6GS-88332-70931

2 vaccinations 12 coded responses 23 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 267 / WV
Registered: 2021-03-18

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

2021-03-18
Registered in v-safe
2021-03-18
Dose 1 — Moderna
2021-03-18
Health check-in — day 0, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Night sweats, Vertigo — Feeling: Good · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Night sweats, mild vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Vertigo — Feeling: Good · Site: Pain

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Vertigo — Feeling: Good · Headache, Muscle or body aches

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Survey response — day 7, dose 1
MedDRA: Dizziness, Vertigo — Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Vertigo, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 14, dose 1
MedDRA: Headache, Neck pain, Sinus pain, Tooth infection, Toothache — 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: Headache. Neck and sinus pain. Toothache/infection requiring a root canal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion, Vertigo — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Nasal congestion, vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Ageusia, Decreased appetite, Tinnitus, Vertigo — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Vertigo, loss of sense of taste, diminished appetite, frequent buzzing or zapping inside ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Hypogeusia, Nasal congestion, Vertigo — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Diminished sense of taste, vertigo, nasal congestion, cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Headache, Fatigue or tiredness

Free text: Seasonal allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Survey response — day 14, dose 2
MedDRA: Asthenia, Fatigue, Flank pain, Headache, Muscular weakness, Myalgia, Pain in extremity, Paraesthesia, Vertigo — Feeling: Good · Be unable to do your normal daily activities

Free text: Pain and weakness in left arm (where vaccinated) and entire left side.FatigueVertigoHeadachesmuscle/joint paintingling sensation in arms, hand and left leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-12
Survey response — day 28, dose 2
MedDRA: Injection site pain, Injection site pruritus — Feeling: Good

Free text: My left arm is still itchy and sore at injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-07
Call 1 — Left Voicemail
2021-07-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-14
Survey response — 6 months, dose 2
MedDRA: Cough, Fatigue, Neck pain, Pre-existing disease, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activities

Free text: Reaction to shingles vax. Fatigue, neck pain, cough/ congestion from allergies.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Moderna
2	2021-04-14	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Night sweats, mild vertigo

2021-03-21

Systemic reaction (other): Vertigo

2021-03-23

Systemic reaction (other): Vertigo

Release 6 — day 7, dose 1

2021-03-25

Systemic reaction (other): Vertigo, dizziness

Release 6 — day 14, dose 1

2021-04-01

Symptoms: Headache. Neck and sinus pain. Toothache/infection requiring a root canal.

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Nasal congestion, vertigo

2021-04-16

Systemic reaction (other): Vertigo, loss of sense of taste, diminished appetite, frequent buzzing or zapping inside ears

2021-04-17

Systemic reaction (other): Diminished sense of taste, vertigo, nasal congestion, cough

2021-04-20

Systemic reaction (other): Seasonal allergies

Release 8 — day 14, dose 2

2021-04-28

Symptoms: Pain and weakness in left arm (where vaccinated) and entire left side.FatigueVertigoHeadachesmuscle/joint paintingling sensation in arms, hand and left leg

Release 8 — day 28, dose 2

2021-05-12

Symptoms: My left arm is still itchy and sore at injection site.

Release 10 — 6 months, dose 2

2021-10-14

Symptoms: Reaction to shingles vax. Fatigue, neck pain, cough/ congestion from allergies.

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	Asthenia	✓	✓	✓
SD	Cough	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Flank pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus pain	✓	✓	✓
SD	Tooth infection	✓	✓	✓
SD	Toothache	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Ageusia	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Hypogeusia	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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