CNZ-12941-72160

3 vaccinations 13 coded responses 26 check-ins 13 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 523 / IA
Registered: 2021-03-18

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

2021-03-16
Dose 1 — Moderna
2021-03-18
Registered in v-safe
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Neck pain — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Sore neck; low appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 7, dose 1
MedDRA: Anxiety, Dysphoria — Feeling: Poor · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feeling dysphoric and anxious

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 14, dose 1
MedDRA: Anxiety, Inflammation, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Insomnia, Urticaria — Feeling: Fair · Be unable to do your normal daily activities

Free text: Injection site continued to swell, redden, be painful, and then itch, before symptoms subsided. Welt was about 7 inches in diameter at its maximum. Severe Anxiety and insomnia have also lessened in tandem as arm inflammation subsided.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Moderna
2021-04-15
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Taste disorder, Thirst — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Loss of appetite, thirst, altered taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Epistaxis, Feeling cold — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Loss of appetite, nosebleeds, feeling cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-22
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-29
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches

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

Free text: Scratchy throat and occasional dry cough have persisted since vaccination. No other symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-20
Survey response — day 35, dose 2
MedDRA: Dyspnoea, Fatigue, Pharyngeal disorder — Feeling: Fair

Free text: Continued weird throat and breathing issue. Fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-15
Survey response — 3 months, dose 2
MedDRA: Dizziness, Dysstasia, Fatigue, Heart rate irregular — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have developed what seems to be POTS syndrome, with dizziness and fatigue following the shot, combined with irregular heart rates and inability to stand vertically for long. The symptoms began after second moderna dosage.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-15
Report sent to call center — 3 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

1 call case(s)
2021-07-23
Call 1 — Left Voicemail
2021-10-23
Dose 3 — Pfizer-BioNTech
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-11-01
Health check-in — day 7, dose 3
Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-06
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-23
Survey response — 3 months, dose 3
MedDRA: Asthenia, Condition aggravated, Pre-existing disease — Feeling: Poor · 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

Free text: I have had a relapse of postural orthostatic tachycardia syndrome, which was triggered initially by my first set of covid vaccines. The booster exacerbated symptoms. Please look into incidences of the mrna vaccines causing this debilitating syndrome

MedDRA releases: 2024-11 · check-in free text available
2022-01-23
Report sent to call center — 3 months, dose 3
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 · 1 call case(s)
2022-01-24
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-01-24
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-04-24
Survey response — 6 months, dose 3
MedDRA: Pre-existing disease — Feeling: Poor · 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

Free text: Chronic fatigue after minor exertion

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Report sent to call center — 6 months, dose 3
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 · 1 call case(s)
2022-04-26
Call 1 — Left Voicemail
2022-10-25
Survey response — 12 months, dose 3
MedDRA: Exercise tolerance decreased, Fatigue, Nausea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Continued intermittent nausea and fatigue that is severe. Intolerance of exercise or exertion.

MedDRA releases: 2024-11 · check-in free text available
2022-10-25
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-26
Call successful
Participant prefers to complete VAERS report online
2022-10-26
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-15	Moderna
3	2021-10-23	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Sore neck; low appetite

2021-03-22

Systemic reaction (other): Swollen lymph nodes

Release 6 — day 7, dose 1

2021-03-23

Systemic reaction (other): Feeling dysphoric and anxious

Release 6 — day 14, dose 1

2021-03-30

Symptoms: Injection site continued to swell, redden, be painful, and then itch, before symptoms subsided. Welt was about 7 inches in diameter at its maximum. Severe Anxiety and insomnia have also lessened in tandem as arm inflammation subsided.

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Loss of appetite, thirst, altered taste

2021-04-19

Systemic reaction (other): Loss of appetite, nosebleeds, feeling cold

Release 8 — day 14, dose 2

2021-04-29

Symptoms: Headaches

Release 8 — day 21, dose 2

2021-05-06

Symptoms: Scratchy throat and occasional dry cough have persisted since vaccination. No other symptoms.

Release 8 — day 35, dose 2

2021-05-20

Symptoms: Continued weird throat and breathing issue. Fatigue.

Release 9 — 3 months, dose 2

2021-07-15

Symptoms: I have developed what seems to be POTS syndrome, with dizziness and fatigue following the shot, combined with irregular heart rates and inability to stand vertically for long. The symptoms began after second moderna dosage.

Release 11 — 3 months, dose 3

2022-01-23

Symptoms: I have had a relapse of postural orthostatic tachycardia syndrome, which was triggered initially by my first set of covid vaccines. The booster exacerbated symptoms. Please look into incidences of the mrna vaccines causing this debilitating syndrome cut off by CDC

Release 11 — 6 months, dose 3

2022-04-24

Symptoms: Chronic fatigue after minor exertion

Release 12 — 12 months, dose 3

2022-10-25

Symptoms: Continued intermittent nausea and fatigue that is severe. Intolerance of exercise or exertion.

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	Anxiety	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	✓	✓	✓
SD	Dizziness	✓	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Dysstasia	✓	·	✓
SD	Exercise tolerance decreased	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate irregular	✓	·	✓
SD	Inflammation	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pharyngeal disorder	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Throat irritation	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dysphoria	✓	✓	✓
SRO	Epistaxis	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Taste disorder	✓	✓	✓
SRO	Thirst	✓	✓	✓

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