day 35, dose 2

2021-05-06

Symptoms: Felt very nauseous yesterday and somewhat today. Almost threw up yesterday and felt confused and fatigued. A little better today but still off my game. Temperature only went up 1 degree yesterday and today.

Release 8 — day 42, dose 2

2021-05-13

Symptoms: My TSH score is elevated.

Release 10 — days 1–6 daily, dose 3

2021-10-21

Systemic reaction (other): Decreased appetite, foggy mind

Release 10 — day 28, dose 3

2021-11-12

Symptoms: Yeast infection, UTIs, herpes outbreak.

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	Arthralgia	✓	✓	✓
SD	Blood thyroid stimulating hormone increased	✓	✓	✓
SD	Confusional state	✓	✓	✓
SD	Discomfort	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Fungal infection	·	·	✓
SD	Herpes virus infection	·	·	✓
SD	Nausea	✓	✓	✓
SD	Urinary tract infection	·	·	✓
SRO	Bradykinesia	✓	✓	✓
SRO	Brain fog	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Genital herpes	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Oral herpes	✓	✓	✓
SRO	Sensitive skin	✓	✓	✓
SRO	Skin sensitisation	✓	✓	✓
SRO	Tremor	✓	✓	✓

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