4C6-32686-32566

2 vaccinations 12 coded responses 26 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 291 / SC
Registered: 2021-04-22

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

2021-04-22
Registered in v-safe
2021-04-22
Dose 1 — Moderna
2021-04-22
Survey response — day 0, dose 1
MedDRA: Dysgeusia — Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches

Free text: Bad taste in mouth for couple minutes after shot but went away

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: Dizziness, Dyspnoea — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Slightly short of breath but I've had worse. Stuffy, light headed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 1
MedDRA: Respiratory tract congestion — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Head is all stuffy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 1
MedDRA: Respiratory tract congestion — Feeling: Poor · Headache, Joint pains

Free text: Congested

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: Respiratory tract congestion — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 1
MedDRA: Respiratory tract congestion — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: Congestion, all better than yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: Nothing not normal for me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 7, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: Just normal every day symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-13
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-20
Dose 2 — Moderna
2021-05-20
Survey response — day 0, dose 2
MedDRA: Brain fog, Respiratory tract congestion — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Congestion, foggy feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Respiratory tract congestion — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Congestion, foggy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-05-27
Health check-in — day 7, dose 2
Feeling: Fair · None

Adult check-in
2021-06-03
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-10
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-17
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-24
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-01
Health check-in — day 42, dose 2
Feeling: Fair

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

Adult check-in
2021-11-18
Survey response — 6 months, dose 2
MedDRA: Cough, Dyspnoea, Office visit, Respiratory disorder — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: More respiratory problems. Became short od breathe and coughing a lot in August. X-rays cleaning, no explanations. Now on a nebulizer along with my inhaler. · Healthcare visit (other): Primary care Dr. Outside visits 3 times, x-ray

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-22
Call 1 — Left Voicemail
2022-05-23
Survey response — 12 months, dose 2
MedDRA: Blood sodium decreased, Fatigue, Respiratory disorder, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have a lot more problems breathing since my 1st shot, I didn't really put all together however all my ailments started after. Sodium low, breathing, skin, exhaustion

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-22	Moderna
2	2021-05-20	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-22

Systemic reaction (other): Bad taste in mouth for couple minutes after shot but went away

Release 7 — days 1–6 daily, dose 1

2021-04-23

Systemic reaction (other): Slightly short of breath but I've had worse. Stuffy, light headed.

2021-04-24

Systemic reaction (other): Head is all stuffy

2021-04-25

Systemic reaction (other): Congested

2021-04-26

Systemic reaction (other): Congestion

Release 8 — days 1–6 daily, dose 1

2021-04-27

Systemic reaction (other): Congestion, all better than yesterday

2021-04-28

Systemic reaction (other): Nothing not normal for me

Release 8 — day 7, dose 1

2021-04-29

Systemic reaction (other): Just normal every day symptoms

Release 8 — day 0, dose 2

2021-05-20

Systemic reaction (other): Congestion, foggy feeling

Release 8 — days 1–6 daily, dose 2

2021-05-21

Systemic reaction (other): Congestion, foggy

Release 10 — 6 months, dose 2

2021-11-18

Symptoms: More respiratory problems. Became short od breathe and coughing a lot in August. X-rays cleaning, no explanations. Now on a nebulizer along with my inhaler.

Healthcare visit (other): Primary care Dr. Outside visits 3 times, x-ray

Release 11 — 12 months, dose 2

2022-05-23

Symptoms: I have a lot more problems breathing since my 1st shot, I didn't really put all together however all my ailments started after. Sodium low, breathing, skin, exhaustion

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 sodium decreased	·	·	✓
SD	Cough	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Brain fog	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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