6MB-10108-23116

3 vaccinations 7 coded responses 28 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 21-25
ZIP prefix: 847 / UT
Registered: 2021-01-12

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

2021-01-12
Registered in v-safe
2021-01-12
Dose 1 — Moderna
2021-01-12
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Free text: Head has felt foggy. Went away with food. Would say it's moderate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Rhinorrhoea — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to work

Free text: Runny nose, some more brain fog but it went away quicker and again with food

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-09
Dose 2 — Moderna
2021-02-09
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Urticaria — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: After I filled out the vsafe yesterday I broke out in hives but that went away with Zyrtec and I normally break out in hives when I get a cold so I wasnt concerned.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea, Diarrhea

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-23
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Had some really bad fatigue. Im feeling better now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-03
Dose 3 — Moderna
Co-administered: Flu
2022-02-09
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-06-05
Survey response — 6 months, dose 3
MedDRA: Abdominal discomfort, Abnormal faeces — Feeling: Fair

Free text: Stool looking weird. Stomach upset.

MedDRA releases: 2024-11 · check-in free text available
2022-12-03
Survey response — 12 months, dose 3
MedDRA: Cough, Pain, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Body aches, congestion, cough

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Moderna
2	2021-02-09	Moderna
3	2021-12-03	Moderna	Flu

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): Head has felt foggy. Went away with food. Would say it's moderate

Release 2 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): Runny nose, some more brain fog but it went away quicker and again with food

Release 3 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Dizziness

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): After I filled out the vsafe yesterday I broke out in hives but that went away with Zyrtec and I normally break out in hives when I get a cold so I wasnt concerned.

Release 4 — day 14, dose 2

2021-02-23

Symptoms: Had some really bad fatigue. Im feeling better now.

Release 11 — 6 months, dose 3

2022-06-05

Symptoms: Stool looking weird. Stomach upset.

Release 12 — 12 months, dose 3

2022-12-03

Symptoms: Body aches, congestion, cough

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 discomfort	·	·	✓
SD	Abnormal faeces	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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