Z2L-11940-10240

3 vaccinations 6 coded responses 24 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 916 / CA
Registered: 2021-03-19

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
2021-03-19
Registered in v-safe
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Headache, Hypersomnia, Malaise, Mobility decreased, Myalgia, Nausea, Pyrexia, Self-medication — Feeling: Good · Site: Pain · Muscle or body aches

Free text: The first report I did was yesterday, which was day 3 after the vaccine. I didn't report before since I was sick! And there isn't a place to report previous days! I had 101.3F fever, bad headache, fatigue, nausea, and muscle aches. I was in bed slept a lot and took ibuprofen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: General symptom, Malaise — Feeling: Good · Site: Pain

Free text: I entered here yesterday information about the first two days after the 1st done - I was sick, and couldn't find a place to input those days after the fact

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Moderna
2021-04-13
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Self-medication — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Taking pain killer, lots of water, staying on bed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Taking Acamol to keep fever down

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, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Muscular weakness — Feeling: Good

Free text: Weakness on the legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-21
Dose 3 — Moderna
2022-04-15
Survey response — 12 months, dose 2
MedDRA: Injection site pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Left are pain at shot location

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-20
Call 1 — Left Voicemail
2022-04-20
Call successful
Completed over the phone
2022-04-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2023-01-23
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-13	Moderna
3	2022-01-21	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-04-15	Successful 2022-04-20	Completed over the phone

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): The first report I did was yesterday, which was day 3 after the vaccine. I didn't report before since I was sick! And there isn't a place to report previous days! I had 101.3F fever, bad headache, fatigue, nausea, and muscle aches. I was in bed slept a lot and took ibuprofen.

2021-03-21

Systemic reaction (other): I entered here yesterday information about the first two days after the 1st done - I was sick, and couldn't find a place to input those days after the fact

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Taking pain killer, lots of water, staying on bed

2021-04-15

Systemic reaction (other): Taking Acamol to keep fever down

2021-04-19

Systemic reaction (other): Weakness on the legs

Release 11 — 12 months, dose 2

2022-04-15

Symptoms: Left are pain at shot location

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	Injection site pain	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	General symptom	✓	✓	○
SRO	Headache	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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