476-69110-21776

5 vaccinations 11 coded responses 44 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 210 / MD
Registered: 2021-03-26

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

2021-03-26
Registered in v-safe
2021-03-26
Dose 1 — Moderna
2021-03-26
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Fair · Fever · Fatigue or tiredness, Nausea, Diarrhea

Free text: Loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-23
Dose 2 — Moderna
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia, Parosmia — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Metal smell in nose, metal taste in mouth,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Dysgeusia, Parosmia — Feeling: Fair · Site: Redness, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Brain fog, metallic taste, metallic smell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Dysgeusia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Metallic taste/smell, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Good · Fatigue or tiredness

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-07
Survey response — day 14, dose 2
MedDRA: Injection site pruritus, Injection site rash — Feeling: Good

Free text: Itching, small, mild, rash at injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 21, dose 2
MedDRA: Injection site pruritus — Feeling: Good

Free text: Itchy arm at inj3ction site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-01
Dose 3 — Moderna
2022-04-20
Dose 4 — Moderna
2022-04-23
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-05-01
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Chills, Headache, 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
2022-05-04
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-18
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-25
Survey response — day 35, dose 4
MedDRA: Blood glucose decreased, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Seem to be extremely tired and issues with blood sogar goi g low

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-26
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-19
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-25
Dose 5 — Moderna
2022-10-28
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-29
Survey response — days 1–6 daily, dose 5
MedDRA: Asthenia, Chills, Fatigue, Nausea, Pyrexia — Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Most severe symptoms of fever,chills, nausea,weakness and fatigue were the day after the vaccine. I started this log on the third day after my vax.

MedDRA releases: 2024-11 · check-in free text available
2022-10-30
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-31
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-11-01
Health check-in — day 7, dose 5
Feeling: Good · Diarrhea

Adult check-in
2022-11-08
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-11-15
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-22
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-29
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-06
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-24
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-25
Survey response — 6 months, dose 5
MedDRA: Office visit, Upper respiratory tract infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-25
Report sent to call center — 6 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-26
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Moderna
2	2021-04-23	Moderna
3	2021-11-01	Moderna	No
4	2022-04-20	Moderna	No
5	2022-10-25	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-27

Systemic reaction (other): Loss of appetite

Release 7 — days 1–6 daily, dose 2

2021-04-25

Systemic reaction (other): Brain fog

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Metal smell in nose, metal taste in mouth,

2021-04-27

Systemic reaction (other): Brain fog, metallic taste, metallic smell

2021-04-28

Systemic reaction (other): Metallic taste/smell, brain fog

2021-04-29

Systemic reaction (other): Brain fog

Release 8 — day 14, dose 2

2021-05-07

Symptoms: Itching, small, mild, rash at injection site.

Release 8 — day 21, dose 2

2021-05-14

Symptoms: Itchy arm at inj3ction site

Release 11 — day 35, dose 4

2022-05-25

Symptoms: Seem to be extremely tired and issues with blood sogar goi g low

Release 12 — days 1–6 daily, dose 5

2022-10-29

Systemic reaction (other): Most severe symptoms of fever,chills, nausea,weakness and fatigue were the day after the vaccine. I started this log on the third day after my vax.

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	Fatigue	·	·	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Asthenia	·	·	✓
SRO	Brain fog	✓	✓	✓
SRO	Chills	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Nausea	·	·	✓
SRO	Parosmia	✓	✓	✓
SRO	Pyrexia	·	·	✓

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