5QK-30654-77847

4 vaccinations 10 coded responses 52 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 21-25
ZIP prefix: 843 / UT
Registered: 2021-01-04

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

2021-01-04
Registered in v-safe
2021-01-04
Dose 1 — Moderna
2021-01-04
Survey response — day 0, dose 1
MedDRA: Chest pain, Dyspnoea, Fatigue, Headache, Pain, Pre-existing disease — Feeling: Fair · Headache, Fatigue or tiredness

Free text: I'm a COVID â€œlong haulerâ€ (confirmed case July 21), so headache, fatigue, body aches, chest pain, shortness of breath, etc, are kind of the norm. I'll make note if it's worse than normal going forward

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Nightmare — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Free text: I had nightmares last night that felt similar to the nightmares I had during my actual COVID infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Note: I think it's just a bad long hauler day. I don't think it's related to the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-11
Survey response — day 7, dose 1
MedDRA: No adverse event — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: I think it's just a bad long-hauler day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-25
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-01
Dose 2 — Moderna
2021-02-01
Survey response — day 0, dose 2
MedDRA: Fatigue, Headache — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Im a COVID long-hauler with dysautonomia from it. Im always fatigued and usually have a headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-02-08
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-02-15
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-08
Survey response — day 35, dose 2
MedDRA: Breakthrough COVID-19, Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Had a bad flare up of my PASC (long haul/post covid) symptoms last week. Unlikely from the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 42, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Had a bad PASC relapse the past week or two

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-02
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-20
Dose 3 — Pfizer-BioNTech
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-23
Survey response — days 1–6 daily, dose 3
MedDRA: Condition aggravated, Dizziness, Pre-existing disease — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness

Free text: Insane dizziness last night, though I do have POTS from long covid

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-12-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-26
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site bruising — Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tiredness

Free text: Injection site appears bruised today

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Health check-in — day 7, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-01-03
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-10
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-17
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-24
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-31
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-21
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-06-20
Health check-in — 6 months, dose 3
Feeling: Poor

Adult check-in
2022-10-27
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-10-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-10-31
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2022-11-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-11-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2022-11-03
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-11-10
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-11-17
Survey response — day 21, dose 4
MedDRA: Migraine, Pre-existing disease, Unevaluable event — 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: Symptoms: Major increase in migraine frequency. Probably not related to the vaccine. · Healthcare visit (other): Appointment is actually scheduled for Friday and hasn't happened yet.

MedDRA releases: 2024-11 · check-in free text available
2022-11-17
Report sent to call center — day 21, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-24
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-12-01
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-12-08
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-01-28
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-04-27
Health check-in — 6 months, dose 4
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Moderna
2	2021-02-01	Moderna
3	2021-12-20	Pfizer-BioNTech	No
4	2022-10-27	Pfizer-BioNTech	Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-04

Systemic reaction (other): I'm a COVID â€œlong haulerâ€ (confirmed case July 21), so headache, fatigue, body aches, chest pain, shortness of breath, etc, are kind of the norm. I'll make note if it's worse than normal going forward

Release 1 — days 1–6 daily, dose 1

2021-01-05

Systemic reaction (other): I had nightmares last night that felt similar to the nightmares I had during my actual COVID infection

2021-01-07

Systemic reaction (other): Note: I think it's just a bad long hauler day. I don't think it's related to the vaccine

Release 1 — day 7, dose 1

2021-01-11

Systemic reaction (other): I think it's just a bad long-hauler day.

Release 3 — day 0, dose 2

2021-02-01

Systemic reaction (other): Im a COVID long-hauler with dysautonomia from it. Im always fatigued and usually have a headache

Release 5 — day 35, dose 2

2021-03-08

Symptoms: Had a bad flare up of my PASC (long haul/post covid) symptoms last week. Unlikely from the vaccine

Release 5 — day 42, dose 2

2021-03-17

Symptoms: Had a bad PASC relapse the past week or two

Release 10 — days 1–6 daily, dose 3

2021-12-23

Systemic reaction (other): Insane dizziness last night, though I do have POTS from long covid

2021-12-26

Systemic reaction (other): Injection site appears bruised today

Release 12 — day 21, dose 4

2022-11-17

Symptoms: Major increase in migraine frequency. Probably not related to the vaccine.

Healthcare visit (other): Appointment is actually scheduled for Friday and hasn't happened yet.

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	Breakthrough COVID-19	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Migraine	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Condition aggravated	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site bruising	·	·	✓
SRO	Nightmare	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	○	○	○

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