6VQ-15980-08649

5 vaccinations 11 coded responses 43 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 323 / FL
Registered: 2021-03-24

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-23
Dose 1 — Moderna
2021-03-24
Registered in v-safe
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Electric shock, Feeling abnormal, Muscle spasms — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Brain fog, electric shocks/spasms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Free text: Sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-20
Dose 2 — Moderna
2021-04-20
Survey response — day 0, dose 2
MedDRA: Paraesthesia, Pruritus — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: Mild itching and tingling throughout extremities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Poor · Site: Pain · 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: Tingling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Hallucination, auditory, Paraesthesia — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Auditory hallucinations and tingling sensations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Redness, Swelling · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Hallucination, auditory — Feeling: Fair · Site: Redness, Swelling · Fever · Headache, Fatigue or tiredness, Nausea

Free text: Auditory hallucinations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-27
Health check-in — day 7, dose 2
Feeling: Fair · Site: Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-05-04
Survey response — day 14, dose 2
MedDRA: Nausea — Feeling: Good · Be unable to do your normal daily activities

Free text: Only today do I feel 100% better from the side effects of second Moderna shot, which I received on April 20th. I had 2 days of constant nausea, which happened at almost a week after the second shot.

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

Adult check-in
2021-05-18
Survey response — day 28, dose 2
MedDRA: Axillary mass, Oedema peripheral, Pain, Pain in extremity — Feeling: Fair

Free text: Lump in left upper arm (injection area). Sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-19
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-01
Dose 3 — Pfizer-BioNTech
2022-04-07
Dose 4 — Pfizer-BioNTech
2022-05-01
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-05
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-14
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-07
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-06
Survey response — 6 months, dose 4
MedDRA: Brain fog, COVID-19, Fatigue, Headache, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I had Covid at the end of July but I never tested positive. Fever, headaches, fatigue, congestion, brain fog.

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-07
Call 1 — Left Voicemail
2022-10-14
Dose 5 — Pfizer-BioNTech
2022-10-16
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-10-17
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2022-10-18
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-19
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-10-20
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-10-21
Health check-in — day 7, dose 5
Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches

Adult check-in
2022-10-28
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-11-04
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-13
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-14
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Moderna
2	2021-04-20	Moderna
3	2021-11-01	Pfizer-BioNTech	No
4	2022-04-07	Pfizer-BioNTech	No
5	2022-10-14	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): Brain fog

2021-03-25

Systemic reaction (other): Brain fog

2021-03-26

Systemic reaction (other): Brain fog, electric shocks/spasms

2021-03-28

Systemic reaction (other): Sweating

Release 7 — day 0, dose 2

2021-04-20

Systemic reaction (other): Mild itching and tingling throughout extremities

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): Tingling

2021-04-23

Systemic reaction (other): Auditory hallucinations and tingling sensations

2021-04-25

Systemic reaction (other): Auditory hallucinations

Release 8 — day 14, dose 2

2021-05-04

Symptoms: Only today do I feel 100% better from the side effects of second Moderna shot, which I received on April 20th. I had 2 days of constant nausea, which happened at almost a week after the second shot.

Release 8 — day 28, dose 2

2021-05-18

Symptoms: Lump in left upper arm (injection area). Sore.

Release 12 — 6 months, dose 4

2022-10-06

Symptoms: I had Covid at the end of July but I never tested positive. Fever, headaches, fatigue, congestion, brain fog.

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	Axillary mass	·	·	✓
SD	Brain fog	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oedema peripheral	✓	✓	○
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	○
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Electric shock	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hallucination, auditory	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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