4EM-29665-58887

3 vaccinations 13 coded responses 36 check-ins 14 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 644 / MO
Registered: 2021-03-17

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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Moderna
2021-03-17
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Feel spacey- brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia — Feeling: Good

Free text: A very unpleasant and unusual chemical taste in my mouth when I burp. I have not eaten any foods that I don't normally eat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Moderna
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Hypersomnia — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Slept most of the day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Nausea · Be unable to do your normal daily activities

Free text: Dizziness if moving too quickly or bending over

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: Light headed and dizzy if mending over or moving to fast

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-22
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-04-29
Survey response — day 14, dose 2
MedDRA: Rash — Feeling: Good

Free text: A rash on various areas that comes and goes away and comes back again.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 21, dose 2
MedDRA: Cough — Feeling: Good

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — day 28, dose 2
MedDRA: Rash — Feeling: Fair

Free text: Recurring rash on arms, neck, top part of back and face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — day 35, dose 2
MedDRA: Rash — Feeling: Good

Free text: Recurring Rash on neck, back, face and arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Survey response — day 42, dose 2
MedDRA: Rash — Feeling: Good

Free text: I continue to have a recurring rash in my face, especially around the lower parts of my ears, also on my neck, upper back and my arms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-15
Survey response — 3 months, dose 2
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair

Free text: Sore throat, Runny nose

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-15
Survey response — 6 months, dose 2
MedDRA: Conjunctivitis, Nasopharyngitis, Office visit — 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: Pink Eye and a cold started yesterday, diagnosed by a Doctor

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Report sent to call center — 6 months, dose 2
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)
2021-10-19
Call 1 — Left Voicemail
2022-04-16
Survey response — 12 months, dose 2
MedDRA: Pruritus, Rash — Feeling: Good

Free text: Itching and rashes

MedDRA releases: 2024-11 · check-in free text available
2022-06-19
Dose 3 — Pfizer-BioNTech
2022-06-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-06-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Nausea, Abdominal pain

Adult check-in
2022-06-26
Health check-in — day 7, dose 3
Feeling: Good · Diarrhea

Adult check-in
2022-07-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-07-10
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-07-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-07-24
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-07-31
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-09-18
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-12-25
Health check-in — 6 months, dose 3
Feeling: Fair · Be unable to work or attend school

Free text: Coughing, sneezing, runny and stuffy nose. Lost of taste and smell. Body aches, headaches. Positive covid test

Adult check-in · check-in free text available
2023-06-19
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-15	Moderna
3	2022-06-19	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Feel spacey- brain fog

2021-03-19

Systemic reaction (other): A very unpleasant and unusual chemical taste in my mouth when I burp. I have not eaten any foods that I don't normally eat.

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): Slept most of the day

2021-04-18

Systemic reaction (other): Dizziness if moving too quickly or bending over

2021-04-20

Systemic reaction (other): Light headed and dizzy if mending over or moving to fast

Release 8 — day 14, dose 2

2021-04-29

Symptoms: A rash on various areas that comes and goes away and comes back again.

Release 8 — day 21, dose 2

2021-05-06

Symptoms: Cough

Release 8 — day 28, dose 2

2021-05-15

Symptoms: Recurring rash on arms, neck, top part of back and face

Release 8 — day 35, dose 2

2021-05-20

Symptoms: Recurring Rash on neck, back, face and arms

Release 8 — day 42, dose 2

2021-05-29

Symptoms: I continue to have a recurring rash in my face, especially around the lower parts of my ears, also on my neck, upper back and my arms.

Release 9 — 3 months, dose 2

2021-07-15

Symptoms: Sore throat, Runny nose

Release 10 — 6 months, dose 2

2021-10-15

Symptoms: Pink Eye and a cold started yesterday, diagnosed by a Doctor

Release 11 — 12 months, dose 2

2022-04-16

Symptoms: Itching and rashes

Release 12 — 6 months, dose 3

2022-12-25

Symptoms: Coughing, sneezing, runny and stuffy nose. Lost of taste and smell. Body aches, headaches. Positive covid test

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	Conjunctivitis	·	·	✓
SD	Cough	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pruritus	·	·	✓
SD	Rash	✓	✓	✓
SD	Rhinorrhoea	✓	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓

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