4H8-21157-94474

3 vaccinations 13 coded responses 21 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 931 / CA
Registered: 2021-02-16

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-09
Dose 1 — Moderna
2021-02-16
Registered in v-safe
2021-02-16
Survey response — day 7, dose 1
MedDRA: Decreased appetite, Dizziness, Feeling abnormal — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness, brain fog, lack of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-09
Dose 2 — Moderna
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Immunisation reaction — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I actually received the J & J Janssen vaccine as my second dose bc I had trouble breathing after the first dose of Moderna. My symptoms just began this evening. a

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I received J & J Janssen for my second dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Good · Site: Pain

Free text: I received the J & J Janssen as my second dose because I had trouble breathing after my first Moderna shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Interchange of vaccine products — Feeling: Good · Site: Pain · Fever

Free text: Just making sure you all remember that I received Janssen for my second dose instead of Moderna. The site doesn't give me the option to put in the correct vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 7, dose 2
MedDRA: Body temperature increased, Feeling abnormal — Feeling: Good · Fever

Free text: I've felt a little off, usually in the evenings. Temp is higher in late afternoon\evening than earlier in the day. I did receive Janssen for my second dose instead of Moderna.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-20
Survey response — day 42, dose 2
MedDRA: Fatigue, Injection site pain, Sensitive skin — Feeling: Good

Free text: Sensitivity of the skin at the injection site. Slight amount of pain in muscle at injection site. Slight fatigue. These symptoms lasted a day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Survey response — 3 months, dose 2
MedDRA: Fatigue, Injection site pain, Myalgia, Pain, Pain of skin, Respiratory disorder, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities

Free text: Respiratory illness currently, tested neg. for covid on 6_x0005_. Separately, a few weeks ago, I experienced a day of fatigue_x0007_chiness, including sore muscle & tender skin at injection site (after full recovery from vaccine side effects)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-11-13
Survey response — day 7, dose 3
MedDRA: Dizziness, Pre-existing disease, Vision blurred — Feeling: Fair · Fatigue or tiredness

Free text: Asthma, dizziness, blurry vision

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-25
Survey response — day 21, dose 3
MedDRA: Brain fog, Decreased appetite, Depressed mood, Dizziness, Fatigue, Feeling cold, Head discomfort, Headache, Irritability, Palpitations, Pre-existing disease, Sluggishness — Feeling: Fair · Be unable to do your normal daily activities

Free text: same symptoms but get better then worse. Overall improvement. Fatigue\sluggish, lack of appetite, asthma, feeling down, irritable, feeling a bit cold, dizziness, heart palpitations. Headaches improved, but still fogginess and head fullness.

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Survey response — day 28, dose 3
MedDRA: Fatigue, Pre-existing disease, Reaction to previous exposure to any vaccine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bit by cat on 12_x0006__x0011_ had to get tetanus shot. I've been extremely fatigued since. I've never had any such side effects from a tetanus shot in the past. I was just beginning to get some energy back from the covid booster.

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Survey response — 6 months, dose 3
MedDRA: Bronchitis — Feeling: Good · Be unable to work or attend school

Free text: Bronchitis

MedDRA releases: 2024-11 · check-in free text available
2022-11-06
Survey response — 12 months, dose 3
MedDRA: COVID-19, Sinusitis — Feeling: Good · 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: Covid, then, a few months later, a sinus infection

MedDRA releases: 2024-11 · check-in free text available
2022-11-06
Report sent to call center — 12 months, dose 3
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)
2022-11-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Moderna
2	2021-03-09	Moderna
3	2021-11-04	Pfizer-BioNTech	Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — day 7, dose 1

2021-02-16

Systemic reaction (other): Dizziness, brain fog, lack of appetite

Release 5 — days 1–6 daily, dose 2

2021-03-10

Systemic reaction (other): I actually received the J & J Janssen vaccine as my second dose bc I had trouble breathing after the first dose of Moderna. My symptoms just began this evening. a

2021-03-11

Systemic reaction (other): I received J & J Janssen for my second dose.

2021-03-14

Systemic reaction (other): I received the J & J Janssen as my second dose because I had trouble breathing after my first Moderna shot

2021-03-15

Systemic reaction (other): Just making sure you all remember that I received Janssen for my second dose instead of Moderna. The site doesn't give me the option to put in the correct vaccine.

Release 5 — day 7, dose 2

2021-03-16

Systemic reaction (other): I've felt a little off, usually in the evenings. Temp is higher in late afternoon\evening than earlier in the day. I did receive Janssen for my second dose instead of Moderna.

Release 7 — day 42, dose 2

2021-04-20

Symptoms: Sensitivity of the skin at the injection site. Slight amount of pain in muscle at injection site. Slight fatigue. These symptoms lasted a day.

Release 8 — 3 months, dose 2

2021-06-08

Symptoms: Respiratory illness currently, tested neg. for covid on 6_x0005_. Separately, a few weeks ago, I experienced a day of fatigue_x0007_chiness, including sore muscle & tender skin at injection site (after full recovery from vaccine side effects)

Release 10 — day 7, dose 3

2021-11-13

Systemic reaction (other): Asthma, dizziness, blurry vision

Release 10 — day 21, dose 3

2021-11-25

Symptoms: same symptoms but get better then worse. Overall improvement. Fatigue\sluggish, lack of appetite, asthma, feeling down, irritable, feeling a bit cold, dizziness, heart palpitations. Headaches improved, but still fogginess and head fullness.

Release 10 — day 28, dose 3

2021-12-08

Symptoms: Bit by cat on 12_x0006__x0011_ had to get tetanus shot. I've been extremely fatigued since. I've never had any such side effects from a tetanus shot in the past. I was just beginning to get some energy back from the covid booster.

Release 11 — 6 months, dose 3

2022-05-05

Symptoms: Bronchitis

Release 12 — 12 months, dose 3

2022-11-06

Symptoms: Covid, then, a few months later, a sinus infection

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	Brain fog	·	·	✓
SD	Bronchitis	·	·	✓
SD	COVID-19	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Depressed mood	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling cold	·	·	✓
SD	Head discomfort	·	·	✓
SD	Headache	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Irritability	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain of skin	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Respiratory disorder	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Sensitive skin	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Sluggishness	·	·	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Immunisation reaction	✓	✓	✓
SRO	Interchange of vaccine products	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Vision blurred	·	·	✓

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