5UV-17672-80059

2 vaccinations 5 coded responses 20 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 532 / WI
Registered: 2021-04-04

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

Timeline

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

2021-04-03
Dose 1 — Moderna
2021-04-04
Registered in v-safe
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Ageusia, Anosmia — Feeling: Fair · Site: Redness, Swelling, Itching · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Some loss of taste and smell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Parosmia, Taste disorder — Feeling: Good · Site: Swelling, Itching · Joint pains

Free text: My sense of smell and taste are. Improved today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Joint pains, Muscle or body aches

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-17
Survey response — day 14, dose 1
MedDRA: Rash — Feeling: Fair

Free text: Rash on upper arms, chest, lymph nodes yesterday. It is gone today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-01
Dose 2 — Moderna
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-05-08
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Joint pains, Rash, not including the immediate area around the injection site

Adult check-in
2021-05-18
Survey response — day 14, dose 2
MedDRA: Unevaluable event — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visit

Free text: I have a spring flu, cold. Probably not related to the covid vaccine. My hubby had the flu and tested negative for covid. Now that restrictions are loosened, olds and the flu are active in the (b)(6) area in WI. Symtoms last about a week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — day 14, 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)
2021-05-22
Survey response — day 21, dose 2
MedDRA: Influenza, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work, 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: I am still recovering from the late spring flu from last week. I tested negative from covid last week. This is unrelated to the covid vaccine. My husband and son also had the flu and also tested negative from covid.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Report sent to call center — day 21, 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)
2021-05-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-09
Call 1 — Left Voicemail
2022-05-04
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-03	Moderna
2	2021-05-01	Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-05

Systemic reaction (other): Some loss of taste and smell

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): My sense of smell and taste are. Improved today.

Release 7 — day 14, dose 1

2021-04-17

Symptoms: Rash on upper arms, chest, lymph nodes yesterday. It is gone today.

Release 8 — day 14, dose 2

2021-05-18

Symptoms: I have a spring flu, cold. Probably not related to the covid vaccine. My hubby had the flu and tested negative for covid. Now that restrictions are loosened, olds and the flu are active in the (b)(6) area in WI. Symtoms last about a week.

redacted (b)(6)

Release 8 — day 21, dose 2

2021-05-22

Symptoms: I am still recovering from the late spring flu from last week. I tested negative from covid last week. This is unrelated to the covid vaccine. My husband and son also had the flu and also tested negative from covid.

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	Influenza	✓	✓	✓
SD	Rash	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Ageusia	✓	✓	✓
SRO	Anosmia	✓	✓	✓
SRO	Parosmia	✓	✓	✓
SRO	Taste disorder	✓	✓	✓

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