XZG-20283-83201

3 vaccinations 9 coded responses 25 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 295 / SC
Registered: 2021-02-04

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

2021-02-02
Dose 1 — Moderna
2021-02-04
Registered in v-safe
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Pyrexia — Feeling: Good · Site: Redness, Swelling · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — 7 day, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-02-23
Survey response — 21 day, dose 1
MedDRA: Erythema, Pain in extremity, Peripheral swelling, Rash — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-02
Dose 2 — Moderna
2021-03-02
Health check-in — 0 day, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body aches

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Hypotension — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — 7 day, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Survey response — 14 day, dose 2
MedDRA: Medical counselling, Platelet count decreased — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-18
Report sent to call center — 14 day, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-23
Survey response — 21 day, dose 2
MedDRA: Platelet count decreased — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-30
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — 35 day, dose 2
Feeling: Good

Adult check-in
2021-04-13
Survey response — 42 day, dose 2
MedDRA: Platelet count decreased, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-13
Report sent to call center — 42 day, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-03
Health check-in — 3 month, dose 2
Feeling: Good

Adult check-in
2021-08-31
Survey response — 6 month, dose 2
MedDRA: Respiratory syncytial virus infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-08-31
Report sent to call center — 6 month, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-02
Call 1 — Left Voicemail
2021-10-10
Dose 3 — Pfizer-BioNTech
2021-10-27
Health check-in — 14 day, dose 3
Feeling: Good

Adult check-in
2021-11-22
Survey response — 42 day, dose 3
MedDRA: Respiratory tract congestion, Sinusitis — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-01-09
Survey response — 3 month, dose 3
MedDRA: Bell's palsy, Herpes zoster, Malaise, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11 · check-in answers available
2022-01-09
Report sent to call center — 3 month, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-11
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-02	Moderna
2	2021-03-02	Moderna
3	2021-10-10	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-18	Unsuccessful
2021-04-13	Unsuccessful
2021-08-31	Unsuccessful
2022-01-09	Unsuccessful

Free text

Release 3

Systemic reaction (other): First 2 days I ran low grade fever and fatigued

Release 4

Symptoms: Covid arm hit me on day 15. Red, swollen, rash and started hurting again.

Release 5

Systemic reaction (other): Blood pressure is too low.

Symptoms: Low platelet count.??

Healthcare visit (other): In office

Release 6

Symptoms: Low platelet count.

Release 7

Symptoms: Low platelets

Healthcare visit (other): Must make appt with Hematologist

Release 9

Symptoms: RSV virus. Been sick for a month!

Release 10

Symptoms: Sinuses, infection and chest congestion

Symptoms: Shingles in my ear and Bells Palsy now. Very sick!

Healthcare visit (other): Primar Care also. 3 doctors to get correct diagnosis.

Free-text releases are not linked to a specific 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	Medical counselling	✓	✓	✓
HCVO	Office visit	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Bell's palsy	·	·	✓
SD	Erythema	✓	✓	✓
SD	Herpes zoster	·	·	✓
SD	Malaise	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Platelet count decreased	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Respiratory syncytial virus infection	✓	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypotension	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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