4XK-29852-71204

2 vaccinations 13 coded responses 26 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 891 / NV
Registered: 2021-04-07

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

2021-04-07
Registered in v-safe
2021-04-07
Dose 1 — Moderna
2021-04-07
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Somnolence — Feeling: Poor · Site: Pain · Fever · Muscle or body aches · Be unable to do your normal daily activities

Free text: I feel sleepy and drained.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Hypertension — Feeling: Good · Site: Pain · Chills, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Higher blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — day 7, dose 1
Feeling: Good · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-21
Survey response — day 14, dose 1
MedDRA: Hypoaesthesia — Feeling: Good · Be unable to do your normal daily activities

Free text: Hand fell asleep on its own for no reason on Saturday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 21, dose 1
MedDRA: Nasal congestion, Sneezing — Feeling: Good

Free text: I experienced a stuffed nose and sneezing but not a cold or flu.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Dose 2 — Moderna
2021-05-05
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sniffles and runny nose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still a stuffy nose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion, Rhinorrhoea — Feeling: Good · Site: Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Stuffy nose that runs.

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

Free text: Stuffed nose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 7, dose 2
MedDRA: Nasal congestion — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 14, dose 2
MedDRA: Asthenia, Dizziness, Headache, Impaired healing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Im having daily headaches. My sores are healing slower. I almost passed out when taking a fasting blood test. I normally have no problem with any part of a blood test. I feel weaker overall after the second shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-16
Survey response — day 42, dose 2
MedDRA: Fatigue, Nasopharyngitis, Somnolence — Feeling: Good

Free text: Im getting cold symptoms daily now since the last check-in. Theyre not getting any better with time. I feel more tired and sleep more soundly at night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-04
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-05
Survey response — 12 months, dose 2
MedDRA: Choking — Feeling: Fair · 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: I choke on food and liquids a lot and no reason was found for it in a recent endoscopy.

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-06
Call 1 — Could Not Reach Participant
2022-05-11
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Moderna
2	2021-05-05	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): I feel sleepy and drained.

2021-04-09

Systemic reaction (other): Higher blood pressure

2021-04-12

Systemic reaction (other): Runny nose

Release 7 — day 14, dose 1

2021-04-21

Symptoms: Hand fell asleep on its own for no reason on Saturday.

Release 8 — day 21, dose 1

2021-04-28

Symptoms: I experienced a stuffed nose and sneezing but not a cold or flu.

Release 8 — days 1–6 daily, dose 2

2021-05-08

Systemic reaction (other): Sniffles and runny nose.

2021-05-09

Systemic reaction (other): Still a stuffy nose.

2021-05-10

Systemic reaction (other): Stuffy nose that runs.

2021-05-11

Systemic reaction (other): Stuffed nose.

Release 8 — day 7, dose 2

2021-05-12

Systemic reaction (other): Stuffy nose

Release 8 — day 14, dose 2

2021-05-19

Symptoms: Im having daily headaches. My sores are healing slower. I almost passed out when taking a fasting blood test. I normally have no problem with any part of a blood test. I feel weaker overall after the second shot.

Release 9 — day 42, dose 2

2021-06-16

Symptoms: Im getting cold symptoms daily now since the last check-in. Theyre not getting any better with time. I feel more tired and sleep more soundly at night.

Release 11 — 12 months, dose 2

2022-05-05

Symptoms: I choke on food and liquids a lot and no reason was found for it in a recent endoscopy.

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	Asthenia	✓	✓	✓
SD	Choking	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Impaired healing	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Somnolence	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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