MGZ-33908-55091

4 vaccinations 10 coded responses 34 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 805 / CO
Registered: 2021-03-17

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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Moderna
2021-03-17
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea, Diarrhea

Adult check-in
2021-03-24
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-14
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Rash, Urticaria — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Had a few hives and a rash for a couple of hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-04-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-05
Survey response — day 21, dose 2
MedDRA: Diarrhoea, Fatigue, Headache, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Vomiting, diarrhea, headache and tired- could be food poisoning though and not related to vaccine at all.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 28, dose 2
MedDRA: Antinuclear antibody positive, Blood test abnormal, Condition aggravated, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have what feels like a hashimotos flare since the second vaccine. I had some bloodwork done this week and also have a high ANA marker.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-16
Health check-in — 3 months, dose 2
Feeling: Good

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

Adult check-in
2022-04-14
Call 1 — Left Voicemail
2022-04-16
Survey response — 12 months, dose 2
MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: COvid

MedDRA releases: 2024-11 · check-in free text available
2022-04-16
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

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2022-04-21
Call 1 — Left Voicemail
2022-05-03
Call 2 — Left Voicemail
2022-06-22
Dose 3 — Moderna
2022-09-26
Dose 4 — Pfizer-BioNTech
2022-09-28
Survey response — days 1–6 daily, dose 4
MedDRA: Medical counselling — Feeling: Fair · Site: Pain · 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, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Had to have a nurse come give me meds and an iv

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
Report sent to call center — days 1–6 daily, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-29
Survey response — days 1–6 daily, dose 4
MedDRA: Brain fog, Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Also dizziness and brain fog

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Call 2 — Left Voicemail
2022-09-29
Call 3 — Left Voicemail
2022-09-29
Call 1 — Left Voicemail
2022-09-30
Survey response — days 1–6 daily, dose 4
MedDRA: Brain fog, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Brain fog and lymph node swelling in armpit of side of body where I got the booster

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Survey response — days 1–6 daily, dose 4
MedDRA: Brain fog, Dizziness — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Brain fog and dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-10-02
Survey response — days 1–6 daily, dose 4
MedDRA: Brain fog, Dizziness — Feeling: Fair · Site: Itching · Headache, Joint pains, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Brain fog and dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Survey response — day 7, dose 4
MedDRA: Brain fog — Feeling: Poor · Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Some brain fog

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-17
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-26
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-11-08
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna
3	2022-06-22	Moderna	No
4	2022-09-26	Pfizer-BioNTech	No

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Had a few hives and a rash for a couple of hours

Release 8 — day 21, dose 2

2021-05-05

Symptoms: Vomiting, diarrhea, headache and tired- could be food poisoning though and not related to vaccine at all.

Release 8 — day 28, dose 2

2021-05-12

Symptoms: I have what feels like a hashimotos flare since the second vaccine. I had some bloodwork done this week and also have a high ANA marker.

Release 11 — 12 months, dose 2

2022-04-16

Symptoms: COvid

Release 12 — days 1–6 daily, dose 4

2022-09-28

Healthcare visit (other): Had to have a nurse come give me meds and an iv

2022-09-29

Systemic reaction (other): Also dizziness and brain fog

2022-09-30

Systemic reaction (other): Brain fog and lymph node swelling in armpit of side of body where I got the booster

2022-10-01

Systemic reaction (other): Brain fog and dizziness

2022-10-02

Systemic reaction (other): Brain fog and dizziness

Release 12 — day 7, dose 4

2022-10-03

Systemic reaction (other): Some 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
HCVO	Medical counselling	·	·	✓
SD	Antinuclear antibody positive	✓	✓	✓
SD	Blood test abnormal	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Brain fog	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Rash	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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