RPZ-28229-78480

4 vaccinations 10 coded responses 45 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 113 / NY
Registered: 2021-03-21

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

2021-03-21
Registered in v-safe
2021-03-21
Dose 1 — Moderna
2021-03-21
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Slight tightness in chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-03-30
Survey response — day 7, dose 1
MedDRA: Chest discomfort — Feeling: Fair · Headache

Free text: Tightness in chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-17
Dose 2 — Moderna
2021-04-17
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Chills, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Fuzzy brain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Disturbance in attention, Feeling abnormal — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness

Free text: Fuzzy head and hard to concentrate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — day 7, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Brain static

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-17
Survey response — 3 months, dose 2
MedDRA: Abdominal distension, Fatigue, Pregnancy — Feeling: Fair

Free text: Nausea and fatigue and bloat (from pregnancy, I assume)

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Survey response — 6 months, dose 2
MedDRA: Office visit, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Pregnancy · Healthcare visit (other): prenatal care

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-25
Call 1 — Left Voicemail
2021-10-25
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-14
Dose 3 — Moderna
2021-11-15
Survey response — days 1–6 daily, dose 3
MedDRA: Ageusia, Anosmia, Office visit, SARS-CoV-2 test — Feeling: Poor · Site: Pain · Muscle or body aches · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Loss of taste and smell · Healthcare visit (other): Covid testing at urgent care

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-16
Survey response — days 1–6 daily, dose 3
MedDRA: Night sweats — Feeling: Poor · Site: Pain · Fever · Chills

Free text: Night sweat

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Call 1 — Left Voicemail
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · None

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · None

Adult check-in
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · None

Adult check-in
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-21
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-30
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-05
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-12
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-19
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-26
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-13
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-15
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-15
Dose 4 — Moderna
2022-10-22
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-29
Survey response — day 14, dose 4
MedDRA: Diarrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-11-06
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-12
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-21
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-26
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-16
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-17
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-21	Moderna
2	2021-04-17	Moderna
3	2021-11-14	Moderna	No
4	2022-10-15	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): Slight tightness in chest

Release 6 — day 7, dose 1

2021-03-30

Systemic reaction (other): Tightness in chest

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Fuzzy brain

2021-04-23

Systemic reaction (other): Fuzzy head and hard to concentrate

Release 7 — day 7, dose 2

2021-04-24

Systemic reaction (other): Brain static

Release 9 — 3 months, dose 2

2021-07-17

Symptoms: Nausea and fatigue and bloat (from pregnancy, I assume)

Release 10 — 6 months, dose 2

2021-10-16

Symptoms: Pregnancy

Healthcare visit (other): prenatal care

Release 10 — days 1–6 daily, dose 3

2021-11-15

Systemic reaction (other): Loss of taste and smell

Healthcare visit (other): Covid testing at urgent care

2021-11-16

Systemic reaction (other): Night sweat

Release 12 — day 14, dose 4

2022-10-29

Symptoms: Diarrhea

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	Office visit	·	·	✓
HCVO	SARS-CoV-2 test	·	·	✓
SD	Abdominal distension	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Pregnancy	·	·	✓
SRO	Ageusia	·	·	✓
SRO	Anosmia	·	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Night sweats	·	·	✓

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