3MA-29154-51702

3 vaccinations 12 coded responses 22 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 034 / NH
Registered: 2021-02-22

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

2021-02-21
Dose 1 — Moderna
2021-02-22
Registered in v-safe
2021-02-22
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Hemihypoaesthesia, Paraesthesia — Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy, numbness and tingling on whole side where I got the injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: Dry throat, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dry sore throat and runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Malaise — Feeling: Poor · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: I feel almost as sick as when I actually had Covid 19 almost a year ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Memory impairment — Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have been having some sudden memory problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — day 7, dose 1
Feeling: Good · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-21
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-25
Dose 2 — Moderna
2021-04-04
Survey response — day 7, dose 2
MedDRA: Feeling abnormal, Pain in jaw — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Jaw pain and brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 14, dose 2
MedDRA: Chills, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nausea, chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 21, dose 2
MedDRA: Chills, Conjunctivitis, Office visit — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Pink eye; chills · Healthcare visit (other): Eye doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Survey response — day 28, dose 2
MedDRA: Headache, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: I woke up with a severe headache and felt like I was run over by a truck. It felt the way I did on day 2. However, I know that these symptoms come and go. I have good days and bad days. This morning was scary, but I felt better by noontime.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — day 42, dose 2
MedDRA: Aphasia, Brain fog, Memory impairment — Feeling: Good

Free text: Serious brain fog. I made plans to do things, then forgot what I needed to do. I had trouble finding words that I needed to complete sentences. I forgot the names of people that I knew very well. This was much worse than usual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Migraine, Office visit, Pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Chronic painful body aches that wont go away. I feel like every joint in my body hurts. This has been going on for months along with chronic migraines. If I have a day when I feel good I am filled with hope but the next day it seems to be back. · Healthcare visit (other): My regular GP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-06-29
Call 1 — Left Voicemail
2021-09-25
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2022-01-27
Dose 3 — Moderna
2022-03-25
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-28
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-07-28
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-01-29
Survey response — 12 months, dose 3
MedDRA: COVID-19, Condition aggravated, Myalgia, Office visit, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-01-29
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2023-01-30
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-30
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-30
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-21	Moderna
2	2021-03-25	Moderna
3	2022-01-27	Moderna	No

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-22

Systemic reaction (other): Dizzy, numbness and tingling on whole side where I got the injection

2021-02-23

Systemic reaction (other): Dizzy

2021-02-25

Systemic reaction (other): Dry sore throat and runny nose

2021-02-26

Systemic reaction (other): I feel almost as sick as when I actually had Covid 19 almost a year ago.

2021-02-27

Systemic reaction (other): I have been having some sudden memory problems

Release 6 — day 7, dose 2

2021-04-04

Systemic reaction (other): Jaw pain and brain fog

Release 7 — day 14, dose 2

2021-04-08

Symptoms: Nausea, chills

Release 7 — day 21, dose 2

2021-04-15

Symptoms: Pink eye; chills

Healthcare visit (other): Eye doctor

Release 7 — day 28, dose 2

2021-04-22

Symptoms: I woke up with a severe headache and felt like I was run over by a truck. It felt the way I did on day 2. However, I know that these symptoms come and go. I have good days and bad days. This morning was scary, but I felt better by noontime.

Release 8 — day 42, dose 2

2021-05-06

Symptoms: Serious brain fog. I made plans to do things, then forgot what I needed to do. I had trouble finding words that I needed to complete sentences. I forgot the names of people that I knew very well. This was much worse than usual.

Release 9 — 3 months, dose 2

2021-06-24

Symptoms: Chronic painful body aches that wont go away. I feel like every joint in my body hurts. This has been going on for months along with chronic migraines. If I have a day when I feel good I am filled with hope but the next day it seems to be back.

Healthcare visit (other): My regular GP

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	Aphasia	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Brain fog	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Conjunctivitis	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Headache	✓	✓	✓
SD	Memory impairment	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dry throat	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hemihypoaesthesia	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Memory impairment	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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