6B4-15387-75393

4 vaccinations 18 coded responses 51 check-ins 18 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 379 / TN
Registered: 2021-05-11

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-05-10
Dose 1 — Moderna
2021-05-11
Registered in v-safe
2021-05-11
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenopia, Cough, Dry eye, Feeling hot, Insomnia, Oropharyngeal pain, Pain in extremity, Throat irritation — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Scratchy throat with a cough, heavy and dry eyes, soles of feet ache, insomnia, feeling hot all over

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — days 1–6 daily, dose 1
MedDRA: Throat irritation — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Free text: Scratchy throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Feeling hot, Hyperhidrosis, Throat irritation — Feeling: Good · Site: Pain, Itching · Fatigue or tiredness, Nausea

Free text: Scratchy throat with cough, hot all over with sweating but no fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Throat irritation — Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tiredness

Free text: Scratchy throat with cough.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — days 1–6 daily, dose 1
MedDRA: Throat irritation — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Scratchy throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenopia, Dry eye, Throat irritation — Feeling: Good · Headache, Fatigue or tiredness

Free text: Scratchy throat, heavy and dry eyes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-05-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-31
Survey response — day 21, dose 1
MedDRA: Chest discomfort, Dizziness, Lung disorder, Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Migraines, dizziness, some light chest pressure/lung discomfort.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Dose 2 — Moderna
2021-06-07
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-08
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 · Be unable to do your normal daily activities

Adult check-in
2021-06-09
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Cough, Eye pain, Hunger, Muscle spasms, Musculoskeletal stiffness, Oropharyngeal pain, Parosmia — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Lower back pain, stiff neck, eye pain, sore throat with a cough, muscle spasms, very hungry, enhanced sense of smell.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dyspnoea, Eye pain, Oropharyngeal pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: sore throat with a cough, eye pain, shortness of breath.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Eye pain, Oropharyngeal pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Free text: sore throat with a cough, eye pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Eye pain, Oropharyngeal pain — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness

Free text: sore throat with a cough, eye pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-06-14
Survey response — day 7, dose 2
MedDRA: Cough, Eye pain, Oropharyngeal pain — Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness

Free text: sore throat with cough, eye pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-06
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-12-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-21
Dose 3 — Moderna
2021-12-22
Survey response — days 1–6 daily, dose 3
MedDRA: Brain fog — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Brain Fog

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Survey response — days 1–6 daily, dose 3
MedDRA: Brain fog — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Brain fog

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Survey response — days 1–6 daily, dose 3
MedDRA: Brain fog — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Brain Fog

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-12-28
Survey response — day 7, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Swelling · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-11
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-18
Survey response — day 28, dose 3
MedDRA: Menstruation irregular — Feeling: Good

Free text: Missed period, not pregnant.

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-01
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-22
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-03
Dose 4 — Moderna
2022-05-04
Survey response — days 1–6 daily, dose 4
MedDRA: Decreased appetite, Gait disturbance — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: loss of appetite, feeling like walking through quicksand

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2022-05-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-05-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness, Abdominal pain

Adult check-in
2022-05-10
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-17
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-31
Health check-in — day 28, dose 4
Feeling: Good

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

Adult check-in
2022-06-14
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-02
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-11-01
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-03
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-10	Moderna
2	2021-06-07	Moderna
3	2021-12-21	Moderna	No
4	2022-05-03	Moderna	No

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-11

Systemic reaction (other): Scratchy throat with a cough, heavy and dry eyes, soles of feet ache, insomnia, feeling hot all over

2021-05-12

Systemic reaction (other): Scratchy throat

2021-05-13

Systemic reaction (other): Scratchy throat with cough, hot all over with sweating but no fever

2021-05-14

Systemic reaction (other): Scratchy throat with cough.

2021-05-15

Systemic reaction (other): Scratchy throat.

2021-05-16

Systemic reaction (other): Scratchy throat, heavy and dry eyes.

Release 8 — day 21, dose 1

2021-05-31

Symptoms: Migraines, dizziness, some light chest pressure/lung discomfort.

Release 8 — days 1–6 daily, dose 2

2021-06-09

Systemic reaction (other): Lower back pain, stiff neck, eye pain, sore throat with a cough, muscle spasms, very hungry, enhanced sense of smell.

Release 9 — days 1–6 daily, dose 2

2021-06-10

Systemic reaction (other): sore throat with a cough, eye pain, shortness of breath.

2021-06-11

Systemic reaction (other): sore throat with a cough, eye pain.

2021-06-12

Systemic reaction (other): sore throat with a cough, eye pain.

Release 9 — day 7, dose 2

2021-06-14

Systemic reaction (other): sore throat with cough, eye pain.

Release 10 — days 1–6 daily, dose 3

2021-12-22

Systemic reaction (other): Brain Fog

2021-12-23

Systemic reaction (other): Brain fog

2021-12-24

Systemic reaction (other): Brain Fog

Release 10 — day 7, dose 3

2021-12-28

Systemic reaction (other): Sore throat

Release 10 — day 28, dose 3

2022-01-18

Symptoms: Missed period, not pregnant.

Release 11 — days 1–6 daily, dose 4

2022-05-04

Systemic reaction (other): loss of appetite, feeling like walking through quicksand

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	Chest discomfort	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Lung disorder	✓	✓	✓
SD	Menstruation irregular	·	·	✓
SD	Migraine	✓	✓	✓
SRO	Asthenopia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Brain fog	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Decreased appetite	·	·	✓
SRO	Dry eye	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Gait disturbance	·	·	✓
SRO	Hunger	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Parosmia	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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