5B4-16118-70705

2 vaccinations 12 coded responses 25 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 070 / NJ
Registered: 2021-01-22

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Hypersomnia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Slept for 20hrs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Headache — Feeling: Good

Free text: Headache and fatigue but is ongoing not due to vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-19
Dose 2 — Moderna
2021-02-19
Survey response — day 0, dose 2
MedDRA: Pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Body pain may be from shoveling last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Severe night time leg cramps / charley horse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease, Psoriasis — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: Pre existing psoriasis has flared upsince injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease, Psoriasis — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Psoriasis flare

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-05
Survey response — day 14, dose 2
MedDRA: Dizziness, Fatigue, Feeling abnormal, Impaired work ability — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Not sure if related to shot or ongoing issues. But extreme fatigue, dizziness, brain fog Wednesday, Thursday and today. Missed work Wednesday and Thursday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 21, dose 2
MedDRA: Dizziness, Fatigue, Migraine — Feeling: Good

Free text: Mid week experienced 2 days with migraine dizziness fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — day 28, dose 2
MedDRA: Dizziness, Migraine, Pre-existing disease — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Ongoing neuro stuff. Dizziness migraines probably unrelated to vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 35, dose 2
MedDRA: Fatigue, Malaise — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue and malaise probably unrelated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-21
Survey response — 3 months, dose 2
MedDRA: Nervous system disorder, Neuropathy peripheral — 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: Neuro issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-20
Survey response — 6 months, dose 2
MedDRA: Intracranial pressure increased — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Intercranial hypertension

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
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

1 call case(s)
2021-08-24
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-19
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-19	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Slept for 20hrs

2021-01-25

Systemic reaction (other): Headache and fatigue but is ongoing not due to vaccine

Release 4 — day 0, dose 2

2021-02-19

Systemic reaction (other): Body pain may be from shoveling last night

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): Severe night time leg cramps / charley horse

2021-02-22

Systemic reaction (other): Pre existing psoriasis has flared upsince injection

2021-02-23

Systemic reaction (other): Psoriasis flare

Release 5 — day 14, dose 2

2021-03-05

Symptoms: Not sure if related to shot or ongoing issues. But extreme fatigue, dizziness, brain fog Wednesday, Thursday and today. Missed work Wednesday and Thursday

Release 5 — day 21, dose 2

2021-03-12

Symptoms: Mid week experienced 2 days with migraine dizziness fatigue

Release 6 — day 28, dose 2

2021-03-21

Symptoms: Ongoing neuro stuff. Dizziness migraines probably unrelated to vaccine

Release 6 — day 35, dose 2

2021-03-26

Symptoms: Fatigue and malaise probably unrelated

Release 8 — 3 months, dose 2

2021-05-21

Symptoms: Neuro issues

Release 9 — 6 months, dose 2

2021-08-20

Symptoms: Intercranial hypertension

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	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Intracranial pressure increased	✓	·	✓
SD	Malaise	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nervous system disorder	·	·	✓
SD	Neuropathy peripheral	✓	✓	○
SD	Pre-existing disease	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Psoriasis	✓	✓	✓

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