5YG-25061-59046

3 vaccinations 22 coded responses 30 check-ins 22 free-text entries 11 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 452 / OH
Registered: 2021-04-02

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

2021-04-02
Registered in v-safe
2021-04-02
Dose 1 — Moderna
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Epistaxis, Haematochezia — Feeling: Good · Site: Pain, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Bloody stool and bloody nose

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 · Site: Pain, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Survey response — day 7, dose 1
MedDRA: Haematochezia, Nodule — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Bumps on body and blood in stool

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 14, dose 1
MedDRA: Dyspnoea, Fatigue, Nausea — 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, Emergency room or emergency department visit

Free text: Nausea that comes in waves and gets worse each time, fatigue for days, breathing can be helped by means of mind over matter but if I dont think about it, I cant breathe that well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 14, dose 1
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)
2021-04-23
Survey response — day 21, dose 1
MedDRA: Confusional state, Dyspepsia, Fatigue, Nausea, Office visit, Paranoia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Fatigue, paranoia, confusion, nausea, acid indigestion. · Healthcare visit (other): Therapy appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-30
Dose 2 — Moderna
2021-04-30
Survey response — day 0, dose 2
MedDRA: Cough — Feeling: Good · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Cough before second dose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Oropharyngeal pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · 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: Cough and sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Productive cough — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · 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: Cough mucusy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Sneezing — Feeling: Good · Site: Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Cough and sneeze

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Good · Site: Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · 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: Mucusy cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Gastrooesophageal reflux disease — Feeling: Good · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Acid reflux since day 1

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Survey response — day 7, dose 2
MedDRA: Infection — Feeling: Good · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Infection suspected somewhere in body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-14
Survey response — day 14, dose 2
MedDRA: Infection, Unevaluable event — Feeling: Good · 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: Unidentifiable Infection possibly of an organ

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-21
Survey response — day 21, dose 2
MedDRA: Gastrooesophageal reflux disease — Feeling: Good · 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: Acid reflux and an pain worse still have an unidentified injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-30
Survey response — day 28, dose 2
MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activities

Free text: Some kind of infection or my bladder isnt fully draining

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — day 35, dose 2
MedDRA: Cough, Cystitis, Urinary retention — Feeling: Good

Free text: Bladder infection and not fully draining plus a random cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Survey response — day 42, dose 2
MedDRA: Depression — Feeling: Fair · Be unable to do your normal daily activities

Free text: Depression

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Survey response — 6 months, dose 2
MedDRA: Abdominal discomfort, Acne, Affective disorder, Apathy, Condition aggravated, Delusion, Fatigue, Flatulence, Pre-existing disease, Skin odour abnormal, Unevaluable event, Weight increased — 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: Gaining weight and my restroom schedule has normalized a bit, tho I'm still gaining weight. Thought it was bloating but it might still be, I'm gassy and my tummy feels weird, so do my abs, and My acne is subsiding. I smell odd despite keeping clean · Healthcare visit (other): The last appointment I missed due to extreme fatigue and lack of motivation, my mood has been off and delusions are coming back from my schizoaffective, borderline, or ptsd, unsure which exactly is causing it.

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-01
Call 1 — Left Voicemail
2022-07-25
Dose 3 — Moderna
2022-07-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-07-29
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, Diarrhea, Abdominal pain

Adult check-in
2022-07-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-08-01
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-08-09
Survey response — day 14, dose 3
MedDRA: Malaise, Wisdom teeth removal — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Wisdom tooth removal and I got sick

MedDRA releases: 2024-11 · check-in free text available
2022-08-15
Survey response — day 21, dose 3
MedDRA: Acne, Arthropod bite, Cough, Dehydration, Depressed level of consciousness, Depression, Dyspnoea, Eye complication associated with device, Fatigue, Hair growth abnormal, Headache, Oral pain, Productive cough, Secretion discharge, Weight increased, Wisdom teeth removal — Feeling: Fair · Be unable to do your normal daily activities

Free text: Contact lense stuck behind my eyes, headaches, cough, wisdom tooth removal pain, fatique, weight gain, dehydration, acne worse, bugs attracted to me bad, mucus and phlem overload, depression, difficulty breathing & keeping aroused, hair grows faster

MedDRA releases: 2024-11 · check-in free text available
2022-08-24
Survey response — day 28, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-08-29
Survey response — day 35, dose 3
MedDRA: Abdominal pain upper, Chest pain, Dehydration, Dizziness, Dyspepsia, Dyspnoea, Fatigue, Gastrooesophageal reflux disease, Headache, Infection, Malnutrition, Muscle spasms, Muscular weakness, Myalgia, Nausea, Oropharyngeal pain, Pain in jaw, Presyncope — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Nausea, near-vomitting, cramps, stomach pain, acid reflux, heartburn, headaches, jaw aches, light headedness, dizziness, near-fainting, short of breath, weak aching muscles, chest pains, sore throat, dehydration, malnourishment, infection, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-10-25
Survey response — 3 months, dose 3
MedDRA: Cough, Fatigue, Feeling abnormal, Food poisoning, Nausea, Pain, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, cough, sore, nausea, weird feeling all the time, puked twice due to food poisoning.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Moderna
2	2021-04-30	Moderna
3	2022-07-25	Moderna	No

Call center

11 call center cases

11 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Bloody stool and bloody nose

Release 7 — day 7, dose 1

2021-04-09

Systemic reaction (other): Bumps on body and blood in stool

Release 7 — day 14, dose 1

2021-04-16

Symptoms: Nausea that comes in waves and gets worse each time, fatigue for days, breathing can be helped by means of mind over matter but if I dont think about it, I cant breathe that well.

Release 7 — day 21, dose 1

2021-04-23

Symptoms: Fatigue, paranoia, confusion, nausea, acid indigestion.

Healthcare visit (other): Therapy appointment

Release 8 — day 0, dose 2

2021-04-30

Systemic reaction (other): Cough before second dose

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): Cough and sore throat

2021-05-02

Systemic reaction (other): Cough mucusy

2021-05-03

Systemic reaction (other): Cough and sneeze

2021-05-05

Systemic reaction (other): Mucusy cough

2021-05-06

Systemic reaction (other): Acid reflux since day 1

Release 8 — day 7, dose 2

2021-05-07

Systemic reaction (other): Infection suspected somewhere in body

Release 8 — day 14, dose 2

2021-05-14

Symptoms: Unidentifiable Infection possibly of an organ

Release 8 — day 21, dose 2

2021-05-21

Symptoms: Acid reflux and an pain worse still have an unidentified injection

Release 8 — day 28, dose 2

2021-05-30

Symptoms: Some kind of infection or my bladder isnt fully draining

Release 8 — day 35, dose 2

2021-06-04

Symptoms: Bladder infection and not fully draining plus a random cough

Release 9 — day 42, dose 2

2021-06-11

Symptoms: Depression

Release 10 — 6 months, dose 2

2021-10-29

Symptoms: Gaining weight and my restroom schedule has normalized a bit, tho I'm still gaining weight. Thought it was bloating but it might still be, I'm gassy and my tummy feels weird, so do my abs, and My acne is subsiding. I smell odd despite keeping clean cut off by CDC

Healthcare visit (other): The last appointment I missed due to extreme fatigue and lack of motivation, my mood has been off and delusions are coming back from my schizoaffective, borderline, or ptsd, unsure which exactly is causing it.

Release 12 — day 14, dose 3

2022-08-09

Symptoms: Wisdom tooth removal and I got sick

Release 12 — day 21, dose 3

2022-08-15

Symptoms: Contact lense stuck behind my eyes, headaches, cough, wisdom tooth removal pain, fatique, weight gain, dehydration, acne worse, bugs attracted to me bad, mucus and phlem overload, depression, difficulty breathing & keeping aroused, hair grows faster cut off by CDC

Release 12 — day 28, dose 3

2022-08-24

Symptoms: Fatigue

Release 12 — day 35, dose 3

2022-08-29

Symptoms: Nausea, near-vomitting, cramps, stomach pain, acid reflux, heartburn, headaches, jaw aches, light headedness, dizziness, near-fainting, short of breath, weak aching muscles, chest pains, sore throat, dehydration, malnourishment, infection, fatigue

Release 12 — 3 months, dose 3

2022-10-25

Symptoms: Fatigue, cough, sore, nausea, weird feeling all the time, puked twice due to food poisoning.

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	Affective disorder	·	·	✓
HCVO	Apathy	·	·	✓
HCVO	Condition aggravated	·	·	✓
HCVO	Delusion	·	·	✓
HCVO	Fatigue	·	·	✓
HCVO	Office visit	✓	✓	✓
HCVO	Pre-existing disease	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Abdominal discomfort	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Acne	·	·	✓
SD	Arthropod bite	·	·	✓
SD	Chest pain	·	·	✓
SD	Confusional state	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Cystitis	✓	✓	✓
SD	Dehydration	·	·	✓
SD	Depressed level of consciousness	·	·	✓
SD	Depression	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Dyspepsia	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Eye complication associated with device	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	·	·	✓
SD	Flatulence	·	·	✓
SD	Food poisoning	·	·	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Hair growth abnormal	·	·	✓
SD	Headache	·	·	✓
SD	Infection	·	·	✓
SD	Malaise	·	·	✓
SD	Malnutrition	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Myalgia	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oral pain	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in jaw	·	·	✓
SD	Paranoia	✓	✓	✓
SD	Presyncope	·	·	✓
SD	Productive cough	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Skin odour abnormal	·	·	✓
SD	Unevaluable event	✓	✓	✓
SD	Urinary retention	✓	✓	✓
SD	Vomiting	·	·	✓
SD	Weight increased	·	·	✓
SD	Wisdom teeth removal	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Epistaxis	✓	✓	✓
SRO	Gastrooesophageal reflux disease	✓	✓	✓
SRO	Haematochezia	✓	✓	✓
SRO	Infection	✓	✓	✓
SRO	Nodule	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Productive cough	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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