3U8-16530-79247

4 vaccinations 9 coded responses 38 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 410 / KY
Registered: 2021-04-07

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

2021-03-09
Dose 1 — Moderna
2021-04-06
Dose 2 — Moderna
2021-04-07
Registered in v-safe
2021-04-07
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 work, Be unable to do your normal daily activities

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Metallic taste

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

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia — Feeling: Good · Site: Itching

Free text: Still have the metallic taste in my mouth. Sense of smell and taste are otherwise fine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia — Feeling: Good

Free text: Metallic taste still in mouth, sense of taste and smell are fine otherwise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia — Feeling: Good · Site: Itching

Free text: Metallic taste still

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 7, dose 2
MedDRA: Dysgeusia — Feeling: Good · Site: Itching

Free text: Metallic taste still

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-27
Survey response — day 21, dose 2
MedDRA: Blood glucose increased, Pre-existing disease — Feeling: Good

Free text: Diabetic, glucose levels have been elevated about 40 points since the day following the vaccine. I assume/hope this will revert to pre-vaccine levels, or Ill get a dose change on my meds if not.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-15
Dose 3 — Moderna
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-17
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Several dizzy spells, almost passed out but glucose was 128 so it was ok.

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-22
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-11-29
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-20
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-14
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-18
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-28
Dose 4 — Moderna
Co-administered: Flu
2022-09-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Adult check-in
2022-09-30
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness · Joint pains, Fatigue or tiredness

Free text: Swollen lymph nodes under the arm where the injection site was

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2022-10-07
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-28
Survey response — day 28, dose 4
MedDRA: Cough, Respiratory tract congestion, Sinus disorder — Feeling: Fair

Free text: Congestion, cough (sinuses)

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-09
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-03-29
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-06	Moderna
3	2021-11-15	Moderna	No
4	2022-09-28	Moderna	Flu

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Metallic taste

2021-04-10

Systemic reaction (other): Still have the metallic taste in my mouth. Sense of smell and taste are otherwise fine.

2021-04-11

Systemic reaction (other): Metallic taste still in mouth, sense of taste and smell are fine otherwise

2021-04-12

Systemic reaction (other): Metallic taste still

Release 7 — day 7, dose 2

2021-04-13

Systemic reaction (other): Metallic taste still

Release 8 — day 21, dose 2

2021-04-27

Symptoms: Diabetic, glucose levels have been elevated about 40 points since the day following the vaccine. I assume/hope this will revert to pre-vaccine levels, or Ill get a dose change on my meds if not.

Release 10 — days 1–6 daily, dose 3

2021-11-17

Systemic reaction (other): Several dizzy spells, almost passed out but glucose was 128 so it was ok.

Release 12 — days 1–6 daily, dose 4

2022-09-30

Systemic reaction (other): Swollen lymph nodes under the arm where the injection site was

Release 12 — day 28, dose 4

2022-10-28

Symptoms: Congestion, cough (sinuses)

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	Blood glucose increased	✓	✓	✓
SD	Cough	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus disorder	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓

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