6KS-15423-48445

2 vaccinations 13 coded responses 25 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 553 / MN
Registered: 2021-08-18

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

2021-08-18
Registered in v-safe
2021-08-18
Dose 1 — Moderna
2021-08-18
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Good · Headache

Free text: Light headed

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-08-20
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Foggy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-08-22
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Rhinorrhoea, Sneezing — Feeling: Fair · Fatigue or tiredness

Free text: Sneezing, runny nose, cough

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-08-25
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-08-25
Report sent to call center — day 7, dose 1
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)
2021-09-01
Survey response — day 14, dose 1
MedDRA: Diarrhoea, Fatigue, Headache, Skin discolouration — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: White spots on my skin, headache, Diarrhea, extremely tired

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-09-15
Dose 2 — Moderna
2021-09-15
Survey response — day 0, dose 2
MedDRA: Nasal congestion, Sneezing — Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Free text: Sneezing, plugged up nose

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Survey response — days 1–6 daily, dose 2
MedDRA: Ageusia, Anosmia, Nasal congestion, Rhinorrhoea — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Can't smell or taste, plugged up nose sometimes runny

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Survey response — days 1–6 daily, dose 2
MedDRA: Blepharospasm, Dizziness, Nasal congestion — Feeling: Poor · Site: Pain, Redness, Swelling · 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: Lightheaded, eye lid twitching , dizziness, nose plugged up

MedDRA releases: 2024-11 · check-in free text available
2021-09-18
Survey response — days 1–6 daily, dose 2
MedDRA: Blepharospasm, Nasal congestion — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Eyelid twitching, stuffed up nose

MedDRA releases: 2024-11 · check-in free text available
2021-09-19
Survey response — days 1–6 daily, dose 2
MedDRA: Blepharospasm, Epistaxis — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Eye twitching, bloody nose

MedDRA releases: 2024-11 · check-in free text available
2021-09-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-09-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Headache

Adult check-in
2021-09-22
Survey response — day 7, dose 2
MedDRA: Ageusia, Anosmia — Feeling: Fair · Headache, Fatigue or tiredness

Free text: No smell or taste

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-10-06
Survey response — day 21, dose 2
MedDRA: Arthralgia, Blepharospasm, Joint range of motion decreased, Musculoskeletal stiffness, Myalgia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Eyelid is twitching, muscles are freezing up and painful, joints are not moving fully and pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Survey response — day 28, dose 2
MedDRA: Arthralgia, Blepharospasm, Joint stiffness, Musculoskeletal stiffness, Myalgia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: My muscles and joints are sore and stiff. My eyelid twitch is still active.

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-11-24
Call 1 — Left Voicemail
2021-12-15
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-03-16
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Headache, Myalgia, Vision blurred — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Muscular and joint pain, headaches blurry vision.

MedDRA releases: 2024-11 · check-in free text available
2022-09-17
Health check-in — 12 months, dose 2
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-18	Moderna	No
2	2021-09-15	Moderna	No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 9 — day 0, dose 1

2021-08-18

Systemic reaction (other): Light headed

Release 9 — days 1–6 daily, dose 1

2021-08-20

Systemic reaction (other): Foggy

2021-08-22

Systemic reaction (other): Sneezing, runny nose, cough

Release 9 — day 14, dose 1

2021-09-01

Symptoms: White spots on my skin, headache, Diarrhea, extremely tired

Release 9 — day 0, dose 2

2021-09-15

Systemic reaction (other): Sneezing, plugged up nose

Release 9 — days 1–6 daily, dose 2

2021-09-16

Systemic reaction (other): Can't smell or taste, plugged up nose sometimes runny

2021-09-17

Systemic reaction (other): Lightheaded, eye lid twitching , dizziness, nose plugged up

2021-09-18

Systemic reaction (other): Eyelid twitching, stuffed up nose

2021-09-19

Systemic reaction (other): Eye twitching, bloody nose

Release 9 — day 7, dose 2

2021-09-22

Systemic reaction (other): No smell or taste

Release 10 — day 21, dose 2

2021-10-06

Symptoms: Eyelid is twitching, muscles are freezing up and painful, joints are not moving fully and pain

Release 10 — day 28, dose 2

2021-10-14

Symptoms: My muscles and joints are sore and stiff. My eyelid twitch is still active.

Release 11 — 6 months, dose 2

2022-03-16

Symptoms: Muscular and joint pain, headaches blurry vision.

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	Arthralgia	·	·	✓
SD	Blepharospasm	·	·	✓
SD	Diarrhoea	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	·	✓
SD	Joint range of motion decreased	·	·	✓
SD	Joint stiffness	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Myalgia	·	·	✓
SD	Skin discolouration	✓	·	✓
SD	Vision blurred	·	·	✓
SRO	Ageusia	·	·	✓
SRO	Anosmia	·	·	✓
SRO	Blepharospasm	·	·	✓
SRO	Brain fog	✓	·	✓
SRO	Cough	✓	·	✓
SRO	Dizziness	✓	·	✓
SRO	Epistaxis	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	Rhinorrhoea	✓	·	✓
SRO	Sneezing	✓	·	✓

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