6BN-17906-16954

2 vaccinations 11 coded responses 20 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 368 / AL
Registered: 2021-04-15

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

2021-04-14
Dose 1 — Moderna
2021-04-15
Registered in v-safe
2021-04-15
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia — Feeling: Fair · Site: Pain, Redness · Fever · Nausea

Free text: Metallic taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Free text: Metallic taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: Sore throat and mild coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair

Free text: Itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-04-21
Health check-in — day 7, dose 1
Feeling: Fair · Abdominal pain

Adult check-in
2021-04-28
Survey response — day 14, dose 1
MedDRA: Nausea — Feeling: Good · Be unable to do your normal daily activities

Free text: Sunday night through Tuesday morning the nausea was almost unbearable. It may have been a virus. But it began like the nausea I've experienced since vaccination every time I eat. It has subsided and I feel fine now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 21, dose 1
MedDRA: Abdominal pain, Diarrhoea, Nausea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Nausea, abdomen pain, and diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 28, dose 1
MedDRA: Pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Aches and pains all over

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Dose 2 — Moderna
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Dysgeusia — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Metallic taste and chest pain both shortly after the vaccine but it subsided soon after.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-05-27
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-01
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-08
Survey response — day 21, dose 2
MedDRA: Headache — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Strange headache that is pounding one side of my head mainly but sometimes both sides

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Survey response — day 28, dose 2
MedDRA: Headache, Rash vesicular — Feeling: Fair

Free text: Blistered type rash but it went away after about 3 days. Still have strange pounding headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-01
Survey response — day 42, dose 2
MedDRA: Headache — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-14	Moderna
2	2021-05-18	Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-15

Systemic reaction (other): Metallic taste

2021-04-16

Systemic reaction (other): Metallic taste

2021-04-17

Systemic reaction (other): Sore throat and mild coughing

2021-04-19

Systemic reaction (other): Itching

Release 8 — day 14, dose 1

2021-04-28

Symptoms: Sunday night through Tuesday morning the nausea was almost unbearable. It may have been a virus. But it began like the nausea I've experienced since vaccination every time I eat. It has subsided and I feel fine now.

Release 8 — day 21, dose 1

2021-05-05

Symptoms: Nausea, abdomen pain, and diarrhea

Release 8 — day 28, dose 1

2021-05-14

Symptoms: Aches and pains all over

Release 8 — days 1–6 daily, dose 2

2021-05-19

Systemic reaction (other): Metallic taste and chest pain both shortly after the vaccine but it subsided soon after.

Release 8 — day 21, dose 2

2021-06-08

Symptoms: Strange headache that is pounding one side of my head mainly but sometimes both sides

Release 9 — day 28, dose 2

2021-06-15

Symptoms: Blistered type rash but it went away after about 3 days. Still have strange pounding headache

Release 9 — day 42, dose 2

2021-07-01

Symptoms: Headache

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 pain	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Rash vesicular	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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