4XV-25096-03334

3 vaccinations 32 coded responses 42 check-ins 31 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 870 / NM
Registered: 2021-04-06

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

2021-04-06
Registered in v-safe
2021-04-06
Dose 1 — Moderna
2021-04-06
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lightheaded and slightly dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea haemorrhagic, Dizziness, Feeling abnormal — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Small amount of blood in diarrhea; lightheaded and foggy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Epistaxis — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness, Abdominal pain

Free text: Bloody nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Epistaxis — Feeling: Fair · Chills, Headache, Joint pains, Fatigue or tiredness, Abdominal pain

Free text: bloody nose, light

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Epistaxis — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Free text: light bloody nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Disturbance in attention, Dizziness — Feeling: Poor · Chills, Headache, Joint pains, Fatigue or tiredness

Free text: lightheaded, difficulty concentrating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 7, dose 1
MedDRA: Dizziness — Feeling: Poor · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 14, dose 1
MedDRA: Abdominal pain, Arthralgia, Chills, Diarrhoea, Dizziness, Fatigue, Headache — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Through Thursday chills, headache, fatigue, abdominal cramps, diarrhea, joint pain and lightheadedness continued in waves and I couldn't know from one day to the next how I would feel or for how long. Diarrhea coincided with onset of these waves

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-27
Survey response — day 21, dose 1
MedDRA: Abdominal pain, Chills, Diarrhoea, Fatigue, Headache, Heavy menstrual bleeding — Feeling: Good

Free text: One day of strong abdominal cramps and diarrhea that did not have a direct explanation; overall fatigue level, easy exhaustion, and headaches have been somewhat higher than normal, without explanation; unusually lengthy and heavy period

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-05-05
Dose 2 — Moderna
2021-05-05
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

Free text: Lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Disturbance in attention, Dizziness — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Lightheaded, difficult to concentrate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy, lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Lightheaded, slightly dizzy

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: Dizziness — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: slightly dizzy and lightheaded

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: Balance disorder, Dizziness, Epistaxis — Feeling: Poor · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizzy, loss of balance, nose bleed throughout the day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-12
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: lightheaded, slightly dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 14, dose 2
MedDRA: Back pain, Epistaxis, Fatigue, Headache, Neck pain — Feeling: Good

Free text: One nosebleed and overall above normal fatigue, headaches, neck/back pain

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
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-04
Survey response — 3 months, dose 2
MedDRA: Fatigue, Middle insomnia, Palpitations — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Unusual episode about a month or so ago: during the night I woke up with heart pounding strongly and extreme exhaustion and continued to feel exhausted for several days and it slowly improved. I am not sure of the cause, but I could not pinpoint it.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-05
Survey response — 6 months, dose 2
MedDRA: Fatigue, Hypothyroidism, Pain — 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

Free text: Hypothyroid diagnosis. Body pain widespread but mostly hips/thighs. Worsened fatigue.

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
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)
2021-11-10
Call 2 — Could Not Reach Participant
2021-11-15
Call 3 — Could Not Reach Participant
2022-01-20
Dose 3 — Moderna
2022-01-20
Survey response — day 0, dose 3
MedDRA: Adverse reaction — Feeling: Fair · Chills, Headache, Fatigue or tiredness

Free text: No, I had the shot 3 hours ago but some symptoms are starting

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Survey response — days 1–6 daily, dose 3
MedDRA: Disturbance in attention, Hyperhidrosis — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: sweating, difficulty concentrating

MedDRA releases: 2024-11 · check-in free text available
2022-01-22
Survey response — days 1–6 daily, dose 3
MedDRA: Burning sensation, Dizziness, Neuralgia, Paraesthesia — Feeling: Poor · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: nerve pain (burning and tingling); dizzy

MedDRA releases: 2024-11 · check-in free text available
2022-01-23
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness, Dyspepsia, Neuralgia, Respiratory tract congestion, Retching, Sinus pain — Feeling: Poor · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: nerve pain; indigestion; dry heaves; sinus pain and congestion; dizzy

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-25
Survey response — days 1–6 daily, dose 3
MedDRA: SARS-CoV-2 test, Sinus congestion, Sinus pain — Feeling: Poor · Site: Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: sinus pain and congestion; pending covid test

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-01-27
Survey response — day 7, dose 3
MedDRA: Respiratory tract congestion, SARS-CoV-2 test negative, Sinus pain — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: sinus pain, congestion; negative covid test

MedDRA releases: 2024-11 · check-in free text available
2022-02-05
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-02-10
Survey response — day 21, dose 3
MedDRA: Dizziness, Fatigue, Pre-existing disease, Wound haemorrhage — Feeling: Fair

Free text: Today I had easy bleeding of wounds on hands and have been lightheaded. Overall more fatigue than normal over the past few weeks.

MedDRA releases: 2024-11 · check-in free text available
2022-02-17
Survey response — day 28, dose 3
MedDRA: Arthralgia, Back pain, Fatigue, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increasing widespread pain in hip/low back/thigh areas. Fatigue levels consistently higher than normal.

MedDRA releases: 2024-11 · check-in free text available
2022-02-24
Survey response — day 35, dose 3
MedDRA: Arthralgia, Fatigue, Migraine, Pain in extremity, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Continued higher levels of pain in hips/thighs; more intense migraine than usual; overall more fatigue than usual.

MedDRA releases: 2024-11 · check-in free text available
2022-03-03
Survey response — day 42, dose 3
MedDRA: Epistaxis, Fatigue, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Nosebleeds pain fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Survey response — 3 months, dose 3
MedDRA: Flushing, Tinnitus — Feeling: Good

Free text: Whooshing sound in head (not constant or predictable); increased flushing not associated with blood pressure or mood but with slight exertion

MedDRA releases: 2024-11 · check-in free text available
2022-07-21
Survey response — 6 months, dose 3
MedDRA: Fatigue — Feeling: Good

Free text: fatigue

MedDRA releases: 2024-11 · check-in free text available
2023-01-20
Survey response — 12 months, dose 3
MedDRA: Burning sensation, Headache, Increased viscosity of upper respiratory secretion, Malaise, Pain, Paranasal sinus haemorrhage, Platelet count increased, Sinus disorder, Sinus pain, Sinusitis, Thrombosis — 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

MedDRA releases: 2024-11
2023-01-20
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)
2023-01-23
Call 1 — Left Voicemail
2023-01-23
Call 1 — Left Voicemail
2023-01-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Moderna
2	2021-05-05	Moderna
3	2022-01-20	Moderna	No

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-06

Systemic reaction (other): Lightheaded and slightly dizzy

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): Small amount of blood in diarrhea; lightheaded and foggy

2021-04-09

Systemic reaction (other): Bloody nose

2021-04-10

Systemic reaction (other): bloody nose, light

2021-04-11

Systemic reaction (other): light bloody nose

2021-04-12

Systemic reaction (other): lightheaded, difficulty concentrating

Release 7 — day 7, dose 1

2021-04-13

Systemic reaction (other): lightheaded

Release 7 — day 14, dose 1

2021-04-20

Symptoms: Through Thursday chills, headache, fatigue, abdominal cramps, diarrhea, joint pain and lightheadedness continued in waves and I couldn't know from one day to the next how I would feel or for how long. Diarrhea coincided with onset of these waves

Release 8 — day 21, dose 1

2021-04-27

Symptoms: One day of strong abdominal cramps and diarrhea that did not have a direct explanation; overall fatigue level, easy exhaustion, and headaches have been somewhat higher than normal, without explanation; unusually lengthy and heavy period

Release 8 — day 0, dose 2

2021-05-05

Systemic reaction (other): Lightheaded

Release 8 — days 1–6 daily, dose 2

2021-05-06

Systemic reaction (other): Lightheaded, difficult to concentrate

2021-05-07

Systemic reaction (other): Dizzy, lightheaded

2021-05-08

Systemic reaction (other): Lightheaded, slightly dizzy

2021-05-09

Systemic reaction (other): slightly dizzy and lightheaded

2021-05-10

Systemic reaction (other): Dizzy, loss of balance, nose bleed throughout the day

Release 8 — day 7, dose 2

2021-05-12

Systemic reaction (other): lightheaded, slightly dizzy

Release 8 — day 14, dose 2

2021-05-19

Symptoms: One nosebleed and overall above normal fatigue, headaches, neck/back pain

Release 9 — 3 months, dose 2

2021-08-04

Symptoms: Unusual episode about a month or so ago: during the night I woke up with heart pounding strongly and extreme exhaustion and continued to feel exhausted for several days and it slowly improved. I am not sure of the cause, but I could not pinpoint it. cut off by CDC

Release 10 — 6 months, dose 2

2021-11-05

Symptoms: Hypothyroid diagnosis. Body pain widespread but mostly hips/thighs. Worsened fatigue.

Release 10 — day 0, dose 3

2022-01-20

Systemic reaction (other): No, I had the shot 3 hours ago but some symptoms are starting

Release 10 — days 1–6 daily, dose 3

2022-01-21

Systemic reaction (other): sweating, difficulty concentrating

Release 11 — days 1–6 daily, dose 3

2022-01-22

Systemic reaction (other): nerve pain (burning and tingling); dizzy

2022-01-23

Systemic reaction (other): nerve pain; indigestion; dry heaves; sinus pain and congestion; dizzy

2022-01-25

Systemic reaction (other): sinus pain and congestion; pending covid test

Release 11 — day 7, dose 3

2022-01-27

Systemic reaction (other): sinus pain, congestion; negative covid test

Release 11 — day 21, dose 3

2022-02-10

Symptoms: Today I had easy bleeding of wounds on hands and have been lightheaded. Overall more fatigue than normal over the past few weeks.

Release 11 — day 28, dose 3

2022-02-17

Symptoms: Increasing widespread pain in hip/low back/thigh areas. Fatigue levels consistently higher than normal.

Release 11 — day 35, dose 3

2022-02-24

Symptoms: Continued higher levels of pain in hips/thighs; more intense migraine than usual; overall more fatigue than usual.

Release 11 — day 42, dose 3

2022-03-03

Symptoms: Nosebleeds pain fatigue

Release 11 — 3 months, dose 3

2022-04-22

Symptoms: Whooshing sound in head (not constant or predictable); increased flushing not associated with blood pressure or mood but with slight exertion

Release 12 — 6 months, dose 3

2022-07-21

Symptoms: fatigue

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	Abdominal pain	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Burning sensation	·	·	✓
SD	Chills	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Epistaxis	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Flushing	·	·	✓
SD	Headache	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Hypothyroidism	·	·	✓
SD	Increased viscosity of upper respiratory secretion	·	·	✓
SD	Malaise	·	·	✓
SD	Middle insomnia	✓	·	✓
SD	Migraine	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Palpitations	✓	·	✓
SD	Paranasal sinus haemorrhage	·	·	✓
SD	Platelet count increased	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Sinus disorder	·	·	✓
SD	Sinus pain	·	·	✓
SD	Sinusitis	·	·	✓
SD	Thrombosis	·	·	✓
SD	Tinnitus	·	·	✓
SD	Wound haemorrhage	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Balance disorder	✓	✓	✓
SRO	Burning sensation	·	·	✓
SRO	Diarrhoea haemorrhagic	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspepsia	·	·	✓
SRO	Epistaxis	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Neuralgia	·	·	✓
SRO	Paraesthesia	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Retching	·	·	✓
SRO	SARS-CoV-2 test	·	·	✓
SRO	SARS-CoV-2 test negative	·	·	✓
SRO	Sinus congestion	·	·	✓
SRO	Sinus pain	·	·	✓

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