57H-48168-95270

3 vaccinations 8 coded responses 25 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 245 / VA
Registered: 2021-04-02

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

2021-03-25
Dose 1 — Moderna
2021-04-02
Registered in v-safe
2021-04-02
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Survey response — day 14, dose 1
MedDRA: Abdominal discomfort, Blood pressure abnormal, Blood pressure fluctuation, Dizziness, Fatigue, Gastric disorder, Neck pain, Visual impairment — Feeling: Good · Be unable to do your normal daily activities

Free text: Neck ache, blood pressure irregularities, stomach problems, lower vision, dizziness, extreme fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 21, dose 1
MedDRA: Blood pressure abnormal, Dizziness, Unevaluable event, Vision blurred — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Dizziness, clouded vision, instable blood pressure · Healthcare visit (other): Will be going to an outpatient setting on Monday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Survey response — day 28, dose 1
MedDRA: Back pain, Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Back ache and head ache. Doctor warned I might have a stroke. Will not get the second vaccine. The first one ravaged my health. I am sure the CDC is hiding side effects.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Dose 2 — Moderna
2021-04-29
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Sweathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Limb discomfort — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Nervous feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Swelling · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea

Free text: Light headedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Moderna
Co-administered: Flu
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Light headedness

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — day 7, dose 3
MedDRA: Brain fog — Feeling: Fair · Site: Swelling, Itching · Headache, Fatigue or tiredness

Free text: Brain fog

MedDRA releases: 2024-11 · check-in free text available
2022-03-01
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna
2	2021-04-29	Moderna
3	2021-10-29	Moderna	Flu

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 7 — day 14, dose 1

2021-04-08

Symptoms: Neck ache, blood pressure irregularities, stomach problems, lower vision, dizziness, extreme fatigue

Release 7 — day 21, dose 1

2021-04-17

Symptoms: Dizziness, clouded vision, instable blood pressure

Healthcare visit (other): Will be going to an outpatient setting on Monday.

Release 7 — day 28, dose 1

2021-04-22

Symptoms: Back ache and head ache. Doctor warned I might have a stroke. Will not get the second vaccine. The first one ravaged my health. I am sure the CDC is hiding side effects.

Release 8 — days 1–6 daily, dose 2

2021-04-30

Systemic reaction (other): Sweathing

2021-05-02

Systemic reaction (other): Nervous feet

2021-05-03

Systemic reaction (other): Light headedness

Release 10 — days 1–6 daily, dose 3

2021-11-04

Systemic reaction (other): Light headedness

Release 10 — day 7, dose 3

2021-11-05

Systemic reaction (other): 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
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal discomfort	○	✓	○
SD	Back pain	✓	✓	✓
SD	Blood pressure abnormal	✓	✓	✓
SD	Blood pressure fluctuation	○	✓	○
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastric disorder	✓	·	✓
SD	Headache	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SD	Visual impairment	✓	✓	✓
SRO	Brain fog	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓

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