54M-14025-71999

2 vaccinations 10 coded responses 24 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 481 / MI
Registered: 2021-03-20

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

2021-03-19
Dose 1 — Moderna
2021-03-20
Registered in v-safe
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Ringing in my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Hypersomnia — Feeling: Good

Free text: No, i slept 12 hours last night, highly unusual was shocked, but feel great today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Survey response — day 14, dose 1
MedDRA: Fatigue, Hypersomnia, Lymphadenopathy, Oropharyngeal pain, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Friday day 7, had on/off feelings of fever but did temp only 97.5. Achey, slight sore throat/swollen glands and sudden fatigue. Slept 12 hours straight highly unusual. Was fine next day. Would come and every 2 hours so ignored it, then hit harder 7pm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 21, dose 1
MedDRA: Eye pain, Eyelid irritation, Fatigue, Somnolence, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Unusual: tues sharp pain in eyeball then woke with slightly droopy eye wed, Friday sudden extreme fatigue, had coffee..didnt help, literally couldnt keep eyes open, laid down for a secondwoke 4 hours later (3 pm to 7 pm). I dont nap, very heal · Healthcare visit (other): Dr wants to see me in person on monday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — day 21, 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
Dose 2 — Moderna
2021-04-16
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Slightly dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Photophobia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Eyes sensitive to light

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: I would like to note my birthday on this is incorrect. It says (b)(6)/63 and it is(b)(6)/63. I tried to edit but it does not allow it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — day 28, dose 2
MedDRA: Cough, Lymphadenopathy, Malaise, Office visit, Oropharyngeal pain, Pre-existing disease, Respiratory tract congestion, SARS-CoV-2 test negative, Self-medication — 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: May 7th started feeling sick with swollen glands, sore throat that got continually worse, with congestion, coughing fits ..no fever. (Not allergies i take allegra). Negative covid test/rx for amox at urgent care on 12th.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-24
Survey response — day 35, dose 2
MedDRA: Cough, Wheezing — Feeling: Fair

Free text: Feels like deep almost whooping cough is starting to develop in right lung. Breating deep i hear a little wheeze.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 42, dose 2
MedDRA: Cough, Energy increased, Headache, Lethargy, Oropharyngeal pain, Parosmia, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities

Free text: Sore throat, headache, deep cough as if coming from lungs, lethargic. Decreased sense of smell. No change in taste. Covid test on wed 5/26 negative. Thursday improved, friday 5/28 occas slight cough. Much better. More energy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-01
Call 1 — Left Voicemail
2022-04-18
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Moderna
2	2021-04-16	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 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Ringing in my ears

2021-03-21

Systemic reaction (other): No, i slept 12 hours last night, highly unusual was shocked, but feel great today.

Release 6 — day 14, dose 1

2021-04-02

Symptoms: Friday day 7, had on/off feelings of fever but did temp only 97.5. Achey, slight sore throat/swollen glands and sudden fatigue. Slept 12 hours straight highly unusual. Was fine next day. Would come and every 2 hours so ignored it, then hit harder 7pm cut off by CDC

Release 7 — day 21, dose 1

2021-04-09

Symptoms: Unusual: tues sharp pain in eyeball then woke with slightly droopy eye wed, Friday sudden extreme fatigue, had coffee..didnt help, literally couldnt keep eyes open, laid down for a secondwoke 4 hours later (3 pm to 7 pm). I dont nap, very heal

Healthcare visit (other): Dr wants to see me in person on monday

Release 7 — day 0, dose 2

2021-04-16

Systemic reaction (other): Slightly dizzy

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Eyes sensitive to light

2021-04-18

Systemic reaction (other): I would like to note my birthday on this is incorrect. It says (b)(6)/63 and it is(b)(6)/63. I tried to edit but it does not allow it.

redacted (b)(6)

Release 8 — day 28, dose 2

2021-05-14

Symptoms: May 7th started feeling sick with swollen glands, sore throat that got continually worse, with congestion, coughing fits ..no fever. (Not allergies i take allegra). Negative covid test/rx for amox at urgent care on 12th.

Release 8 — day 35, dose 2

2021-05-24

Symptoms: Feels like deep almost whooping cough is starting to develop in right lung. Breating deep i hear a little wheeze.

Release 8 — day 42, dose 2

2021-05-28

Symptoms: Sore throat, headache, deep cough as if coming from lungs, lethargic. Decreased sense of smell. No change in taste. Covid test on wed 5/26 negative. Thursday improved, friday 5/28 occas slight cough. Much better. More energy.

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	Unevaluable event	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Energy increased	✓	✓	✓
SD	Eye pain	✓	✓	✓
SD	Eyelid irritation	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersomnia	✓	✓	✓
SD	Lethargy	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Parosmia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Somnolence	✓	✓	✓
SD	Wheezing	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Photophobia	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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