3CK-24528-57463

3 vaccinations 16 coded responses 29 check-ins 16 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 290 / SC
Registered: 2021-03-24

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

2021-03-24
Registered in v-safe
2021-03-24
Dose 1 — Moderna
2021-03-24
Survey response — day 0, dose 1
MedDRA: Bronchospasm, Dysgeusia, Eye irritation, Immediate post-injection reaction — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Burning eyes, metallic taste since 10 minutes after shot, mild bronchospasm 40 minutes after shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia — Feeling: Good · Site: Pain

Free text: Metallic taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Wheezing — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Mild wheezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia — Feeling: Good

Free text: Still a very slight metallic taste but it is much better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-20
Dose 2 — Moderna
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia, Reaction to previous exposure to any vaccine, Wheezing — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Diarrhea

Free text: Metallic taste (but much less than last time). Did have some wheezing after shot but had pre-dosed albuterol and Symbicort so was much more mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-19
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Menstruation irregular, Muscle strain, Pre-existing disease, Vertigo — Feeling: Good · Be unable to do your normal daily activities

Free text: Strained my knee after running a week ago. Have had vertigo recently for 5 days. Have had a lot of popping and clicking in my ankle - more than usual. My periods are every 2.5-3 weeks (but I am 48).

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Dose 3 — Moderna
2021-12-08
Survey response — day 0, dose 3
MedDRA: Dysgeusia — Feeling: Good · Site: Pain

Free text: Metallic taste

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Survey response — days 1–6 daily, dose 3
MedDRA: Dysgeusia, Eye irritation — Feeling: Good · Site: Pain

Free text: Metallic taste in mouth, eyes are burning a lot

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Survey response — days 1–6 daily, dose 3
MedDRA: Dysgeusia, Eye irritation — Feeling: Good · Site: Pain · Headache

Free text: Metallic taste, brining eyes

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Diarrhea

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-15
Survey response — day 7, dose 3
MedDRA: Sinus congestion — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sinus congestion

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-31
Survey response — day 21, dose 3
MedDRA: Dizziness, Eye pain, Fatigue, Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Eye pain, headache, dizziness, exhaustion

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Survey response — day 28, dose 3
MedDRA: Abdominal pain upper — Feeling: Good · Be unable to do your normal daily activities

Free text: Stomach pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Survey response — day 35, dose 3
MedDRA: Cough, Dysgeusia, Headache, Respiratory tract congestion, SARS-CoV-2 test, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school

Free text: Extreme metallic taste, headache, some congestion, mild coughing for 3 days. Two negative home CoViD tests. Waiting on results of PCR test 4 days ago.

MedDRA releases: 2024-11 · check-in free text available
2022-01-19
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-09
Survey response — 3 months, dose 3
MedDRA: Pain in extremity, Tendon pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Foot pain in tendons and tendon pain in thumb

MedDRA releases: 2024-11 · check-in free text available
2022-06-08
Survey response — 6 months, dose 3
MedDRA: Asthma, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: More sensitivity to air pollution than before in last 2 months. Asthma less under control.

MedDRA releases: 2024-11 · check-in free text available
2022-12-08
Survey response — 12 months, dose 3
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school

Free text: COVID

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-20	Moderna
3	2021-12-08	Moderna	No

Free text

Release 6 — day 0, dose 1

2021-03-24

Systemic reaction (other): Burning eyes, metallic taste since 10 minutes after shot, mild bronchospasm 40 minutes after shot

Release 6 — days 1–6 daily, dose 1

2021-03-25

Systemic reaction (other): Metallic taste

2021-03-26

Systemic reaction (other): Mild wheezing

2021-03-27

Systemic reaction (other): Still a very slight metallic taste but it is much better.

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): Metallic taste (but much less than last time). Did have some wheezing after shot but had pre-dosed albuterol and Symbicort so was much more mild

Release 10 — 6 months, dose 2

2021-10-19

Symptoms: Strained my knee after running a week ago. Have had vertigo recently for 5 days. Have had a lot of popping and clicking in my ankle - more than usual. My periods are every 2.5-3 weeks (but I am 48).

Release 10 — day 0, dose 3

2021-12-08

Systemic reaction (other): Metallic taste

Release 10 — days 1–6 daily, dose 3

2021-12-09

Systemic reaction (other): Metallic taste in mouth, eyes are burning a lot

2021-12-10

Systemic reaction (other): Metallic taste, brining eyes

Release 10 — day 7, dose 3

2021-12-15

Systemic reaction (other): Sinus congestion

Release 10 — day 21, dose 3

2021-12-31

Symptoms: Eye pain, headache, dizziness, exhaustion

Release 10 — day 28, dose 3

2022-01-05

Symptoms: Stomach pain

Release 10 — day 35, dose 3

2022-01-12

Symptoms: Extreme metallic taste, headache, some congestion, mild coughing for 3 days. Two negative home CoViD tests. Waiting on results of PCR test 4 days ago.

Release 11 — 3 months, dose 3

2022-03-09

Symptoms: Foot pain in tendons and tendon pain in thumb

Release 11 — 6 months, dose 3

2022-06-08

Symptoms: More sensitivity to air pollution than before in last 2 months. Asthma less under control.

Release 12 — 12 months, dose 3

2022-12-08

Symptoms: COVID

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	Asthma	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	·	·	✓
SD	Dysgeusia	·	·	✓
SD	Eye pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Muscle strain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Tendon pain	·	·	✓
SD	Vertigo	·	·	✓
SRO	Bronchospasm	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Eye irritation	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	✓	✓	✓
SRO	Sinus congestion	·	·	✓
SRO	Wheezing	✓	✓	✓

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