Z2W-17976-09824

2 vaccinations 7 coded responses 24 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 453 / OH
Registered: 2021-02-05

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

2021-02-05
Registered in v-safe
2021-02-05
Dose 1 — Moderna
2021-02-05
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea, Abdominal pain

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-02-12
Health check-in — day 7, dose 1
Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-02-19
Survey response — day 14, dose 1
MedDRA: Abdominal pain upper, Chest pain, Chills, Condition aggravated, Gastrooesophageal reflux disease, Headache, Malaise, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: After having the vaccine I felt very sick for about a week. I still have occasionally symptoms of stomach pains, headache and chills. My GERD symptoms have returned since having the vaccine. Today my chest hurts which may be due to the GERD. · Healthcare visit (other): Pharmacy to fill the nexium RX that i haven't needed in a year.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-05
Dose 2 — Moderna
2021-03-05
Survey response — day 0, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Chills, Headache

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Headache, Joint pains

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle twitching, Paraesthesia oral — Feeling: Good · Headache

Free text: Tingling& twitching lower lip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain, Viral infection — Feeling: Fair · Chills, Nausea, Abdominal pain

Free text: Sore throat, I think I picked up a virus.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Chills, Nausea

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — day 7, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair · Chills, Nausea

Free text: Head cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-06
Call successful
Does not wish to fill out VAERS report
2021-09-03
Survey response — 6 months, dose 2
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair

Free text: Runny nose, sore throat

MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Moderna
2	2021-03-05	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-19	Successful 2021-08-06	Does not wish to fill out VAERS report

Free text

Release 4 — day 14, dose 1

2021-02-19

Symptoms: After having the vaccine I felt very sick for about a week. I still have occasionally symptoms of stomach pains, headache and chills. My GERD symptoms have returned since having the vaccine. Today my chest hurts which may be due to the GERD.

Healthcare visit (other): Pharmacy to fill the nexium RX that i haven't needed in a year.

Release 5 — day 0, dose 2

2021-03-05

Systemic reaction (other): Sore throat

Release 5 — days 1–6 daily, dose 2

2021-03-09

Systemic reaction (other): Tingling& twitching lower lip

2021-03-10

Systemic reaction (other): Sore throat, I think I picked up a virus.

2021-03-11

Systemic reaction (other): Sore throat

Release 5 — day 7, dose 2

2021-03-14

Systemic reaction (other): Head cold

Release 9 — 6 months, dose 2

2021-09-03

Symptoms: Runny nose, sore throat

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
HCVO	Condition aggravated	✓	✓	✓
HCVO	Pre-existing disease	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	✓	·	✓
SRO	Muscle twitching	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Viral infection	✓	✓	✓

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