6VT-10582-41923

5 vaccinations 19 coded responses 51 check-ins 19 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 761 / TX
Registered: 2021-01-11

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

2021-01-11
Registered in v-safe
2021-01-11
Dose 1 — Moderna
2021-01-11
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Adult check-in
2021-01-12
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Paranasal sinus hypersecretion — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Sinus drainage, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Sneezing — Feeling: Good

Free text: Lots of sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Sneezing — Feeling: Good · Fatigue or tiredness, Nausea

Free text: Cough, sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Sneezing — Feeling: Good · Headache, Fatigue or tiredness

Free text: Sneezing, some cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-25
Survey response — day 14, dose 1
MedDRA: Fatigue, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, bad enough I had to nap

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-08
Dose 2 — Moderna
2021-02-08
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Malaise — Feeling: Fair · Headache, Fatigue or tiredness

Free text: General feeling of unwellness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-22
Survey response — day 42, dose 2
MedDRA: Insomnia — Feeling: Fair

Free text: Problems sleeping at night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-09
Survey response — 6 months, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Really sore throat

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-05
Dose 3 — Moderna
2022-02-08
Survey response — 3 months, dose 3
MedDRA: Brain fog, Poor quality sleep, Tinnitus — Feeling: Fair · 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

Free text: Brain fog, constant ringing in my ears, not sleeping well

MedDRA releases: 2024-11 · check-in free text available
2022-02-08
Survey response — 12 months, dose 2
MedDRA: Brain fog, Poor quality sleep, Tinnitus — Feeling: Fair · 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

Free text: Constant Ringing in my ears, brain fog, not sleeping well May of had Covid in January even though I'm vaccinated and boosted.

MedDRA releases: 2024-11 · check-in free text available
2022-02-08
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-08
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-09
Call 1 — Left Voicemail
2022-02-09
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-22
Dose 4 — Moderna
2022-04-22
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2022-04-28
Survey response — days 1–6 daily, dose 4
MedDRA: Insomnia — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Free text: Having problems sleeping, staying asleep

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-05-06
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-20
Survey response — day 28, dose 4
MedDRA: Oropharyngeal pain, Paranasal sinus hypersecretion, Sinus congestion — Feeling: Good

Free text: Sore throat, sinus congestion & drainage

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-03
Survey response — day 42, dose 4
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-07-22
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-22
Dose 5 — Moderna
2022-09-26
Survey response — days 1–6 daily, dose 5
MedDRA: Paranasal sinus hypersecretion, Respiratory tract congestion — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Congestion, sinus drainage, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-09-27
Survey response — days 1–6 daily, dose 5
MedDRA: Cough, Oropharyngeal pain, Paranasal sinus hypersecretion, Sinus congestion — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Cough, sinus congestion & drainage, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Survey response — day 7, dose 5
MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Sore throat, congestion, cough

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-13
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-27
Survey response — day 35, dose 5
MedDRA: Oropharyngeal pain, Paranasal sinus discomfort, Paranasal sinus hypersecretion, Poor quality sleep, Sinus pain — Feeling: Fair

Free text: Sinus pain and pressure. Not sleeping well. Sinus drainage and a sore throat.

MedDRA releases: 2024-11 · check-in free text available
2022-11-03
Survey response — day 42, dose 5
MedDRA: Abdominal discomfort, Paranasal sinus discomfort, Sinus pain, Vertigo — Feeling: Poor · 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: Vertigo, digestive upset, sinus pain/pressure

MedDRA releases: 2024-11 · check-in free text available
2022-11-03
Report sent to call center — day 42, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-04
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-04
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-22
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-23
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna
2	2021-02-08	Moderna
3	2021-11-05	Moderna	No
4	2022-04-22	Moderna	No
5	2022-09-22	Moderna	No

Call center

4 call center cases

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

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): Sinus drainage, sore throat

2021-01-15

Systemic reaction (other): Lots of sneezing

2021-01-16

Systemic reaction (other): Cough, sneezing

2021-01-17

Systemic reaction (other): Sneezing, some cough

Release 2 — day 14, dose 1

2021-01-25

Symptoms: Fatigue, bad enough I had to nap

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): Brain fog

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): General feeling of unwellness

Release 6 — day 42, dose 2

2021-03-22

Symptoms: Problems sleeping at night

Release 9 — 6 months, dose 2

2021-08-09

Symptoms: Really sore throat

Release 11 — 3 months, dose 3

2022-02-08

Symptoms: Brain fog, constant ringing in my ears, not sleeping well

Release 11 — 12 months, dose 2

2022-02-08

Symptoms: Constant Ringing in my ears, brain fog, not sleeping well May of had Covid in January even though I'm vaccinated and boosted.

Release 11 — days 1–6 daily, dose 4

2022-04-28

Systemic reaction (other): Having problems sleeping, staying asleep

Release 11 — day 28, dose 4

2022-05-20

Symptoms: Sore throat, sinus congestion & drainage

Release 11 — day 42, dose 4

2022-06-03

Symptoms: Fatigue

Release 12 — days 1–6 daily, dose 5

2022-09-26

Systemic reaction (other): Congestion, sinus drainage, sore throat

2022-09-27

Systemic reaction (other): Cough, sinus congestion & drainage, sore throat

Release 12 — day 7, dose 5

2022-09-29

Systemic reaction (other): Sore throat, congestion, cough

Release 12 — day 35, dose 5

2022-10-27

Symptoms: Sinus pain and pressure. Not sleeping well. Sinus drainage and a sore throat.

Release 12 — day 42, dose 5

2022-11-03

Symptoms: Vertigo, digestive upset, sinus pain/pressure

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	Brain fog	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Poor quality sleep	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sinus pain	·	·	✓
SD	Somnolence	✓	✓	✓
SD	Tinnitus	·	·	✓
SD	Vertigo	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Insomnia	·	·	✓
SRO	Malaise	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paranasal sinus hypersecretion	✓	✓	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Sinus congestion	·	·	✓
SRO	Sneezing	✓	✓	✓

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