5JE-24553-52687

2 vaccinations 10 coded responses 23 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 293 / SC
Registered: 2021-05-17

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

Timeline

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

2021-05-17
Registered in v-safe
2021-05-17
Dose 1 — Moderna
2021-05-17
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-05-18
Survey response — days 1–6 daily, dose 1
MedDRA: Dry mouth, Paranasal sinus discomfort, Sinus pain — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Free text: Sinus pain/pressure and dry mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — days 1–6 daily, dose 1
MedDRA: Dry mouth — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: Dry mouth yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-24
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: Possible IBS flare

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-07
Survey response — day 21, dose 1
MedDRA: Arthralgia, Myalgia, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Shot arm was very sore muscles in it very sore some joints for sore the other day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Dose 2 — Moderna
2021-06-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-06-13
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Fatigue, Myalgia, Pyrexia — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Majority of fever, chills, tiredness & muscle pain was from 4pm yesterday until 8am today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain, Diarrhoea — Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: Moderate severe Abdominal cramping and diarrhea only lasted from 5 p.m. to 10 p.m. last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety — Feeling: Good · Site: Pain · Headache

Free text: My anxiety has been all over the place since Saturday night. Not sure it has anything to do with the shot or not

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-18
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-06-25
Survey response — day 14, dose 2
MedDRA: Anxiety, Ear infection, Ear pain — Feeling: Fair

Free text: My right ear is hurting last 24 hours like outer ear infection starting. Have had some bouts with my anxiety.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-09
Survey response — day 28, dose 2
MedDRA: Condition aggravated, Ear infection, Exposure to fungus, Mycotic allergy, Office visit, Paranasal sinus discomfort, Paranasal sinus hypersecretion, Pre-existing disease, Sinusitis, Throat irritation — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Developed an ear infection last week. And I was exposed to mold the other day so I think I'm starting with a sinus infection. I have sinus pressure & a little bit of drainage causing scratchy throat. I'm highly allergic to mold always get sick · Healthcare visit (other): Visit at my doctor's office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-15
Call 1 — Left Voicemail
2021-07-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-10
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-12-13
Survey response — 6 months, dose 2
MedDRA: Dysgeusia, Hyposmia, Insomnia, Parosmia, Taste disorder — Feeling: Fair

Free text: Insomnia issues, trouble sleeping. Still have Limited sense of smell and taste but my tastes are off, many things taste baby or I test chemicals or metal very strange thing smell weird it's not right.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-17	Moderna
2	2021-06-11	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-18

Systemic reaction (other): Sinus pain/pressure and dry mouth

2021-05-20

Systemic reaction (other): Dry mouth yesterday

Release 8 — day 7, dose 1

2021-05-24

Systemic reaction (other): Possible IBS flare

Release 8 — day 21, dose 1

2021-06-07

Symptoms: Shot arm was very sore muscles in it very sore some joints for sore the other day

Release 9 — days 1–6 daily, dose 2

2021-06-13

Systemic reaction (other): Majority of fever, chills, tiredness & muscle pain was from 4pm yesterday until 8am today

2021-06-14

Systemic reaction (other): Moderate severe Abdominal cramping and diarrhea only lasted from 5 p.m. to 10 p.m. last night

2021-06-15

Systemic reaction (other): My anxiety has been all over the place since Saturday night. Not sure it has anything to do with the shot or not

Release 9 — day 14, dose 2

2021-06-25

Symptoms: My right ear is hurting last 24 hours like outer ear infection starting. Have had some bouts with my anxiety.

Release 9 — day 28, dose 2

2021-07-09

Symptoms: Developed an ear infection last week. And I was exposed to mold the other day so I think I'm starting with a sinus infection. I have sinus pressure & a little bit of drainage causing scratchy throat. I'm highly allergic to mold always get sick

Healthcare visit (other): Visit at my doctor's office

Release 10 — 6 months, dose 2

2021-12-13

Symptoms: Insomnia issues, trouble sleeping. Still have Limited sense of smell and taste but my tastes are off, many things taste baby or I test chemicals or metal very strange thing smell weird it's not right.

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	Office visit	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Dysgeusia	·	·	✓
SD	Ear infection	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Exposure to fungus	✓	✓	✓
SD	Hyposmia	·	·	✓
SD	Insomnia	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Mycotic allergy	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Paranasal sinus hypersecretion	✓	✓	✓
SD	Parosmia	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Taste disorder	·	·	✓
SD	Throat irritation	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Sinus pain	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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