4ML-19949-85952

3 vaccinations 7 coded responses 17 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 468 / IN
Registered: 2021-05-27

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

2021-04-29
Dose 1 — Moderna
2021-05-27
Registered in v-safe
2021-05-27
Dose 2 — Moderna
2021-05-27
Survey response — day 0, dose 2
MedDRA: Immediate post-injection reaction, Musculoskeletal stiffness, Paraesthesia — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Within 20 minutes of the injection both sides of my face in the cheek area started to tingle and get stiff

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-06-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-03
Survey response — day 7, dose 2
MedDRA: Ageusia, Anosmia — Feeling: Good · Muscle or body aches

Free text: I experience today some loss of taste and smell but not as bad when I had actual Covid months ago but things dont smell exactly right and they dont taste exactly right

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-24
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-07-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-10
Survey response — day 42, dose 2
MedDRA: Brain fog, Fatigue, Myalgia — Feeling: Fair

Free text: Fatigue and some muscle aches and some mind fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-26
Survey response — 3 months, dose 2
MedDRA: Cough, Ear discomfort, Exposure to SARS-CoV-2, Nasal congestion, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Had a few days of Low grade fever, Stuffed nose and ear popping small cough after I was exposed to someone who had Covid

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-25
Survey response — 6 months, dose 2
MedDRA: Ageusia, Anosmia, Cough, Dysgeusia, Fatigue, Oropharyngeal pain, Parosmia, Sinus congestion — Feeling: Fair · 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, Emergency room or emergency department visit

Free text: Sore throat coughing sinus congestion fatigue Mild loss of taste and smell But not completely more like things tasted strangely or smelled strangely

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
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 · Emergency room or emergency department visit · 1 call case(s)
2022-01-13
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-03
Dose 3 — Moderna
2022-09-01
Survey response — 6 months, dose 3
MedDRA: Exposure to SARS-CoV-2, Malaise — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I was exposed to someone with Covid and I had mild symptoms in the days that followed

MedDRA releases: 2024-11 · check-in free text available
2022-09-01
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-02
Call 1 — Could Not Reach Participant
2022-09-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-03
Survey response — 12 months, dose 3
MedDRA: Ageusia, Anosmia, Cough, Diarrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-03-03
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

Emergency room or emergency department visit · 1 call case(s)
2023-03-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-29	Moderna
2	2021-05-27	Moderna
3	2022-03-03	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 8 — day 0, dose 2

2021-05-27

Systemic reaction (other): Within 20 minutes of the injection both sides of my face in the cheek area started to tingle and get stiff

Release 8 — day 7, dose 2

2021-06-03

Systemic reaction (other): I experience today some loss of taste and smell but not as bad when I had actual Covid months ago but things dont smell exactly right and they dont taste exactly right

Release 9 — day 42, dose 2

2021-07-10

Symptoms: Fatigue and some muscle aches and some mind fog

Release 9 — 3 months, dose 2

2021-08-26

Symptoms: Had a few days of Low grade fever, Stuffed nose and ear popping small cough after I was exposed to someone who had Covid

Release 10 — 6 months, dose 2

2021-11-25

Symptoms: Sore throat coughing sinus congestion fatigue Mild loss of taste and smell But not completely more like things tasted strangely or smelled strangely

Release 12 — 6 months, dose 3

2022-09-01

Symptoms: I was exposed to someone with Covid and I had mild symptoms in the days that followed

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	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Brain fog	✓	✓	✓
SD	Cough	✓	·	✓
SD	Diarrhoea	·	·	✓
SD	Dysgeusia	·	·	✓
SD	Ear discomfort	✓	·	✓
SD	Exposure to SARS-CoV-2	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Malaise	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	✓	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Parosmia	·	·	✓
SD	Pyrexia	✓	·	✓
SD	Sinus congestion	·	·	✓
SRO	Ageusia	✓	✓	✓
SRO	Anosmia	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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