3KL-18141-27709

2 vaccinations 13 coded responses 24 check-ins 13 free-text entries 5 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 440 / OH
Registered: 2020-12-30

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Survey response — day 0, dose 1
MedDRA: Dizziness, Immediate post-injection reaction, Mental impairment — Feeling: Fair · Fever

Free text: Very light headed like I was going to pass out felt mentally off the first hour after injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Pain in extremity, Pre-existing disease, Pyrexia, Sleep disorder — Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Was hard to sleep last night due to feeling feverish and got body achy and sore arm woke up today with sore arm more intense hot flashes then normal otherwise fine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Dysphagia, Productive cough — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Coughing up clear flem balls hard to swallow food and drink

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Fair · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Coughing congestion running nose sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-05
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-06
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-01-06
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-27
Dose 2 — Moderna
2021-01-27
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain

Free text: Light headed ,dizzy , got to get p or move slower

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Impaired work ability, Mental impairment — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Could not go to work today. Light headed can't think straight

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Confusional state, Dizziness, Mobility decreased, Pyrexia — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work

Free text: Feverish confused light headed can't move fast get dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-19
Survey response — day 21, dose 2
MedDRA: Rhinorrhoea, Sneezing — Feeling: Good

Free text: Runny nose sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — day 28, dose 2
MedDRA: Abdominal discomfort, Abdominal pain upper — Feeling: Good

Free text: Upset stomach cramping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 35, dose 2
MedDRA: Abdominal discomfort, Balance disorder, Dizziness, Muscle spasms, Otorrhoea, Sinus pain — Feeling: Fair

Free text: Feeling dizzy off balance. Cramping and gi distress goopy ears sinus headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — day 42, dose 2
MedDRA: Diarrhoea, Disturbance in attention, Insomnia, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: Vomiting and diarrhea and trouble conscintrating can't sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-07-28
Survey response — 6 months, dose 2
MedDRA: Hypogeusia, Memory impairment — Feeling: Good

Free text: for months since the vaccine My short term memory is not as good as it was before the vaccine. Same for my sense of taste. Smell is good I forgot to mention it with everything Else going on . Hoping it all gets better eventually livingwith it

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-01-29
Survey response — 12 months, dose 2
MedDRA: Abdominal discomfort, Amnesia, Dysphagia, Haematemesis, Nausea, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Symptoms: Short term memory loss GI upset problems swallowing nauseous vomiting blood · Healthcare visit (other): Gi appt for Endo and colonoscopy

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2022-01-31
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-27	Moderna

Call center

5 call center cases

1 unsuccessful · 4 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-30

Systemic reaction (other): Very light headed like I was going to pass out felt mentally off the first hour after injection

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Was hard to sleep last night due to feeling feverish and got body achy and sore arm woke up today with sore arm more intense hot flashes then normal otherwise fine

2021-01-01

Systemic reaction (other): Coughing up clear flem balls hard to swallow food and drink

2021-01-04

Systemic reaction (other): Coughing congestion running nose sneezing

Release 2 — day 0, dose 2

2021-01-27

Systemic reaction (other): Light headed ,dizzy , got to get p or move slower

Release 2 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Could not go to work today. Light headed can't think straight

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Feverish confused light headed can't move fast get dizzy

Release 4 — day 21, dose 2

2021-02-19

Symptoms: Runny nose sneezing

Release 4 — day 28, dose 2

2021-02-24

Symptoms: Upset stomach cramping

Release 5 — day 35, dose 2

2021-03-03

Symptoms: Feeling dizzy off balance. Cramping and gi distress goopy ears sinus headaches

Release 5 — day 42, dose 2

2021-03-10

Symptoms: Vomiting and diarrhea and trouble conscintrating can't sleep

Release 9 — 6 months, dose 2

2021-07-28

Symptoms: for months since the vaccine My short term memory is not as good as it was before the vaccine. Same for my sense of taste. Smell is good I forgot to mention it with everything Else going on . Hoping it all gets better eventually livingwith it

Release 11 — 12 months, dose 2

2022-01-29

Symptoms: Short term memory loss GI upset problems swallowing nauseous vomiting blood

Healthcare visit (other): Gi appt for Endo and colonoscopy

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	Abdominal discomfort	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Amnesia	·	·	✓
SD	Balance disorder	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Disturbance in attention	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dysphagia	·	·	✓
SD	Haematemesis	·	·	✓
SD	Hypogeusia	✓	·	✓
SD	Insomnia	✓	✓	✓
SD	Memory impairment	✓	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Nausea	·	·	✓
SD	Otorrhoea	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sinus pain	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Condition aggravated	○	○	○
SRO	Confusional state	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysphagia	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Impaired work ability	✓	✓	✓
SRO	Insomnia	○	○	○
SRO	Mental impairment	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Productive cough	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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