53N-17301-29773

2 vaccinations 8 coded responses 17 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 537 / WI
Registered: 2021-03-23

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

2021-03-23
Registered in v-safe
2021-03-23
Dose 1 — Moderna
2021-03-23
Survey response — day 0, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness

Free text: (I may have already been fatigued)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: ( might always be fatigued)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Depressed mood — Feeling: Fair

Free text: Really depressed. But thats nothing new

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Survey response — day 14, dose 1
MedDRA: Chills, Fatigue, Herpes simplex, Pre-existing disease — Feeling: Poor · 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: Started having waves of intense chills and extreme fatigue on Sat (4/03/21). This has continued until today. Had temp of 99.8 this morning. Also,started a possible herpes simplex 2 outbreak (or its an outbreak of lichen planus or lichen sclerosis)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-16
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-20
Survey response — day 28, dose 1
MedDRA: Fatigue, Malaise — Feeling: Fair · Be unable to do your normal daily activities

Free text: My fatigue has been extreme since I got sick.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Dose 2 — Moderna
2021-04-29
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-07
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-12
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-21
Survey response — day 28, dose 2
MedDRA: Cough, Nasal congestion — Feeling: Poor

Free text: Feel like the onset of a cold coming on. Slight cough, congested nasal passages...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — day 35, dose 2
MedDRA: Cough, Respiratory tract congestion — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Very congested and have a bad cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-10-22
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-16
Call 1 — Left Voicemail
2022-04-21
Survey response — 12 months, dose 2
MedDRA: Brain fog, Contusion, Memory impairment — 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: Bruised ribs Possibly a cold Terrible memory issues Terrible brain fog

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Report sent to call center — 12 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)
2022-04-22
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Moderna
2	2021-04-21	Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-23

Systemic reaction (other): (I may have already been fatigued)

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): ( might always be fatigued)

2021-03-29

Systemic reaction (other): Really depressed. But thats nothing new

Release 7 — day 14, dose 1

2021-04-06

Symptoms: Started having waves of intense chills and extreme fatigue on Sat (4/03/21). This has continued until today. Had temp of 99.8 this morning. Also,started a possible herpes simplex 2 outbreak (or its an outbreak of lichen planus or lichen sclerosis)

Release 7 — day 28, dose 1

2021-04-20

Symptoms: My fatigue has been extreme since I got sick.

Release 8 — day 28, dose 2

2021-05-21

Symptoms: Feel like the onset of a cold coming on. Slight cough, congested nasal passages...

Release 8 — day 35, dose 2

2021-05-27

Symptoms: Very congested and have a bad cough

Release 11 — 12 months, dose 2

2022-04-21

Symptoms: Bruised ribs Possibly a cold Terrible memory issues Terrible brain fog

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	Chills	✓	✓	✓
SD	Contusion	·	·	✓
SD	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Herpes simplex	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Memory impairment	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Depressed mood	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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