5CQ-18444-37435

2 vaccinations 11 coded responses 23 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 553 / MN
Registered: 2021-03-27

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-27
Registered in v-safe
2021-03-27
Dose 1 — Moderna
2021-03-27
Survey response — day 0, dose 1
MedDRA: Dyspepsia — Feeling: Fair · Diarrhea

Free text: Heartburn

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good · Diarrhea

Free text: Tinnitus seems worst

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea

Adult check-in
2021-04-03
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-10
Survey response — day 14, dose 1
MedDRA: Dizziness, Feeling abnormal, Myalgia — Feeling: Fair

Free text: Muscles pain, brain fog and dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-25
Dose 2 — Moderna
2021-04-25
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Diarrhea

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · 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, Emergency room or emergency department visit

Free text: The reason behind this was I was mistakenly given double dose of my second vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — days 1–6 daily, dose 2
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)
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work

Adult check-in
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Vertigo — Feeling: Poor · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Worst vertigo and difficulty sleeping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — days 1–6 daily, dose 2
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)
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea

Free text: Trouble sleeping at night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-09
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-16
Survey response — day 21, dose 2
MedDRA: Headache, Vision blurred — Feeling: Fair

Free text: Lingering Headache and blurry vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-01
Survey response — day 35, dose 2
MedDRA: Vision blurred — Feeling: Fair

Free text: Eyesight seems blurry than usual.

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

Adult check-in
2021-07-25
Survey response — 3 months, dose 2
MedDRA: Dizziness, Headache, Myalgia, Neck pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lightheadedness, muscle pain, headache, and neck pain. I

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-24
Survey response — 6 months, dose 2
MedDRA: Bronchitis, Dizziness, Fatigue — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Dizziness and fatigue and had acute bronchitis

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-10-25
Call 1 — Left Voicemail
2021-10-25
Call 1 — Left Voicemail
2021-10-25
Call 1 — Left Voicemail
2022-04-25
Survey response — 12 months, dose 2
MedDRA: COVID-19 — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Had covid (omicron).

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-27
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Moderna
2	2021-04-25	Moderna

Call center

4 call center cases

4 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-27

Systemic reaction (other): Heartburn

Release 6 — days 1–6 daily, dose 1

2021-03-28

Systemic reaction (other): Tinnitus seems worst

Release 7 — day 14, dose 1

2021-04-10

Symptoms: Muscles pain, brain fog and dizziness.

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): The reason behind this was I was mistakenly given double dose of my second vaccine

2021-04-30

Systemic reaction (other): Worst vertigo and difficulty sleeping

2021-05-01

Systemic reaction (other): Trouble sleeping at night

Release 8 — day 21, dose 2

2021-05-16

Symptoms: Lingering Headache and blurry vision

Release 8 — day 35, dose 2

2021-06-01

Symptoms: Eyesight seems blurry than usual.

Release 9 — 3 months, dose 2

2021-07-25

Symptoms: Lightheadedness, muscle pain, headache, and neck pain. I

Release 10 — 6 months, dose 2

2021-10-24

Symptoms: Dizziness and fatigue and had acute bronchitis

Release 11 — 12 months, dose 2

2022-04-25

Symptoms: Had covid (omicron).

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	Bronchitis	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Neck pain	✓	·	✓
SD	Vision blurred	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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