Z5L-29146-42344

5 vaccinations 8 coded responses 33 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 337 / FL
Registered: 2021-02-04

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

2021-02-04
Registered in v-safe
2021-02-04
Dose 1 — Moderna
2021-02-04
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Ear discomfort, Paranasal sinus discomfort — Feeling: Fair

Free text: My sinuses and ears are stuffy but local pollen count is high so...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good

Free text: My sinuses and ears still. But i think allergy season.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches

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

Adult check-in
2021-02-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-04
Dose 2 — Moderna
2021-03-04
Survey response — day 0, dose 2
MedDRA: Limb discomfort — Feeling: Good · Muscle or body aches

Free text: I only got it 3 hrs ago. My arms and legs just feel a bit heavy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Feeling hot, Pyrexia — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches

Free text: Arm felt hot. Slight fever and chills overnight. Seems better now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Ear discomfort — Feeling: Good

Free text: My ears feel stuffy luke altitude pressure and decongestant isnt helpingnt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, Injection site warmth — Feeling: Fair · Fever · Nausea

Free text: Injection site still warm to touch. Basically i just ferl a little warm and a little off.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-02
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-07
Dose 3 — Moderna
2022-03-04
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-09
Dose 4 — Pfizer-BioNTech
2022-10-02
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-13
Health check-in — day 7, dose 5
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-16
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-23
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-30
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-06
Survey response — day 35, dose 5
MedDRA: Eye irritation, Respiratory tract congestion — Feeling: Fair

Free text: Just a stuffy head and burning eyes this week

MedDRA releases: 2024-11 · check-in free text available
2022-11-13
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-01
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-02
Survey response — 6 months, dose 5
MedDRA: Epistaxis, Office visit, Pre-existing disease, Respiratory tract congestion, Rhinorrhoea, Vision blurred — Feeling: Fair · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-02
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-04	Moderna
3	2021-11-07	Moderna	No
4	2022-05-09	Pfizer-BioNTech	No
5	2022-10-02	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2023-04-02	Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-06

Systemic reaction (other): My sinuses and ears are stuffy but local pollen count is high so...

2021-02-08

Systemic reaction (other): My sinuses and ears still. But i think allergy season.

Release 5 — day 0, dose 2

2021-03-04

Systemic reaction (other): I only got it 3 hrs ago. My arms and legs just feel a bit heavy.

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Arm felt hot. Slight fever and chills overnight. Seems better now.

2021-03-07

Systemic reaction (other): My ears feel stuffy luke altitude pressure and decongestant isnt helpingnt

2021-03-08

Systemic reaction (other): Injection site still warm to touch. Basically i just ferl a little warm and a little off.

Release 12 — day 35, dose 5

2022-11-06

Symptoms: Just a stuffy head and burning eyes this week

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	Epistaxis	·	·	✓
SD	Eye irritation	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Vision blurred	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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