Z2D-78709-05570

2 vaccinations 16 coded responses 19 check-ins 16 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 331 / FL
Registered: 2021-03-09

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-08
Dose 1 — Moderna
2021-03-09
Registered in v-safe
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Injected limb mobility decreased — Feeling: Poor · 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: Could not lift arm at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Oedema peripheral — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Not hungry. Inflamed gland under arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still feel like im coming down with a cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Redness, Itching · Joint pains, Muscle or body aches

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — day 7, dose 1
MedDRA: No adverse event, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I had covid previously. Are you tracking this as it relates to vaccine reactions?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache, Pain — Feeling: Poor · 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: Continuous headaches, body aches and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-29
Survey response — day 21, dose 1
MedDRA: Fatigue, Headache — Feeling: Fair · 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: Continued fatigue. Headaches subsided sfyer 2 weeks. Fatigue continues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-05
Survey response — day 28, dose 1
MedDRA: Fatigue, Lethargy — Feeling: Fair · 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: Very tired. Lethargic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Report sent to call center — day 28, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-12
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-04-15
Dose 2 — Moderna
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Chills, Malaise, Pain, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: 2nd vaccine had 3 days of fever, chills body aches, and joint pain. These were all secere. I had to stay in bed feeling very sick. The 5th day im better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Vision blurred — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Blurry vision, dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 7, dose 2
MedDRA: Vision blurred — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Blurry vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 14, dose 2
MedDRA: Fatigue, Vision blurred — Feeling: Poor · Be unable to do your normal daily activities

Free text: Tired, blurry vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 21, dose 2
MedDRA: Fatigue, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities

Free text: Blurry vision and tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — day 28, dose 2
MedDRA: Dysgeusia, Fatigue, Malaise — Feeling: Fair · Be unable to do your normal daily activities

Free text: Feeling metal taste in mouth, extreme tiredness, overall malaise. Need to lay down constantly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — day 35, dose 2
MedDRA: Fatigue, Insomnia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme tired and lack of sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2022-03-09
Call 1 — Left Voicemail
2022-04-15
Survey response — 12 months, dose 2
MedDRA: Arthralgia — Feeling: Fair · 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: Lots of joint pain, esp in elbows and knees

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Report sent to call center — 12 months, dose 2
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 · 1 call case(s)
2022-04-19
Call 1 — Left Voicemail
2022-04-19
Call 1 — Left Voicemail
2022-04-19
Call 2 — Left Voicemail
2022-04-19
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-08	Moderna
2	2021-04-15	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-22	Unsuccessful
2021-03-29	Unsuccessful
2021-04-05	Unsuccessful
2022-04-15	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-09

Systemic reaction (other): Could not lift arm at injection site

2021-03-12

Systemic reaction (other): Not hungry. Inflamed gland under arm

2021-03-13

Systemic reaction (other): Still feel like im coming down with a cold

2021-03-14

Systemic reaction (other): Dizzy

Release 5 — day 7, dose 1

2021-03-15

Systemic reaction (other): I had covid previously. Are you tracking this as it relates to vaccine reactions?

Release 6 — day 14, dose 1

2021-03-22

Symptoms: Continuous headaches, body aches and fatigue

Release 6 — day 21, dose 1

2021-03-29

Symptoms: Continued fatigue. Headaches subsided sfyer 2 weeks. Fatigue continues.

Release 6 — day 28, dose 1

2021-04-05

Symptoms: Very tired. Lethargic

Release 7 — days 1–6 daily, dose 2

2021-04-19

Systemic reaction (other): 2nd vaccine had 3 days of fever, chills body aches, and joint pain. These were all secere. I had to stay in bed feeling very sick. The 5th day im better.

2021-04-21

Systemic reaction (other): Blurry vision, dizzy

Release 7 — day 7, dose 2

2021-04-22

Systemic reaction (other): Blurry vision

Release 8 — day 14, dose 2

2021-04-29

Symptoms: Tired, blurry vision

Release 8 — day 21, dose 2

2021-05-06

Symptoms: Blurry vision and tired

Release 8 — day 28, dose 2

2021-05-15

Symptoms: Feeling metal taste in mouth, extreme tiredness, overall malaise. Need to lay down constantly

Release 8 — day 35, dose 2

2021-05-20

Symptoms: Extreme tired and lack of sleep

Release 11 — 12 months, dose 2

2022-04-15

Symptoms: Lots of joint pain, esp in elbows and knees

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	Arthralgia	·	·	✓
SD	Dysgeusia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Lethargy	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Injected limb mobility decreased	✓	✓	✓
SRO	Malaise	·	·	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	No adverse event	○	✓	○
SRO	Oedema peripheral	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	·	✓
SRO	Pyrexia	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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