ZYF-31907-37297

2 vaccinations 21 coded responses 25 check-ins 21 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 275 / NC
Registered: 2021-04-10

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

2021-04-09
Dose 1 — Moderna
2021-04-10
Registered in v-safe
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Pain, Redness, Itching · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I do not see rash, but had itchiness of scalp and neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Oral pruritus — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tiredness

Free text: Itching in roof of mouth past 2 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure increased, Headache, Hypoaesthesia — Feeling: Fair · Site: Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Weird 20 hours since last check in. Numbness in left forearm and hand persisted from about 5 pm yesterday til 3 pm today. Headache was the type I had with COVID. BP elevated since yesterday early evening. No weakness or slurred speech

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Deafness — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Def believed to have Long COVID. Echo on Friday 4/16

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Hypoaesthesia oral — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Nausea

Free text: Numbness in arms legs and mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 7, dose 1
MedDRA: Non-24-hour sleep-wake disorder, Sleep disorder — Feeling: Fair · Site: Itching · Chills, Joint pains

Free text: Sleep disruption again for past two nights. Have slept about 3 hours each night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-07
Dose 2 — Moderna
2021-05-07
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Chills, Headache, Nausea

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Dyspepsia, Hypotension, Presyncope — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Almost passed out. Able to lower self to floor. BP after laying on floor 30 mins was 80/50. Chest pain has recurred. Severe indigestion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Dizziness, Paraesthesia, Respiratory tract congestion — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Chest pain, congestion, feeling like pins and needles all over, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Severe episodes of dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Noninfective gingivitis, Stomatitis — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness, persistent mouth and gum inflammation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness, Nausea

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Swelling · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — day 14, dose 2
MedDRA: Chills, Fatigue, Headache, Hypoaesthesia, Hypoaesthesia oral — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe fatigue, face and mouth numbness, chills, headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 21, dose 2
MedDRA: Dyspnoea, Fatigue, Headache, Hypoaesthesia, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, more numbness and tingling throughout, muscle cramps in hands, feet, torso. Headache has returned, same type as when I tested positive for COVID in Jan. Sleep most of day. Shortness of breath with any activity.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — day 28, dose 2
MedDRA: Anxiety, Brain fog, Dizziness, Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worsened shortness of breath for several days, increased anxiety and increased brain fog, increased dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Survey response — day 35, dose 2
MedDRA: Dyspnoea, Fatigue, Malaise, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Fatigue, extreme post exertion malaise, feel like Im empty after minimal activity-walked through one level of friends house under construction yesterday. CANNOT function today. Sore throat. Cognitive issues. Appt this tues for labs/CXR b/o SOB

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-18
Survey response — day 42, dose 2
MedDRA: Anxiety, Cognitive disorder, Dyspnoea, Feeling of despair, Headache, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Cognitive changes, shortness of breath, anxiety all increasing. Feelings of hopelessness occasionally. Headache comes and goes. · Healthcare visit (other): Chest X-ray and labs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-25
Call 1 — Left Voicemail
2021-08-06
Survey response — 3 months, dose 2
MedDRA: Abdominal pain, COVID-19, Dyspnoea, Dyspnoea exertional, Muscle spasms, Visual impairment — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Diagnosed with COVID 6/30Return of torso crampsVisual disturbanceContinued SOB, worse with movement

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-06
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-03
Call 1 — Left Voicemail
2021-11-05
Survey response — 6 months, dose 2
MedDRA: Cognitive disorder, Dizziness, Fatigue, Hallucination, Hypoaesthesia, Hypoaesthesia oral — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Facial and tongue numbness Hallucinations Extreme dizziness Worsened cognitive fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-08
Call 1 — Left Voicemail
2022-05-09
Survey response — 12 months, dose 2
MedDRA: Dyspnoea, Fatigue, Gingival disorder, Myalgia, Tooth disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Recurrence of SOB, increased fatigue, gum and tooth issues, increased muscle pain.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Moderna
2	2021-05-07	Moderna

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-10

Systemic reaction (other): I do not see rash, but had itchiness of scalp and neck.

2021-04-12

Systemic reaction (other): Itching in roof of mouth past 2 days

2021-04-13

Systemic reaction (other): Weird 20 hours since last check in. Numbness in left forearm and hand persisted from about 5 pm yesterday til 3 pm today. Headache was the type I had with COVID. BP elevated since yesterday early evening. No weakness or slurred speech

2021-04-14

Systemic reaction (other): Def believed to have Long COVID. Echo on Friday 4/16

2021-04-15

Systemic reaction (other): Numbness in arms legs and mouth

Release 7 — day 7, dose 1

2021-04-16

Systemic reaction (other): Sleep disruption again for past two nights. Have slept about 3 hours each night.

Release 8 — day 0, dose 2

2021-05-07

Systemic reaction (other): Dizzy

Release 8 — days 1–6 daily, dose 2

2021-05-09

Systemic reaction (other): Almost passed out. Able to lower self to floor. BP after laying on floor 30 mins was 80/50. Chest pain has recurred. Severe indigestion.

2021-05-10

Systemic reaction (other): Chest pain, congestion, feeling like pins and needles all over, dizziness

2021-05-11

Systemic reaction (other): Severe episodes of dizziness

2021-05-12

Systemic reaction (other): Dizziness, persistent mouth and gum inflammation

2021-05-13

Systemic reaction (other): Dizziness

Release 8 — day 7, dose 2

2021-05-14

Systemic reaction (other): Dizziness

Release 8 — day 14, dose 2

2021-05-21

Symptoms: Severe fatigue, face and mouth numbness, chills, headache

Release 8 — day 21, dose 2

2021-05-28

Symptoms: Fatigue, more numbness and tingling throughout, muscle cramps in hands, feet, torso. Headache has returned, same type as when I tested positive for COVID in Jan. Sleep most of day. Shortness of breath with any activity.

Release 8 — day 28, dose 2

2021-06-04

Symptoms: Worsened shortness of breath for several days, increased anxiety and increased brain fog, increased dizziness.

Release 9 — day 35, dose 2

2021-06-13

Symptoms: Fatigue, extreme post exertion malaise, feel like Im empty after minimal activity-walked through one level of friends house under construction yesterday. CANNOT function today. Sore throat. Cognitive issues. Appt this tues for labs/CXR b/o SOB

Release 9 — day 42, dose 2

2021-06-18

Symptoms: Cognitive changes, shortness of breath, anxiety all increasing. Feelings of hopelessness occasionally. Headache comes and goes.

Healthcare visit (other): Chest X-ray and labs

Release 9 — 3 months, dose 2

2021-08-06

Symptoms: Diagnosed with COVID 6/30Return of torso crampsVisual disturbanceContinued SOB, worse with movement

Release 10 — 6 months, dose 2

2021-11-05

Symptoms: Facial and tongue numbness Hallucinations Extreme dizziness Worsened cognitive fatigue

Release 11 — 12 months, dose 2

2022-05-09

Symptoms: Recurrence of SOB, increased fatigue, gum and tooth issues, increased muscle pain.

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	Unevaluable event	✓	✓	✓
SD	Abdominal pain	✓	·	✓
SD	Anxiety	✓	✓	✓
SD	Brain fog	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cognitive disorder	✓	✓	✓
SD	COVID-19	✓	·	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Dyspnoea exertional	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling of despair	✓	✓	✓
SD	Gingival disorder	·	·	✓
SD	Hallucination	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Hypoaesthesia oral	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Tooth disorder	·	·	✓
SD	Visual impairment	✓	·	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Deafness	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Hypotension	✓	✓	✓
SRO	Non-24-hour sleep-wake disorder	○	✓	○
SRO	Noninfective gingivitis	✓	✓	✓
SRO	Oral pruritus	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Presyncope	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Sleep disorder	✓	·	✓
SRO	Stomatitis	✓	✓	✓

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