6V4-25172-24465

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 911 / CA
Registered: 2021-03-02

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

2021-03-02
Registered in v-safe
2021-03-02
Dose 1 — Moderna
2021-03-02
Health check-in — day 0, dose 1
Feeling: Poor · Site: Pain, Redness · Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia, Pain of skin — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Metallic taste in mouth skin hurting.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Fatigue or tiredness, Nausea

Adult check-in
2021-03-09
Survey response — day 7, dose 1
MedDRA: Medical counselling — Feeling: Poor · Chills, Headache, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional

Free text: Called doctors office to report that I still had symptoms a week after vaccination and seek advise.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-16
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-23
Survey response — day 21, dose 1
MedDRA: Dysgeusia, Fatigue, Injection site pain, Nausea — Feeling: Fair · Be unable to work

Free text: Pain at injection site, intermittent metallic taste in mouth and general bad taste in mouth, nausea, fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Dose 2 — Moderna
2021-03-30
Health check-in — day 0, dose 2
Feeling: Fair · Site: Itching · Diarrhea

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Fatigue or tiredness · Be unable to work

Free text: Unusual taste in mouth.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Diarrhea · Be unable to work

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Fair · Site: Redness, Swelling · Fever · Chills, Fatigue or tiredness · Be unable to work

Free text: Pain in injection site from first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Chills, Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-20
Survey response — day 21, dose 2
MedDRA: Chills, Fatigue — Feeling: Poor

Free text: Chills, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 28, dose 2
Feeling: Poor

Adult check-in
2021-05-06
Survey response — day 35, dose 2
MedDRA: Fatigue, Injection site pain — Feeling: Poor

Free text: Pain in arm I injection site from first shot. Very tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Survey response — 3 months, dose 2
MedDRA: Dental care, Ear pain, Fatigue, Gingival pain, Office visit, Toothache — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional

Free text: Symptoms: Tired, facial gum and tooth pain ear pain.Though I had dental work, which might have caused this, the dentist was not clearly able to identify the source/cause of pain. · Healthcare visit (other): Dentist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-05
Call 1 — Left Voicemail
2021-07-06
Call 2 — Left Voicemail
2022-03-30
Survey response — 12 months, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chronic fatigue

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna
2	2021-03-30	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Metallic taste in mouth skin hurting.

Release 5 — day 7, dose 1

2021-03-09

Healthcare visit (other): Called doctors office to report that I still had symptoms a week after vaccination and seek advise.

Release 6 — day 21, dose 1

2021-03-23

Symptoms: Pain at injection site, intermittent metallic taste in mouth and general bad taste in mouth, nausea, fatigue.

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): Unusual taste in mouth.

2021-04-04

Systemic reaction (other): Pain in injection site from first shot.

Release 7 — day 21, dose 2

2021-04-20

Symptoms: Chills, fatigue

Release 8 — day 35, dose 2

2021-05-06

Symptoms: Pain in arm I injection site from first shot. Very tired.

Release 9 — 3 months, dose 2

2021-07-01

Symptoms: Tired, facial gum and tooth pain ear pain.Though I had dental work, which might have caused this, the dentist was not clearly able to identify the source/cause of pain.

Healthcare visit (other): Dentist

Release 11 — 12 months, dose 2

2022-03-30

Symptoms: Chronic fatigue

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
HCVO	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Dental care	✓	✓	✓
SD	Dysgeusia	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gingival pain	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Toothache	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Pain of skin	✓	✓	✓

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