ZQC-11157-38436

3 vaccinations 12 coded responses 15 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 606 / IL
Registered: 2021-01-28

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2020-12-30
Dose 1 — Moderna
2021-01-27
Dose 2 — Moderna
2021-01-28
Registered in v-safe
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Tachycardia — Feeling: Poor · Site: Pain, Swelling, Itching · 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: Taquicardia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain, Redness, Swelling · Headache

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Injection site bruising — Feeling: Good · Site: Pain, Swelling · Chills, Headache, Joint pains, Fatigue or tiredness

Free text: Dizziness, bruising on site of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — day 7, dose 2
MedDRA: Dizziness, Eye pain, Heart rate abnormal — Feeling: Fair · Site: Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness, eye pain, abnormal heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — day 14, dose 2
MedDRA: Dizziness, Headache, Heart rate irregular, Parosmia, Taste disorder — Feeling: Good · Be unable to do your normal daily activities

Free text: Add sense of smell and taste, irregular heart rate, dizziness, headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — day 21, dose 2
MedDRA: Dizziness, Fatigue, Parosmia, Taste disorder — Feeling: Good · Be unable to do your normal daily activities

Free text: Change on taste and smell, dizziness and tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — day 28, dose 2
MedDRA: Dizziness, Heart rate irregular, Parosmia, Taste disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Irregular heartbeat, dizziness, weird sense of smell and taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 35, dose 2
MedDRA: Heart rate irregular, Parosmia, Taste disorder — Feeling: Good · Be unable to do your normal daily activities

Free text: Irregular heart rate, change on sense of smell and taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — day 42, dose 2
MedDRA: Dysgeusia, Parosmia — Feeling: Good · Be unable to do your normal daily activities

Free text: Weird sense of smell and taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Parosmia, Pre-existing disease, Taste disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worsening on symptoms of seasonal allergies, change on smell and taste of food ( taste and smell funky)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-29
Survey response — 6 months, dose 2
MedDRA: Parosmia, Taste disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Change on sense of smell and taste

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-01-27
Survey response — 12 months, dose 2
MedDRA: Heart rate increased, Parosmia, Taste disorder, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities

Free text: Problems with taste, smell, increased on heart rate, and intimacy problems

MedDRA releases: 2024-11 · check-in free text available
2022-02-26
Dose 3 — Pfizer-BioNTech
2022-05-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-27	Moderna
3	2022-02-26	Pfizer-BioNTech	No

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Taquicardia

Release 3 — days 1–6 daily, dose 2

2021-01-30

Systemic reaction (other): Dizziness

2021-02-02

Systemic reaction (other): Dizziness, bruising on site of injection

Release 3 — day 7, dose 2

2021-02-03

Systemic reaction (other): Dizziness, eye pain, abnormal heart rate

Release 4 — day 14, dose 2

2021-02-10

Symptoms: Add sense of smell and taste, irregular heart rate, dizziness, headaches

Release 4 — day 21, dose 2

2021-02-17

Symptoms: Change on taste and smell, dizziness and tiredness

Release 4 — day 28, dose 2

2021-02-24

Symptoms: Irregular heartbeat, dizziness, weird sense of smell and taste

Release 5 — day 35, dose 2

2021-03-03

Symptoms: Irregular heart rate, change on sense of smell and taste

Release 5 — day 42, dose 2

2021-03-10

Symptoms: Weird sense of smell and taste

Release 8 — 3 months, dose 2

2021-04-28

Symptoms: Worsening on symptoms of seasonal allergies, change on smell and taste of food ( taste and smell funky)

Release 9 — 6 months, dose 2

2021-07-29

Symptoms: Change on sense of smell and taste

Release 11 — 12 months, dose 2

2022-01-27

Symptoms: Problems with taste, smell, increased on heart rate, and intimacy problems

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	Condition aggravated	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dysgeusia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	·	·	✓
SD	Heart rate irregular	✓	✓	✓
SD	Parosmia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Taste disorder	✓	✓	✓
SD	Unevaluable event	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Heart rate abnormal	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Tachycardia	✓	✓	✓

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