5RL-33701-31876

4 vaccinations 13 coded responses 33 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 371 / TN
Registered: 2021-03-09

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

2021-03-09
Registered in v-safe
2021-03-09
Dose 1 — Moderna
2021-03-09
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: seemed a little light headed after the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper, Headache — Feeling: Good · Site: Pain · Headache, Abdominal pain

Free text: Slight headache today a little stomachache but doing good

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

Free text: Headache this morning I just didn't feel good but went away took a nap woke up feeling better overall no major issues so far hard to describe due to the fact I have another health issues going on to overall I think I have done well mild to moderate but doesn't last

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-06
Dose 2 — Moderna
2021-04-13
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-04
Survey response — day 28, dose 2
MedDRA: Cough, Fatigue — Feeling: Fair

Free text: Seems that since I got this last vaccinations I've been coughing more I have been very tired lately don't know if it's from the vaccine or some other cause

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — day 35, dose 2
MedDRA: Cough, Dyspnoea — Feeling: Fair

Free text: Coughing and shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-11
Survey response — 3 months, dose 2
MedDRA: Dyspnoea, Fatigue, Pulmonary function test decreased, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Lung capacity has dropped 15% since last year also had noticed breathing issues since last year although I have had issues in the past the drop seems rather drastic don't know if it has to do with vaccine or having to wear masks etc. · Healthcare visit (other): Breathing test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-27
Call 1 — Left Voicemail
2021-07-27
Call successful
Other
2021-10-05
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-28
Dose 3 — Moderna
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue, Pre-existing disease, Somnolence — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: Just very fatigued and tired all I want to do is sleep but when you've got as many health issues as I do it is hard to pinpoint where any of it is coming from these questions are very hard for me to answer

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-06
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-11-11
Survey response — day 14, dose 3
MedDRA: Asthenia, Fatigue, Headache, Hypersomnia, Oropharyngeal pain, Pain — Feeling: Fair

Free text: Headache slight sore throat tired and fatigued achiness sleep a lot no get-up-and-go

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-09
Survey response — day 42, dose 3
MedDRA: Dyspnoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tired and fatigued hard time breathing

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Survey response — 3 months, dose 3
MedDRA: Malaise, Office visit, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Was possibly exposed to several people with covid I was not feeling well off and on for several weeks did three test came up negative · Healthcare visit (other): Went to my PCP

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-28
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-06
Dose 4 — Moderna
2022-04-18
Survey response — day 7, dose 4
MedDRA: Dizziness, Headache, Nausea — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe dizziness with nausea headache

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Health check-in — day 14, dose 4
Feeling: Poor

Adult check-in
2022-04-27
Survey response — day 21, dose 4
MedDRA: Chest discomfort, Dizziness, Dyspnoea, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shortness of breath tightness in chest dizziness has faded headaches better

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-11
Survey response — day 35, dose 4
MedDRA: Dyspnoea, Feeling abnormal — Feeling: Fair · Be unable to do your normal daily activities

Free text: Just overall don't feel good been having shortness of breath

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-06	Moderna
3	2021-10-28	Moderna	No
4	2022-04-06	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-09

Systemic reaction (other): seemed a little light headed after the shot

Release 5 — days 1–6 daily, dose 1

2021-03-10

Systemic reaction (other): Slight headache today a little stomachache but doing good

2021-03-11

Systemic reaction (other): Headache this morning I just didn't feel good but went away took a nap woke up feeling better overall no major issues so far hard to describe due to the fact I have another health issues going on to overall I think I have done well mild to moderate but doesn't last

Release 8 — day 28, dose 2

2021-05-04

Symptoms: Seems that since I got this last vaccinations I've been coughing more I have been very tired lately don't know if it's from the vaccine or some other cause

Release 8 — day 35, dose 2

2021-05-11

Symptoms: Coughing and shortness of breath

Release 9 — 3 months, dose 2

2021-07-11

Symptoms: Lung capacity has dropped 15% since last year also had noticed breathing issues since last year although I have had issues in the past the drop seems rather drastic don't know if it has to do with vaccine or having to wear masks etc.

Healthcare visit (other): Breathing test

Release 10 — days 1–6 daily, dose 3

2021-11-02

Systemic reaction (other): Just very fatigued and tired all I want to do is sleep but when you've got as many health issues as I do it is hard to pinpoint where any of it is coming from these questions are very hard for me to answer

Release 10 — day 14, dose 3

2021-11-11

Symptoms: Headache slight sore throat tired and fatigued achiness sleep a lot no get-up-and-go

Release 10 — day 42, dose 3

2021-12-09

Symptoms: Tired and fatigued hard time breathing

Release 11 — 3 months, dose 3

2022-01-27

Symptoms: Was possibly exposed to several people with covid I was not feeling well off and on for several weeks did three test came up negative

Healthcare visit (other): Went to my PCP

Release 11 — day 7, dose 4

2022-04-18

Systemic reaction (other): Severe dizziness with nausea headache

Release 11 — day 21, dose 4

2022-04-27

Symptoms: Shortness of breath tightness in chest dizziness has faded headaches better

Release 11 — day 35, dose 4

2022-05-11

Symptoms: Just overall don't feel good been having shortness of breath

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	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Cough	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	·	·	✓
SD	Headache	·	·	✓
SD	Hypersomnia	·	·	✓
SD	Malaise	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pulmonary function test decreased	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Nausea	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Somnolence	·	·	✓

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