5ZL-10813-73022

2 vaccinations 8 coded responses 19 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 184 / PA
Registered: 2021-03-25

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

2021-03-18
Dose 1 — Moderna
2021-03-25
Registered in v-safe
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-04-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Moderna
2021-04-15
Survey response — day 0, dose 2
MedDRA: Pain in extremity — Feeling: Good · Fatigue or tiredness

Free text: Slight muscle soreness in arm that received shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Self-medication — Feeling: Fair · Site: Pain, Redness · Fever · Muscle or body aches

Free text: Took tylenol and feel fine now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

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

Adult check-in
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Throat irritation — Feeling: Good

Free text: Scratchy throat May be allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Survey response — day 14, dose 2
MedDRA: Throat irritation — Feeling: Good

Free text: Scratchy throat. Could be allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-13
Survey response — day 28, dose 2
MedDRA: Cough, Respiratory tract congestion — Feeling: Good

Free text: Cough at night. Some congestion Could be allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-15
Survey response — 3 months, dose 2
MedDRA: Dyspnoea, Rash, Respiratory tract congestion, Tendonitis — Feeling: Good

Free text: Tendon in my right arm is still tight sinetimes. This is the arm that had the rash. Intermittent bouts of congestion and shortness of breath that I never had before the shot.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-14
Survey response — 6 months, dose 2
MedDRA: Asthenia, Office visit, Wheezing — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I still have the wheezing at night and the lack of stamina . · Healthcare visit (other): Just a check up and blood work.

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-19
Call 1 — Left Voicemail
2022-04-15
Survey response — 12 months, dose 2
MedDRA: Blood pressure increased, COVID-19, Office visit — 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

Free text: Symptoms: I had Covid... 2 1/2 weeks ago. Blood pressure up since booster December. Not high to need treatment but higher than it has ever been in my lifetime · Healthcare visit (other): Check up today ..04/15/22

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
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 · 1 call case(s)
2022-04-19
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Moderna
2	2021-04-15	Moderna

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 7 — day 0, dose 2

2021-04-15

Systemic reaction (other): Slight muscle soreness in arm that received shot

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Took tylenol and feel fine now

2021-04-21

Systemic reaction (other): Scratchy throat May be allergies

Release 8 — day 14, dose 2

2021-04-29

Symptoms: Scratchy throat. Could be allergies.

Release 8 — day 28, dose 2

2021-05-13

Symptoms: Cough at night. Some congestion Could be allergies.

Release 9 — 3 months, dose 2

2021-07-15

Symptoms: Tendon in my right arm is still tight sinetimes. This is the arm that had the rash. Intermittent bouts of congestion and shortness of breath that I never had before the shot.

Release 10 — 6 months, dose 2

2021-10-14

Symptoms: I still have the wheezing at night and the lack of stamina .

Healthcare visit (other): Just a check up and blood work.

Release 11 — 12 months, dose 2

2022-04-15

Symptoms: I had Covid... 2 1/2 weeks ago. Blood pressure up since booster December. Not high to need treatment but higher than it has ever been in my lifetime

Healthcare visit (other): Check up today ..04/15/22

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	·	·	✓
SD	Asthenia	·	·	✓
SD	Blood pressure increased	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	✓	·	✓
SD	Rash	✓	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Tendonitis	✓	·	✓
SD	Throat irritation	✓	✓	✓
SD	Wheezing	·	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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