Z32-17842-76147

2 vaccinations 6 coded responses 23 check-ins 6 free-text entries 5 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 626 / IL
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: 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 — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

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

Adult check-in
2021-02-12
Survey response — day 7, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: All these are part of my medical issues I currently have. I have all of these symptoms daily for many of my issues the stressful issue is they can't figure them out. I don't have covid. These have been on going for sometime. I would like for them to figure it out. I'm miserable daily!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — day 14, dose 1
MedDRA: Arthralgia, Arthritis, Back pain, Constipation, Dry eye, Dry skin, Dyspepsia, Eye pain, Fatigue, Headache, Insomnia, Nausea, Ocular discomfort, Pre-existing disease, Spinal operation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Had a back obligation done. Has made my back hurt which I expected. Nausea and headache, constipation, fatigue still, insomniac 17 yr, heartburn severe, knee pain rt and left, rt worse. Eyes hurt, dry, scratchy. Tiredness, skin dry, arthritis extreme · Healthcare visit (other): Back oblation, nausea, heartburn, fatigue, headaches, insomnia, constipation, fatigue, arthritis

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
Survey response — day 21, dose 1
MedDRA: Headache, Joint swelling, Peripheral swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Migraine headaches, swelling of the feet and ankles, extremely dry eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Dose 2 — Moderna
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Muscle tightness, Neck pain, Peripheral swelling, Unevaluable event — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Swollen feet, tight calves, neck pain, eyes hurt, fingers swollen · Healthcare visit (other): Called no returned call

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Survey response — day 7, dose 2
MedDRA: Arthralgia, Burning sensation, Joint swelling, Neck pain, Office visit, Pain in extremity, Peripheral swelling — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Legs are swollen, calves are swollen and painful burning to walk, neck pain, fingers and joints swollen and hurt · Healthcare visit (other): Seen primary Dr.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — day 7, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-19
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-26
Survey response — day 21, dose 2
MedDRA: Dizziness, Headache, Nausea — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Severe headache, nausea, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-11
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
2021-06-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-03
Call 1 — Left Voicemail
2021-08-05
Call successful
Participant prefers to complete VAERS report online
2021-09-03
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-05
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

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	Participant prefers to complete VAERS report online
2021-02-26	Successful	Participant prefers to complete VAERS report online
2021-03-11	Successful	Participant prefers to complete VAERS report online
2021-03-12	Successful	Participant prefers to complete VAERS report online
2021-03-26	Successful 2021-08-05	Participant prefers to complete VAERS report online

Free text

Release 4 — day 7, dose 1

2021-02-12

Systemic reaction (other): All these are part of my medical issues I currently have. I have all of these symptoms daily for many of my issues the stressful issue is they can't figure them out. I don't have covid. These have been on going for sometime. I would like for them to figure it out. I'm miserable daily!

Release 4 — day 14, dose 1

2021-02-19

Symptoms: Had a back obligation done. Has made my back hurt which I expected. Nausea and headache, constipation, fatigue still, insomniac 17 yr, heartburn severe, knee pain rt and left, rt worse. Eyes hurt, dry, scratchy. Tiredness, skin dry, arthritis extreme cut off by CDC

Healthcare visit (other): Back oblation, nausea, heartburn, fatigue, headaches, insomnia, constipation, fatigue, arthritis

Release 4 — day 21, dose 1

2021-02-26

Symptoms: Migraine headaches, swelling of the feet and ankles, extremely dry eyes

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): Swollen feet, tight calves, neck pain, eyes hurt, fingers swollen

Healthcare visit (other): Called no returned call

Release 5 — day 7, dose 2

2021-03-12

Systemic reaction (other): Legs are swollen, calves are swollen and painful burning to walk, neck pain, fingers and joints swollen and hurt

Healthcare visit (other): Seen primary Dr.

Release 6 — day 21, dose 2

2021-03-26

Symptoms: Severe headache, nausea, dizziness

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	Constipation	✓	✓	✓
HCVO	Dyspepsia	✓	✓	✓
HCVO	Fatigue	✓	✓	✓
HCVO	Headache	✓	✓	✓
HCVO	Insomnia	✓	✓	✓
HCVO	Nausea	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Pre-existing disease	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Arthritis	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Constipation	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dry eye	✓	✓	✓
SD	Dry skin	✓	✓	✓
SD	Dyspepsia	✓	✓	✓
SD	Eye pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Ocular discomfort	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Spinal operation	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Joint swelling	✓	✓	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓

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