5VH-25035-75000

3 vaccinations 18 coded responses 27 check-ins 17 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 449 / OH
Registered: 2021-08-30

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

2021-08-17
Dose 1 — Moderna
2021-08-30
Registered in v-safe
2021-08-30
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-09-02
Survey response — day 14, dose 1
MedDRA: Condition aggravated, Headache, Lymphadenopathy, Nausea, Pain, Pre-existing disease, Unemployment — Feeling: Good

Free text: I have had some headache, mild nausea, aches, swollen lymph nodes, and flare of my CFS and POTS symptoms. They were manageable at home with lying flat and resting extra, etc. symptoms have now subsided. I was already unable to work due to these.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-07
Survey response — day 21, dose 1
MedDRA: Fatigue, Paranasal sinus hypersecretion, Pyrexia, Sinus congestion — Feeling: Good

Free text: Had a fever and some excess sinus congestion/drainage with fatigue.

MedDRA releases: 2024-11 · check-in free text available
2021-09-14
Survey response — day 28, dose 1
MedDRA: Diarrhoea, Dysmenorrhoea, Insomnia, Mobility decreased, Pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worsened and intense menstrual cramps that hindered sleep. Intense Pain radiating throughout the whole body at about an 8.5 on pain scale. Also some mild fever and diarrhea. Had to spend one day basically in bed, due to pain and lack of sleep.

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Dose 2 — Moderna
2021-09-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-19
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphoedema, Paranasal sinus discomfort, Upper-airway cough syndrome — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sinus pressure/lymph drainage/post-nasal drip

MedDRA releases: 2024-11 · check-in free text available
2021-09-21
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia, Taste disorder — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Abnormal tastealmost sour and bitter combined

MedDRA releases: 2024-11 · check-in free text available
2021-09-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-24
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-10-01
Survey response — day 14, dose 2
MedDRA: Brain fog, Cognitive disorder, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Persisting Fatigue and cognitive fatigue/brain fogToday is a little bit better

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Survey response — day 21, dose 2
MedDRA: Condition aggravated, Dysstasia, Heavy menstrual bleeding, Loss of personal independence in daily activities, Malaise, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: My pre-existing conditions of POTS and ME/CFS seem to be flared at the moment since the second dose. Post-exertion Malaise and more difficulty standing impacting my daily activities, and varies from day to day. Also more heavy menstrual/big clots.

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-10-22
Survey response — day 35, dose 2
MedDRA: Impaired driving ability, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: Daytime sleepiness, that sometimes makes me nervous to drive, having to ask others to drive me at certain times. I will talk to my dr soon about this.

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — day 42, dose 2
MedDRA: Brain fog, Chills, Cough, Diarrhoea, Dyspnoea, Fatigue, Infection, Medical counselling, Nausea, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test, SARS-CoV-2 test negative, Somnolence, Upper-airway cough syndrome — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Aches, nausea, diarrhea, fever, chills, post-nasal drip, cough, congestion, shortness of breath, (all from new onset infectioncovid test negative) fatigue, daytime sleepiness, brain fog still following 2nd dose moderna · Healthcare visit (other): Call to nurse line and covid test at hospital

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Report sent to call center — day 42, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-11-04
Call 3 — Left Voicemail
2021-12-17
Survey response — 3 months, dose 2
MedDRA: Dysphagia, Dysphonia, Illness, Infection, Obstructive airways disorder, SARS-CoV-2 test negative — Feeling: Fair

Free text: Had an infection but tested negative for Covid. During the illness I began to feel like something in my throat was blocking my airway. That faded, but have continued to have more difficulty with swallowing, and also hoarseness has remained.

MedDRA releases: 2024-11 · check-in free text available
2022-03-23
Dose 3 — Moderna
2022-03-23
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-23
Survey response — day 0, dose 3
MedDRA: Blepharospasm, Increased upper airway secretion, Lymph node pain, Ocular hyperaemia, Upper-airway cough syndrome — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Tender lymph nodes, red eyes, eyelid muscle twitches, thickened steady post-nasal drip

MedDRA releases: 2024-11 · check-in free text available
2022-03-24
Survey response — days 1–6 daily, dose 3
MedDRA: Asthenia, Decreased appetite, Discomfort, Dysgeusia, Pain, Painful respiration — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Strange taste in my mouth, low to no appetite, hurts to inhale (muscle pain) Debilitating unrelenting pain and pressure everywhere

MedDRA releases: 2024-11 · check-in free text available
2022-03-27
Survey response — days 1–6 daily, dose 3
MedDRA: Condition aggravated, Insomnia, Pre-existing disease, Tachycardia — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Insomnia, tachycardia HR over 100 while lying down at rest, likely a Dysautonomia flare

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Survey response — day 7, dose 3
MedDRA: Diarrhoea — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school

Free text: Diarrhea finally stopped this morning

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-04-15
Survey response — day 21, dose 3
MedDRA: Abnormal menstrual clots, Heavy menstrual bleeding, Menstruation irregular — Feeling: Good · Be unable to do your normal daily activities

Free text: My menstrual cycle was slightly irregular from its patterns. It began later than expected and with more large clots/heavier bleeding. Cycle pain levels were still about my normal, and it normally impacts my daily activities every month.

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-04-28
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-05-04
Survey response — day 42, dose 3
MedDRA: Condition aggravated, Gastrointestinal bacterial overgrowth, Office visit, Platelet count decreased, Pre-existing disease, Serum ferritin decreased, White blood cell count decreased — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Flare of digestive symptoms/SIBO, nutritional deficiencies like low ferritin and some lower cell counts (platelets, white cell) · Healthcare visit (other): Hematology appt for IV iron consult

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-05
Call 2 — Left Voicemail
2022-09-24
Survey response — 6 months, dose 3
MedDRA: Brain fog, Breakthrough COVID-19, Circadian rhythm sleep disorder, Condition aggravated, Fatigue, Lymphadenopathy, Pre-existing disease, Sleep disorder — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Unsure how to describe? sleep issues and circadian rhythm issues, swollen lymph nodes and fatigue, cognitive/brain fog, worsened POTS symptoms and PEM, All following breakthrough covid infection. Small slow improvements only from resting and pacin · Healthcare visit (other): Just a follow up with some of my providers: GP, Hematology, and Urology.

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
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

1 call case(s)
2022-09-26
Call 2 — Left Voicemail
2022-09-26
Call 3 — Left Voicemail
2022-09-26
Call 2 — Left Voicemail
2023-03-25
Survey response — 12 months, dose 3
MedDRA: Brain fog, Condition aggravated, Fatigue, Medical counselling, Menstrual disorder, Pre-existing disease, Somnolence — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-03-25
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2023-03-27
Call 1 — Left Voicemail
2023-03-27
Call 1 — Left Voicemail
2023-03-27
Call 1 — Left Voicemail
2023-03-27
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-17	Moderna	No
2	2021-09-17	Moderna	No
3	2022-03-23	Moderna	No

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 9 — day 14, dose 1

2021-09-02

Symptoms: I have had some headache, mild nausea, aches, swollen lymph nodes, and flare of my CFS and POTS symptoms. They were manageable at home with lying flat and resting extra, etc. symptoms have now subsided. I was already unable to work due to these. cut off by CDC

Release 9 — day 21, dose 1

2021-09-07

Symptoms: Had a fever and some excess sinus congestion/drainage with fatigue.

Release 9 — day 28, dose 1

2021-09-14

Symptoms: Worsened and intense menstrual cramps that hindered sleep. Intense Pain radiating throughout the whole body at about an 8.5 on pain scale. Also some mild fever and diarrhea. Had to spend one day basically in bed, due to pain and lack of sleep.

Release 9 — days 1–6 daily, dose 2

2021-09-19

Systemic reaction (other): Sinus pressure/lymph drainage/post-nasal drip

2021-09-21

Systemic reaction (other): Abnormal tastealmost sour and bitter combined

Release 9 — day 14, dose 2

2021-10-01

Symptoms: Persisting Fatigue and cognitive fatigue/brain fogToday is a little bit better

Release 10 — day 21, dose 2

2021-10-08

Symptoms: My pre-existing conditions of POTS and ME/CFS seem to be flared at the moment since the second dose. Post-exertion Malaise and more difficulty standing impacting my daily activities, and varies from day to day. Also more heavy menstrual/big clots. cut off by CDC

Release 10 — day 35, dose 2

2021-10-22

Symptoms: Daytime sleepiness, that sometimes makes me nervous to drive, having to ask others to drive me at certain times. I will talk to my dr soon about this.

Release 10 — day 42, dose 2

2021-10-29

Symptoms: Aches, nausea, diarrhea, fever, chills, post-nasal drip, cough, congestion, shortness of breath, (all from new onset infectioncovid test negative) fatigue, daytime sleepiness, brain fog still following 2nd dose moderna

Healthcare visit (other): Call to nurse line and covid test at hospital

Release 10 — 3 months, dose 2

2021-12-17

Symptoms: Had an infection but tested negative for Covid. During the illness I began to feel like something in my throat was blocking my airway. That faded, but have continued to have more difficulty with swallowing, and also hoarseness has remained.

Release 11 — day 0, dose 3

2022-03-23

Systemic reaction (other): Tender lymph nodes, red eyes, eyelid muscle twitches, thickened steady post-nasal drip

Release 11 — days 1–6 daily, dose 3

2022-03-24

Systemic reaction (other): Strange taste in my mouth, low to no appetite, hurts to inhale (muscle pain) Debilitating unrelenting pain and pressure everywhere

2022-03-27

Systemic reaction (other): Insomnia, tachycardia HR over 100 while lying down at rest, likely a Dysautonomia flare

Release 11 — day 7, dose 3

2022-03-30

Systemic reaction (other): Diarrhea finally stopped this morning

Release 11 — day 21, dose 3

2022-04-15

Symptoms: My menstrual cycle was slightly irregular from its patterns. It began later than expected and with more large clots/heavier bleeding. Cycle pain levels were still about my normal, and it normally impacts my daily activities every month.

Release 11 — day 42, dose 3

2022-05-04

Symptoms: Flare of digestive symptoms/SIBO, nutritional deficiencies like low ferritin and some lower cell counts (platelets, white cell)

Healthcare visit (other): Hematology appt for IV iron consult

Release 12 — 6 months, dose 3

2022-09-24

Symptoms: Unsure how to describe? sleep issues and circadian rhythm issues, swollen lymph nodes and fatigue, cognitive/brain fog, worsened POTS symptoms and PEM, All following breakthrough covid infection. Small slow improvements only from resting and pacin cut off by CDC

Healthcare visit (other): Just a follow up with some of my providers: GP, Hematology, and Urology.

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	Medical counselling	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Pre-existing disease	·	·	✓
HCVO	SARS-CoV-2 test	·	·	✓
SD	Abnormal menstrual clots	·	·	✓
SD	Brain fog	·	·	✓
SD	Breakthrough COVID-19	·	·	✓
SD	Chills	·	·	✓
SD	Circadian rhythm sleep disorder	·	·	✓
SD	Cognitive disorder	·	·	✓
SD	Condition aggravated	✓	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dysmenorrhoea	·	·	✓
SD	Dysphagia	·	·	✓
SD	Dysphonia	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Dysstasia	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal bacterial overgrowth	·	·	✓
SD	Headache	✓	·	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Illness	·	·	✓
SD	Impaired driving ability	·	·	✓
SD	Infection	·	·	✓
SD	Insomnia	·	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Lymphadenopathy	✓	·	✓
SD	Malaise	·	·	✓
SD	Menstrual disorder	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Nausea	✓	·	✓
SD	Obstructive airways disorder	·	·	✓
SD	Pain	✓	·	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Platelet count decreased	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Serum ferritin decreased	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sleep disorder	·	·	✓
SD	Somnolence	·	·	✓
SD	Unemployment	✓	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SD	White blood cell count decreased	·	·	✓
SRO	Asthenia	·	·	✓
SRO	Blepharospasm	·	·	✓
SRO	Condition aggravated	·	·	✓
SRO	Decreased appetite	·	·	✓
SRO	Diarrhoea	·	·	✓
SRO	Discomfort	·	·	✓
SRO	Dysgeusia	·	·	✓
SRO	Increased upper airway secretion	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphoedema	·	·	✓
SRO	Ocular hyperaemia	·	·	✓
SRO	Pain	·	·	✓
SRO	Painful respiration	·	·	✓
SRO	Paranasal sinus discomfort	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Tachycardia	·	·	✓
SRO	Taste disorder	·	·	✓
SRO	Upper-airway cough syndrome	·	·	✓

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