3T7-18995-85853

2 vaccinations 7 coded responses 24 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 805 / CO
Registered: 2021-01-24

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

2021-01-24
Registered in v-safe
2021-01-24
Dose 1 — Moderna
2021-01-24
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Blood glucose fluctuation — Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work

Free text: My blood sugar is rolling highs and lows

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Blood glucose abnormal, Blood insulin abnormal — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still having trouble balancing my blood sugar and insulin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Blood glucose decreased — Feeling: Good · Site: Itching · Fever · Headache

Free text: Blood sugar levels are lower than usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Headache · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-31
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-21
Dose 2 — Moderna
2021-02-21
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose decreased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Low blood sugars

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Diarrhea

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-28
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-04
Survey response — day 42, dose 2
MedDRA: Blood glucose decreased, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Blood sugar lows and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — 3 months, dose 2
MedDRA: Cough, Dysphonia, Fatigue, Office visit, Sinusitis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Sinus infection. Hoarse dry cough. Extreme fatigue. 3 rounds antibiotics and 6 days on bed. · Healthcare visit (other): Dr office with xrays and labs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Report sent to call center — 3 months, 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)
2021-08-22
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-21
Survey response — 12 months, dose 2
MedDRA: COVID-19, Pneumonia, Post-acute COVID-19 syndrome — 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 · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: I have had pneumonia followed by a serious scuffle with Covid19, and now 6 weeks later I am coping with an acute case of post covid syndrome!

MedDRA releases: 2024-11 · check-in free text available
2022-02-21
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2022-02-22
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-24	Moderna
2	2021-02-21	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): My blood sugar is rolling highs and lows

2021-01-26

Systemic reaction (other): Still having trouble balancing my blood sugar and insulin

Release 3 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): Blood sugar levels are lower than usual

Release 4 — days 1–6 daily, dose 2

2021-02-22

Systemic reaction (other): Low blood sugars

Release 6 — day 42, dose 2

2021-04-04

Symptoms: Blood sugar lows and fatigue

Release 8 — 3 months, dose 2

2021-05-23

Symptoms: Sinus infection. Hoarse dry cough. Extreme fatigue. 3 rounds antibiotics and 6 days on bed.

Healthcare visit (other): Dr office with xrays and labs

Release 11 — 12 months, dose 2

2022-02-21

Symptoms: I have had pneumonia followed by a serious scuffle with Covid19, and now 6 weeks later I am coping with an acute case of post covid syndrome!

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	Blood glucose decreased	✓	✓	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dysphonia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Pneumonia	·	·	✓
SD	Post-acute COVID-19 syndrome	·	·	✓
SD	Sinusitis	✓	✓	✓
SRO	Blood glucose abnormal	✓	✓	✓
SRO	Blood glucose decreased	✓	✓	✓
SRO	Blood glucose fluctuation	✓	✓	✓
SRO	Blood insulin abnormal	✓	✓	✓

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