4ZV-20120-04860

2 vaccinations 11 coded responses 25 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 773 / TX
Registered: 2021-03-05

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

2021-03-05
Registered in v-safe
2021-03-05
Dose 1 — Moderna
2021-03-05
Survey response — day 0, dose 1
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Headache

Free text: Loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pain, Insomnia, Tachycardia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Tachycardia, insomnia, eye pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Tachycardia, Toothache — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Tachycardia, tooth pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Nausea, Diarrhea

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Nausea, Diarrhea

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling, Itching · Chills, Headache, Muscle or body aches, Nausea, Diarrhea

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Fever · Headache, Diarrhea

Adult check-in
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · Headache, Muscle or body aches

Adult check-in
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Survey response — day 21, dose 1
MedDRA: Back pain, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: Back pain with muscle spasms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fever · Headache

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Good · Site: Pain · Fever · Headache, Muscle or body aches

Free text: Extreme sweating during sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis, Night sweats — Feeling: Good · Site: Itching · Headache

Free text: Night sweats/ extreme sweating during sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Throat irritation — Feeling: Good · Site: Itching · Headache

Free text: Scratchy throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Throat irritation — Feeling: Good · Site: Itching · Headache

Free text: Scratchy throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · Headache, Abdominal pain

Adult check-in
2021-04-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-20
Survey response — day 42, dose 2
MedDRA: Back pain, Headache — Feeling: Fair

Free text: Headache and back ache (presumably tension headache and backache from moving)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-07
Survey response — 6 months, dose 2
MedDRA: Fatigue, Headache, Oropharyngeal pain, Pain in jaw, Productive cough, Sinus congestion, Upper-airway cough syndrome — 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

Free text: I was sick for a few weeks with a productive cough, sore throat, sinus congestion, headache, jaw pain, fatigue, and post-nasal drip. Symptoms mostly resolved, but i have a lingering post nasal drip and occasional productive cough.

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Report sent to call center — 6 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 · 1 call case(s)
2021-12-07
Call 1 — Left Voicemail
2021-12-08
Call successful
Does not wish to fill out VAERS report
2022-04-08
Survey response — 12 months, dose 2
MedDRA: Ankle fracture, COVID-19, Fatigue, Headache, Myalgia, Sinus congestion — Feeling: Good · 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: I had a confirmed COVID infection, symptomatic, at the end of January. Symptoms were mild, but included sinus congestion, headache, muscle aches, and fatigue. Additionally, unrelated conditions, including a broken ankle.

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-04-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-08	Moderna

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-05

Systemic reaction (other): Loss of appetite

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Tachycardia, insomnia, eye pain

2021-03-07

Systemic reaction (other): Tachycardia, tooth pain

Release 6 — day 21, dose 1

2021-03-26

Symptoms: Back pain with muscle spasms

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Extreme sweating during sleep

2021-04-11

Systemic reaction (other): Night sweats/ extreme sweating during sleep

2021-04-12

Systemic reaction (other): Scratchy throat

2021-04-13

Systemic reaction (other): Scratchy throat

Release 8 — day 42, dose 2

2021-05-20

Symptoms: Headache and back ache (presumably tension headache and backache from moving)

Release 10 — 6 months, dose 2

2021-10-07

Symptoms: I was sick for a few weeks with a productive cough, sore throat, sinus congestion, headache, jaw pain, fatigue, and post-nasal drip. Symptoms mostly resolved, but i have a lingering post nasal drip and occasional productive cough.

Release 11 — 12 months, dose 2

2022-04-08

Symptoms: I had a confirmed COVID infection, symptomatic, at the end of January. Symptoms were mild, but included sinus congestion, headache, muscle aches, and fatigue. Additionally, unrelated conditions, including a broken ankle.

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	Ankle fracture	·	·	✓
SD	Back pain	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in jaw	·	·	✓
SD	Productive cough	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Tachycardia	✓	✓	✓
SRO	Throat irritation	✓	✓	✓
SRO	Toothache	✓	✓	✓

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