6VW-18057-37160

2 vaccinations 8 coded responses 17 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 801 / CO
Registered: 2021-02-28

Relationship: Self
Race: N/A
Ethnicity: Hispanic or Latino

Timeline

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

2021-02-26
Dose 1 — Moderna
2021-02-28
Registered in v-safe
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Emotional distress, Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Free text: Covid fog, had Covid/hospitalized last week of October 2020, still no taste:/smell, a little emotional.

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: Good · Fatigue or tiredness

Adult check-in
2021-03-20
Survey response — day 21, dose 1
MedDRA: Ageusia, Anosmia, Cough, Dizziness, Fatigue, Feeling abnormal, Gastrooesophageal reflux disease, Headache, Insomnia, Visual impairment — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Not sure if Covid related. Acid reflux, fatigue, unable to sleep, vision issues dizziness mental fog, headaches, still have no taste/smell. New prescribed eye glasses not working. Intermittent cough. Reaching out to general practitioner and optometri

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-26
Dose 2 — Moderna
2021-03-26
Survey response — day 0, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Disturbance in attention — Feeling: Good · Fatigue or tiredness

Free text: Have trouble focusing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 28, dose 2
MedDRA: Dizziness, Fatigue, Sleep deficit — Feeling: Fair

Free text: Fatigue, light headed, lack of sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-09-26
Survey response — 6 months, dose 2
MedDRA: Fatigue, Pre-existing disease, Vertigo, Visual impairment — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Eye sight degrading, worse fatigue , I think due to having COVID-19 prior to vaccination · Healthcare visit (other): I will be making an also an eye appt and salt for vertigo

MedDRA releases: 2024-11 · check-in free text available
2021-09-26
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-09-30
Call 1 — Left Voicemail
2022-03-27
Survey response — 12 months, dose 2
MedDRA: Cataract, Cough, Deafness, Fatigue, Muscle spasms, Office visit, Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Fatigue, also dr visits for vertigo, cataracts, hearing loss, leg cramps, coughing

MedDRA releases: 2024-11 · check-in free text available
2022-03-27
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-28
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-26	Moderna

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-28

Systemic reaction (other): Fatigue

2021-03-02

Systemic reaction (other): Covid fog, had Covid/hospitalized last week of October 2020, still no taste:/smell, a little emotional.

Release 6 — day 21, dose 1

2021-03-20

Symptoms: Not sure if Covid related. Acid reflux, fatigue, unable to sleep, vision issues dizziness mental fog, headaches, still have no taste/smell. New prescribed eye glasses not working. Intermittent cough. Reaching out to general practitioner and optometri cut off by CDC

Release 6 — day 0, dose 2

2021-03-26

Systemic reaction (other): Fatigue

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): Have trouble focusing

Release 7 — day 28, dose 2

2021-04-23

Symptoms: Fatigue, light headed, lack of sleep

Release 9 — 6 months, dose 2

2021-09-26

Symptoms: Eye sight degrading, worse fatigue , I think due to having COVID-19 prior to vaccination

Healthcare visit (other): I will be making an also an eye appt and salt for vertigo

Release 11 — 12 months, dose 2

2022-03-27

Symptoms: Fatigue, also dr visits for vertigo, cataracts, hearing loss, leg cramps, coughing

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	Vertigo	·	·	✓
SD	Ageusia	✓	✓	✓
SD	Anosmia	✓	✓	✓
SD	Cataract	·	·	✓
SD	Cough	✓	✓	✓
SD	Deafness	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Office visit	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Sleep deficit	✓	✓	✓
SD	Vertigo	·	·	✓
SD	Visual impairment	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Emotional distress	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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