3BL-15087-36755

2 vaccinations 6 coded responses 26 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 067 / CT
Registered: 2021-02-17

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

2021-02-16
Dose 1 — Moderna
2021-02-17
Registered in v-safe
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-03-25
Dose 2 — Moderna
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness, Nausea

Free text: I may have had undiagnosed COVID in early March 2020. I could not get tested.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lack of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Fatigue or tiredness

Free text: Lack of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-15
Survey response — day 21, dose 2
MedDRA: Fungal infection — Feeling: Good

Free text: I developed a yeast infection. I have not had one in 15+ years. I have not changed my diet or lifestyle in any way. I do not take any medication.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-24
Survey response — 3 months, dose 2
MedDRA: Nasopharyngitis, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: I had a cold with a low fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-23
Survey response — 6 months, dose 2
MedDRA: Loss of consciousness — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: On 9/3/21, I passed out 4 times when I woke up. Never happened before. I have no previous health issues. I had received my first shingles vaccine the day before. So far I have had multiple heart and blood tests. Havent found the cause yet.

MedDRA releases: 2024-11 · check-in free text available
2021-09-23
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-09-27
Call 1 — Left Voicemail
2021-09-30
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-25
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-16	Moderna
2	2021-03-25	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): I may have had undiagnosed COVID in early March 2020. I could not get tested.

2021-03-28

Systemic reaction (other): Lack of appetite

2021-03-29

Systemic reaction (other): Lack of appetite

Release 7 — day 21, dose 2

2021-04-15

Symptoms: I developed a yeast infection. I have not had one in 15+ years. I have not changed my diet or lifestyle in any way. I do not take any medication.

Release 9 — 3 months, dose 2

2021-06-24

Symptoms: I had a cold with a low fever

Release 9 — 6 months, dose 2

2021-09-23

Symptoms: On 9/3/21, I passed out 4 times when I woke up. Never happened before. I have no previous health issues. I had received my first shingles vaccine the day before. So far I have had multiple heart and blood tests. Havent found the cause yet.

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	Fungal infection	✓	✓	✓
SD	Loss of consciousness	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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