Z4Z-40600-91411

2 vaccinations 9 coded responses 27 check-ins 9 free-text entries 5 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 779 / TX
Registered: 2021-02-05

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

2021-02-05
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
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

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

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

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Nausea, Office visit — Feeling: Good · Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Nausea & fatigue unrelated to injection · Healthcare visit (other): Visit with Primary today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good · Headache, Fatigue or tiredness, Nausea

Free text: Above conditions related to other conditions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-19
Survey response — day 14, dose 1
MedDRA: Arthralgia, Injection site pain, Nausea — Feeling: Fair

Free text: Nausea and upper arm sore at Covid injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-12
Dose 2 — Moderna
2021-03-12
Survey response — day 0, dose 2
MedDRA: Headache, Sinusitis — Feeling: Fair · Headache

Free text: Headache could be related to current sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, 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
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Redness

Free text: Feel a bit dizzy just today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills

Adult check-in
2021-03-19
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-26
Survey response — day 14, dose 2
MedDRA: Fatigue, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Tired most of the time still · Healthcare visit (other): Visit w my Dr

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-11
Survey response — 3 months, dose 2
MedDRA: Ear infection, Sinusitis — 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, Emergency room or emergency department visit

Free text: Sinus and ear infections

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Call 1 — Left Voicemail
2021-09-10
Survey response — 6 months, dose 2
MedDRA: Blood glucose abnormal, Blood immunoglobulin A increased, Blood immunoglobulin G decreased, Hypogammaglobulinaemia — 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: IGg2 very low. IGa high.Hypogammoglobulinemia diagnosesBlood glucose maintenance problems

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-14
Call 1 — Left Voicemail
2022-03-12
Survey response — 12 months, dose 2
MedDRA: Lumbar spinal stenosis, Spinal osteoarthritis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Cervical spondylosis Lumbar stenosis Not COVID shot related

MedDRA releases: 2024-11 · check-in free text available
2022-03-12
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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-03-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Moderna
2	2021-03-12	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-10	Unsuccessful
2021-03-26	Unsuccessful
2021-06-11	Unsuccessful
2021-09-10	Unsuccessful
2022-03-12	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Nausea & fatigue unrelated to injection

Healthcare visit (other): Visit with Primary today

2021-02-11

Systemic reaction (other): Above conditions related to other conditions

Release 4 — day 14, dose 1

2021-02-19

Symptoms: Nausea and upper arm sore at Covid injection site

Release 5 — day 0, dose 2

2021-03-12

Systemic reaction (other): Headache could be related to current sinus infection

Release 5 — days 1–6 daily, dose 2

2021-03-15

Systemic reaction (other): Feel a bit dizzy just today.

Release 6 — day 14, dose 2

2021-03-26

Symptoms: Tired most of the time still

Healthcare visit (other): Visit w my Dr

Release 9 — 3 months, dose 2

2021-06-11

Symptoms: Sinus and ear infections

Release 9 — 6 months, dose 2

2021-09-10

Symptoms: IGg2 very low. IGa high.Hypogammoglobulinemia diagnosesBlood glucose maintenance problems

Release 11 — 12 months, dose 2

2022-03-12

Symptoms: Cervical spondylosis Lumbar stenosis Not COVID shot related

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	Office visit	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Blood glucose abnormal	·	·	✓
SD	Blood immunoglobulin A increased	·	·	✓
SD	Blood immunoglobulin G decreased	·	·	✓
SD	Ear infection	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypogammaglobulinaemia	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Lumbar spinal stenosis	·	·	✓
SD	Nausea	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Spinal osteoarthritis	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Sinusitis	✓	✓	✓

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