5SN-53144-26329

4 vaccinations 16 coded responses 51 check-ins 16 free-text entries 5 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 282 / NC
Registered: 2021-03-08

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

2021-03-07
Dose 1 — Moderna
2021-03-08
Registered in v-safe
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspepsia, Sensation of foreign body — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Abdominal pain

Free text: Indigestion. Feels like a golf ball is stuck in my throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Pharyngeal swelling — Feeling: Good

Free text: Swollen throat. Has come and gone since receiving shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Gastrooesophageal reflux disease — Feeling: Good

Free text: Continued feeling of reflux which started after receiving shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — day 7, dose 1
MedDRA: Dyspepsia — Feeling: Good

Free text: Continued indigestion since receiving shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-28
Survey response — day 21, dose 1
MedDRA: Condition aggravated, Gastrooesophageal reflux disease, Pre-existing disease — Feeling: Fair

Free text: Continued problems with Gerd since vaccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Dose 2 — Moderna
2021-04-04
Health check-in — day 0, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspepsia, Sensation of foreign body — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Heartburn, feeling of something lodged in my throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Gastrooesophageal reflux disease — Feeling: Fair · Site: Swelling · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Acid reflux

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Gastrooesophageal reflux disease — Feeling: Fair

Free text: Acid reflux

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

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Gastrooesophageal reflux disease — Feeling: Fair

Free text: Acid reflux

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-02
Survey response — day 28, dose 2
MedDRA: Gastrooesophageal reflux disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Reflux

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-04
Survey response — 3 months, dose 2
MedDRA: Brain fog — Feeling: Fair

Free text: Brain fog. Difficulty searching for words at times

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-03
Survey response — 6 months, dose 2
MedDRA: Abdominal distension, Brain fog, Diarrhoea, Gastrointestinal disorder — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Continuing Gastrointestinal issues (ie.diarrhea and bloating )and brain fog.

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-08
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-10-08
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-10-08
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-27
Dose 3 — Moderna
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-03
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-26
Survey response — 3 months, dose 3
MedDRA: Cough, Headache, Sinus congestion — Feeling: Fair

Free text: Headache, coughing, sinus congestion

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Survey response — 6 months, dose 3
MedDRA: Sinusitis — Feeling: Good · 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

Free text: 3 sinus infections

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-28
Call 1 — Left Voicemail
2022-06-01
Dose 4 — Moderna
2022-06-01
Health check-in — day 0, dose 4
Feeling: Good · Site: Redness · Headache

Adult check-in
2022-06-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Diarrhea

Adult check-in
2022-06-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-06-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-06-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-06-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-06-08
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-15
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-13
Survey response — day 42, dose 4
MedDRA: Cough, Headache, Rhinorrhoea — Feeling: Fair

Free text: Cough Running nose Headache

MedDRA releases: 2024-11 · check-in free text available
2022-09-04
Survey response — 3 months, dose 4
MedDRA: Bronchitis, Cough, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Cough, sinus infection, bronchitis

MedDRA releases: 2024-11 · check-in free text available
2022-09-04
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-09-06
Call 2 — Left Voicemail
2022-09-06
Call 1 — Left Voicemail
2022-11-30
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-06-01
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-07	Moderna
2	2021-04-04	Moderna
3	2021-10-27	Moderna	No
4	2022-06-01	Moderna	No

Call center

5 call center cases

3 successful · 2 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): Indigestion. Feels like a golf ball is stuck in my throat.

2021-03-12

Systemic reaction (other): Swollen throat. Has come and gone since receiving shot.

2021-03-13

Systemic reaction (other): Continued feeling of reflux which started after receiving shot

Release 5 — day 7, dose 1

2021-03-14

Systemic reaction (other): Continued indigestion since receiving shot

Release 6 — day 21, dose 1

2021-03-28

Symptoms: Continued problems with Gerd since vaccination

Release 6 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): Heartburn, feeling of something lodged in my throat.

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): Acid reflux

2021-04-08

Systemic reaction (other): Acid reflux

2021-04-10

Systemic reaction (other): Acid reflux

Release 8 — day 28, dose 2

2021-05-02

Symptoms: Reflux

Release 9 — 3 months, dose 2

2021-07-04

Symptoms: Brain fog. Difficulty searching for words at times

Release 9 — 6 months, dose 2

2021-10-03

Symptoms: Continuing Gastrointestinal issues (ie.diarrhea and bloating )and brain fog.

Release 11 — 3 months, dose 3

2022-01-26

Symptoms: Headache, coughing, sinus congestion

Release 11 — 6 months, dose 3

2022-04-27

Symptoms: 3 sinus infections

Release 12 — day 42, dose 4

2022-07-13

Symptoms: Cough Running nose Headache

Release 12 — 3 months, dose 4

2022-09-04

Symptoms: Cough, sinus infection, bronchitis

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	Abdominal distension	·	·	✓
SD	Brain fog	✓	✓	✓
SD	Bronchitis	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Headache	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Gastrooesophageal reflux disease	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓
SRO	Sensation of foreign body	✓	✓	✓

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