Z23-10630-69421

4 vaccinations 6 coded responses 36 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 430 / OH
Registered: 2021-03-16

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

2021-03-06
Dose 1 — Moderna
2021-03-16
Registered in v-safe
2021-03-16
Survey response — day 7, dose 1
MedDRA: Erythema, Pain, Pruritus, Swelling — Feeling: Good · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection site

Free text: This is the second reaction I've had. The first one occurred on the first day and lasted 4-5 days. The swelling and pain were much worse then and my skin was very hot to the touch for days. A few days after the swelling and pain went away (around day 8) my skin began to itch like crazy and turned into this second reaction. The area of redness is about twice the size as the first time, and covers an area about the size of my hand from wrist to fingertip. My skin is warm but less hot than the initial reaction, swelling is less bad, and there is very little pain at all, but the itching and rash are new.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Moderna
2021-04-01
Survey response — day 0, dose 2
MedDRA: Dizziness, Dysgeusia, Feeling abnormal, Immediate post-injection reaction — Feeling: Good · Site: Pain · Chills, Fatigue or tiredness

Free text: Dizziness, brain fog, and a metallic taste within 20 minutes of injection. Faded after a few hours.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Chest pain directly behind my sternum and to either side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site discolouration, Injection site erythema, Injection site reaction, Injection site swelling — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: The area i had redness and swelling from my first shot is still slightly discolored and the skin feels a little papery. I hope this improves over time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-03
Dose 3 — Moderna
Co-administered: Flu
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-10
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-25
Survey response — day 21, dose 3
MedDRA: Cough, Fatigue, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative, Sneezing, Upper respiratory tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Fatigue, chest congestion, sneezing, coughing, sore throat, etc. Tested negative for covid, diagnosed with upper respiratory infection.

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-30
Call 1 — Left Voicemail
2022-01-02
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-03
Survey response — 6 months, dose 3
MedDRA: Ageusia, Anosmia, Balance disorder, COVID-19, Cough, Depression, Headache, Pain, Poor quality sleep, Pre-existing disease, Respiratory tract congestion, Rhinorrhoea, Sinus congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, chest congestion, sinus congestion, runny nose, body aches, headaches, sudden loss of balance without vertigo, temporary loss of taste and smell, spike in depression, inability to sleep well. I'm still recovering from covid as of today

MedDRA releases: 2024-11 · check-in free text available
2022-09-15
Dose 4 — Pfizer-BioNTech
2022-10-07
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-15
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-03-16
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Moderna
2	2021-04-01	Moderna
3	2021-12-03	Moderna	Flu
4	2022-09-15	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-25	Unsuccessful

Free text

Release 5 — day 7, dose 1

2021-03-16

Systemic reaction (other): This is the second reaction I've had. The first one occurred on the first day and lasted 4-5 days. The swelling and pain were much worse then and my skin was very hot to the touch for days. A few days after the swelling and pain went away (around day 8) my skin began to itch like crazy and turned into this second reaction. The area of redness is about twice the size as the first time, and covers an area about the size of my hand from wrist to fingertip. My skin is warm but less hot than the initial reaction, swelling is less bad, and there is very little pain at all, but the itching and rash are new.

Release 6 — day 0, dose 2

2021-04-01

Systemic reaction (other): Dizziness, brain fog, and a metallic taste within 20 minutes of injection. Faded after a few hours.

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Chest pain directly behind my sternum and to either side.

2021-04-04

Systemic reaction (other): The area i had redness and swelling from my first shot is still slightly discolored and the skin feels a little papery. I hope this improves over time.

Release 10 — day 21, dose 3

2021-12-25

Symptoms: Fatigue, chest congestion, sneezing, coughing, sore throat, etc. Tested negative for covid, diagnosed with upper respiratory infection.

Release 11 — 6 months, dose 3

2022-06-03

Symptoms: Cough, chest congestion, sinus congestion, runny nose, body aches, headaches, sudden loss of balance without vertigo, temporary loss of taste and smell, spike in depression, inability to sleep well. I'm still recovering from covid as of today

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	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Balance disorder	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Depression	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Poor quality sleep	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sneezing	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Injection site discolouration	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Swelling	✓	✓	✓

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