4EE-20981-87622

4 vaccinations 14 coded responses 32 check-ins 14 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 207 / MD
Registered: 2021-03-22

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

2021-03-22
Registered in v-safe
2021-03-22
Dose 1 — Moderna
2021-03-22
Survey response — day 0, dose 1
MedDRA: Swelling face — Feeling: Good · Site: Pain, Itching

Free text: Face feels a little bit swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — day 7, dose 1
Feeling: Good · Abdominal pain

Adult check-in
2021-04-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-19
Dose 2 — Moderna
2021-04-19
Survey response — day 0, dose 2
MedDRA: Brain fog — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspepsia — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Indigestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Lung disorder, Oropharyngeal discomfort — Feeling: Good

Free text: Elevated sensitivity in throat and lungs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Survey response — day 7, dose 2
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Not really a rash, but bumps on my face, arms, and legs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — day 14, dose 2
MedDRA: Rash — Feeling: Fair

Free text: Rashes (look like acne breakouts)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-11
Dose 3 — Moderna
2022-04-14
Dose 4 — Moderna
2022-04-21
Survey response — 12 months, dose 2
MedDRA: Neuralgia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Nerve pain in hands and feet

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-22
Call 1 — Left Voicemail
2022-05-01
Survey response — day 14, dose 4
MedDRA: Feeling hot, Glossodynia, Insomnia, Oral herpes, Sleep disorder — Feeling: Fair

Free text: multiple cold sores on my tongue. very painful. also difficulty sleeping. I wake up VERY hot every morning around 4:30am and it takes me an hour or more to fall back to sleep.

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Survey response — day 21, dose 4
MedDRA: Emotional disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Easily upset/ emotional overwhelm.

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Report sent to call center — day 21, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-12
Survey response — day 28, dose 4
MedDRA: Oral herpes — Feeling: Fair

Free text: cold sores all over my tongue

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Survey response — day 35, dose 4
MedDRA: Cough, Respiratory tract congestion, Sneezing — Feeling: Good

Free text: Allergies? Persistent cough plus sneezing. Congestion that comes and goes.

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Survey response — day 42, dose 4
MedDRA: Rash, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: weird rash on face · Healthcare visit (other): scheduled

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-27
Call 1 — Could Not Reach Participant
2022-06-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-14
Survey response — 3 months, dose 4
MedDRA: Cough — Feeling: Good

Free text: cough

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Moderna
2	2021-04-19	Moderna
3	2021-11-11	Moderna	No
4	2022-04-14	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-22

Systemic reaction (other): Face feels a little bit swollen

Release 7 — day 0, dose 2

2021-04-19

Systemic reaction (other): Brain fog

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): Indigestion

2021-04-21

Systemic reaction (other): Brain fog

2021-04-23

Systemic reaction (other): Elevated sensitivity in throat and lungs

Release 8 — day 7, dose 2

2021-04-26

Systemic reaction (other): Not really a rash, but bumps on my face, arms, and legs.

Release 8 — day 14, dose 2

2021-05-03

Symptoms: Rashes (look like acne breakouts)

Release 11 — 12 months, dose 2

2022-04-21

Symptoms: Nerve pain in hands and feet

Release 11 — day 14, dose 4

2022-05-01

Symptoms: multiple cold sores on my tongue. very painful. also difficulty sleeping. I wake up VERY hot every morning around 4:30am and it takes me an hour or more to fall back to sleep.

Release 11 — day 21, dose 4

2022-05-05

Symptoms: Easily upset/ emotional overwhelm.

Release 11 — day 28, dose 4

2022-05-12

Symptoms: cold sores all over my tongue

Release 11 — day 35, dose 4

2022-05-19

Symptoms: Allergies? Persistent cough plus sneezing. Congestion that comes and goes.

Release 11 — day 42, dose 4

2022-05-26

Symptoms: weird rash on face

Healthcare visit (other): scheduled

Release 12 — 3 months, dose 4

2022-07-14

Symptoms: cough

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	Unevaluable event	·	·	✓
SD	Cough	·	·	✓
SD	Emotional disorder	·	·	✓
SD	Feeling hot	·	·	✓
SD	Glossodynia	·	·	✓
SD	Insomnia	·	·	✓
SD	Neuralgia	·	·	✓
SD	Oral herpes	·	·	✓
SD	Rash	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sleep disorder	·	·	✓
SD	Sneezing	·	·	✓
SRO	Brain fog	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Lung disorder	✓	✓	✓
SRO	Oropharyngeal discomfort	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Swelling face	✓	✓	✓

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