4BM-16373-41663

3 vaccinations 12 coded responses 31 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 521 / IA
Registered: 2021-04-22

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

2021-04-22
Registered in v-safe
2021-04-22
Dose 1 — Moderna
2021-04-22
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Chills · Be unable to do your normal daily activities

Free text: Feel giddy, somewhat dizzy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia, Pain — Feeling: Fair · Site: Pain · Chills · Be unable to do your normal daily activities

Free text: Unable to sleep last night due to pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-25
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Brain fog, which I also had yesterday, but forgot to mention

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-06
Survey response — day 14, dose 1
MedDRA: Abdominal discomfort, Decreased appetite, Dizziness, Dry eye, Fatigue, Headache, Pyrexia, Rhinorrhoea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy, tired, decreased appetite, headache, feverish feel but no actual fever, dry eyes, runny nose, somewhat upset stomach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-20
Dose 2 — Moderna
2021-05-20
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-21
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension, Flatulence — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Gas & bloating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension, Flatulence — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Gas and bloating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-05-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-05-27
Survey response — day 7, dose 2
MedDRA: Abdominal distension, Flatulence — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Abdominal pain

Free text: Gas and bloating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-07-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-19
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-01-14
Dose 3 — Moderna
2022-01-15
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · 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
2022-01-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · 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
2022-01-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-01-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-01-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-01-21
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-01-28
Survey response — day 14, dose 3
MedDRA: Abdominal discomfort, Dizziness, Fatigue, Headache, Malaise, Muscle fatigue, Nasal congestion, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Just started to feel sick today: headache, sore throat, fatigue, dizzy, upset stomach, muscle fatigue, stuffed up nose, feel really run down, etc.

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-02-11
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-20
Survey response — day 35, dose 3
MedDRA: Cough, Fatigue, Headache, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I seem to have a cold: sore throat, runny nose, cough, headache, tired, feel run down.

MedDRA releases: 2024-11 · check-in free text available
2022-02-28
Survey response — day 42, dose 3
MedDRA: Cough, Fatigue, Headache, Nasal congestion, Nasopharyngitis, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cold symptoms: sore throat, stuffy nose, headache, cough, feel run down, etc.

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-22	Moderna
2	2021-05-20	Moderna
3	2022-01-14	Moderna	No

Free text

Release 7 — day 0, dose 1

2021-04-22

Systemic reaction (other): Feel giddy, somewhat dizzy.

Release 7 — days 1–6 daily, dose 1

2021-04-23

Systemic reaction (other): Unable to sleep last night due to pain

2021-04-25

Systemic reaction (other): Brain fog, which I also had yesterday, but forgot to mention

2021-04-26

Systemic reaction (other): Brain fog

Release 8 — day 14, dose 1

2021-05-06

Symptoms: Dizzy, tired, decreased appetite, headache, feverish feel but no actual fever, dry eyes, runny nose, somewhat upset stomach

Release 8 — days 1–6 daily, dose 2

2021-05-21

Systemic reaction (other): Gas & bloating

2021-05-22

Systemic reaction (other): Gas and bloating

2021-05-24

Systemic reaction (other): Brain fog

Release 8 — day 7, dose 2

2021-05-27

Systemic reaction (other): Gas and bloating

Release 11 — day 14, dose 3

2022-01-28

Symptoms: Just started to feel sick today: headache, sore throat, fatigue, dizzy, upset stomach, muscle fatigue, stuffed up nose, feel really run down, etc.

Release 11 — day 35, dose 3

2022-02-20

Symptoms: I seem to have a cold: sore throat, runny nose, cough, headache, tired, feel run down.

Release 11 — day 42, dose 3

2022-02-28

Symptoms: Cold symptoms: sore throat, stuffy nose, headache, cough, feel run down, etc.

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	Abdominal discomfort	✓	✓	✓
SD	Cough	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dry eye	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Malaise	·	·	✓
SD	Muscle fatigue	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Pain	✓	✓	✓

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