4M2-16832-61789

2 vaccinations 15 coded responses 21 check-ins 15 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 950 / CA
Registered: 2021-02-05

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

2021-01-31
Dose 1 — Moderna
2021-02-05
Registered in v-safe
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-02-07
Survey response — day 7, dose 1
MedDRA: Dizziness, Feeling cold, Feeling hot, Malaise — Feeling: Good · Fever

Free text: unwell, lightheaded, but no specific symptoms, hot and cold but no fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — day 14, dose 1
MedDRA: Capillary fragility, Cough, Rhinorrhoea, Swelling of eyelid, Syncope — Feeling: Good

Free text: cough for 4days, runny nose, swollen under eyes, broken capillaries under eyes which bled when rubbed, faint

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-28
Dose 2 — Moderna
2021-02-28
Survey response — day 0, dose 2
MedDRA: Chest discomfort, Immediate post-injection reaction — Feeling: Good

Free text: Chest pressure immediately after vaccine lasted about 30 minutes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Balance disorder, Chest discomfort, Dysgeusia, Dyspnoea, Pain in extremity, Thirst — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Stabbing pain in legs and arms. Shortness of breath and pressure in chest. Weak with loss of balance. Extreme thirst.bad taste in mout.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Feeling abnormal, Glossodynia — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: dizzy, foggy. large sore on back of tongue . Conditions improved as the day progressed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Balance disorder, Decreased appetite, Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Weak would be a better description than tiredness. I feel faint and wobbly and a loss of appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Decreased appetite, Fatigue, Feeling abnormal, Syncope — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: The fatigue is more of a weakness and faint, foggy feeling. No appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Headache, Hyperhidrosis, Pyrexia — Feeling: Good · Site: Pain · Fever · Chills, Headache, Diarrhea

Free text: feverish while sleeping, chills and sweats and headache all gone by morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Bruxism, Chest discomfort, Discomfort, Syncope, Throat tightness, Tinnitus — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Weak, fainting, teeth clenching, ear ringing, heavy chest, tight throat, It feels like the reaction I have to certain drugs. Very uncomfortable.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — day 7, dose 2
MedDRA: Asthenia, Chest discomfort, Dyspnoea, Nasopharyngitis, Syncope, Thirst — Feeling: Fair · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Weakness, cold, faint, constant thirst..worst in mornings, pressure on chest, hard to take deep breath

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

Adult check-in
2021-03-22
Survey response — day 21, dose 2
MedDRA: Diarrhoea, Dizziness, Nausea, Syncope — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: nausea, diarrhea , extreme dizziness, faint

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — day 28, dose 2
Feeling: Good

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

Adult check-in
2021-04-11
Survey response — day 42, dose 2
MedDRA: Cardiac flutter, Diarrhoea, Fatigue, Hypersomnia, Immediate post-injection reaction, Syncope — Feeling: Good

Free text: diarrhea and extreme fatigue , heart flutters, faint. Extra sleep. Lasted 2 days.These symptoms are new, starting right after vaccine and intermittent since vaccine. I am very fit with no medical conditions and never sick in past. These are new.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Survey response — 3 months, dose 2
MedDRA: Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: Good

Free text: Woke up this morning with sore throat and runny nose for the first time in 2 years. Very mild cold symptoms. Spent the weekend with grandchildren.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-29
Survey response — 6 months, dose 2
MedDRA: Pyrexia, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Two incidents of fever at night. One night of vomiting and fever.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-28
Survey response — 12 months, dose 2
MedDRA: Office visit, Telemedicine, Vertigo — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: vertigo · Healthcare visit (other): Went to outpatient PCP but they saw me on FaceTime

MedDRA releases: 2024-11 · check-in free text available
2022-02-28
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-07
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-31	Moderna
2	2021-02-28	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — day 7, dose 1

2021-02-07

Systemic reaction (other): unwell, lightheaded, but no specific symptoms, hot and cold but no fever

Release 4 — day 14, dose 1

2021-02-15

Symptoms: cough for 4days, runny nose, swollen under eyes, broken capillaries under eyes which bled when rubbed, faint

Release 4 — day 0, dose 2

2021-02-28

Systemic reaction (other): Chest pressure immediately after vaccine lasted about 30 minutes

Release 4 — days 1–6 daily, dose 2

2021-03-01

Systemic reaction (other): Stabbing pain in legs and arms. Shortness of breath and pressure in chest. Weak with loss of balance. Extreme thirst.bad taste in mout.

2021-03-02

Systemic reaction (other): dizzy, foggy. large sore on back of tongue . Conditions improved as the day progressed.

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Weak would be a better description than tiredness. I feel faint and wobbly and a loss of appetite.

2021-03-04

Systemic reaction (other): The fatigue is more of a weakness and faint, foggy feeling. No appetite.

2021-03-05

Systemic reaction (other): feverish while sleeping, chills and sweats and headache all gone by morning

2021-03-06

Systemic reaction (other): Weak, fainting, teeth clenching, ear ringing, heavy chest, tight throat, It feels like the reaction I have to certain drugs. Very uncomfortable.

Release 5 — day 7, dose 2

2021-03-07

Systemic reaction (other): Weakness, cold, faint, constant thirst..worst in mornings, pressure on chest, hard to take deep breath

Release 6 — day 21, dose 2

2021-03-22

Symptoms: nausea, diarrhea , extreme dizziness, faint

Release 7 — day 42, dose 2

2021-04-11

Symptoms: diarrhea and extreme fatigue , heart flutters, faint. Extra sleep. Lasted 2 days.These symptoms are new, starting right after vaccine and intermittent since vaccine. I am very fit with no medical conditions and never sick in past. These are new.

Release 8 — 3 months, dose 2

2021-06-01

Symptoms: Woke up this morning with sore throat and runny nose for the first time in 2 years. Very mild cold symptoms. Spent the weekend with grandchildren.

Release 9 — 6 months, dose 2

2021-08-29

Symptoms: Two incidents of fever at night. One night of vomiting and fever.

Release 11 — 12 months, dose 2

2022-02-28

Symptoms: vertigo

Healthcare visit (other): Went to outpatient PCP but they saw me on FaceTime

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	·	·	✓
HCVO	Telemedicine	·	·	✓
SD	Capillary fragility	✓	✓	✓
SD	Cardiac flutter	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypersomnia	✓	✓	✓
SD	Immediate post-injection reaction	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pyrexia	✓	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Swelling of eyelid	✓	✓	✓
SD	Syncope	✓	✓	✓
SD	Vertigo	·	·	✓
SD	Vomiting	✓	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Bruxism	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Glossodynia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Syncope	✓	✓	✓
SRO	Thirst	✓	✓	✓
SRO	Throat tightness	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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