46Q-16038-98626

3 vaccinations 6 coded responses 26 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 068 / CT
Registered: 2021-01-06

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-05
Dose 1 — Moderna
2021-01-06
Registered in v-safe
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Pallor — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pale face, labored breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Hypopnoea, Pallor — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Strangely PALE pasty face, shallow breathing, so fatigued

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Pallor — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mildly pale face

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

1 call case(s)
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Pallor — Feeling: Good · Fatigue or tiredness

Free text: Color has finally returned to my face!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-02
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Nausea

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-11
Dose 3 — Moderna
2021-10-25
Survey response — day 42, dose 3
MedDRA: Ageusia, Arthralgia, Chills, Dehydration, Fatigue, Headache, Pain, Parosmia, Pyrexia, Salt craving — 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 · Outpatient clinic or urgent care clinic visit

Free text: Major aches, body pains, fever, chills, loss of taste for several days, excessive salt cravings, dehydration, headaches, phantamosia (smelling urine), intense fatigue, joint pains. Maybe too high vaccine dose. Tested negative 3x.

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Report sent to call center — day 42, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-26
Call 1 — Left Voicemail
2022-03-13
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-11
Survey response — 12 months, dose 3
MedDRA: Asthenia, Dyspnoea, Fatigue, Hypotonia, Menstruation irregular, Weight increased — Feeling: Fair · Be unable to do your normal daily activities

Free text: I reviewed my food log, weight log, menses schedule, Dexafit scan. After I got my Covid vaccine, 1) I got two menses cycles per mo. 2) my body fat went up 15%, 3) muscle decreased by 10%. I am weaker, out of breath, tire easily, yet exercise daily.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-04	Moderna
3	2021-09-11	Moderna	No

Call center

4 call center cases

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

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-06

Systemic reaction (other): Pale face, labored breathing

2021-01-07

Systemic reaction (other): Strangely PALE pasty face, shallow breathing, so fatigued

2021-01-09

Systemic reaction (other): Mildly pale face

2021-01-10

Systemic reaction (other): Color has finally returned to my face!

Release 10 — day 42, dose 3

2021-10-25

Symptoms: Major aches, body pains, fever, chills, loss of taste for several days, excessive salt cravings, dehydration, headaches, phantamosia (smelling urine), intense fatigue, joint pains. Maybe too high vaccine dose. Tested negative 3x.

Release 12 — 12 months, dose 3

2022-09-11

Symptoms: I reviewed my food log, weight log, menses schedule, Dexafit scan. After I got my Covid vaccine, 1) I got two menses cycles per mo. 2) my body fat went up 15%, 3) muscle decreased by 10%. I am weaker, out of breath, tire easily, yet exercise daily. cut off by CDC

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	Ageusia	·	·	✓
SD	Arthralgia	·	·	✓
SD	Asthenia	·	·	✓
SD	Chills	·	·	✓
SD	Dehydration	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hypotonia	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Pain	·	·	✓
SD	Parosmia	·	·	✓
SD	Pyrexia	·	·	✓
SD	Salt craving	·	·	✓
SD	Weight increased	·	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypopnoea	✓	✓	✓
SRO	Pallor	✓	✓	✓

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