Z6T-22467-44607

5 vaccinations 15 coded responses 32 check-ins 15 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 490 / MI
Registered: 2021-03-11

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

2021-03-10
Dose 1 — Moderna
2021-03-11
Registered in v-safe
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia, Sneezing, Upper-airway cough syndrome — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sneezing, dripping nose, tingling in sinuses

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal discomfort, Oedema peripheral, Sneezing, Upper-airway cough syndrome — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Minor sneezing, dripping nose and burning in sinuses. Also 2 nights in a row the hand of the injection arm retained fluids and I had to remove rings that are normally loose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal discomfort — Feeling: Fair · Be unable to do your normal daily activities

Free text: Burning in sinuses

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Fair · Headache

Free text: Drippy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-18
Survey response — day 7, dose 1
MedDRA: Rhinorrhoea — Feeling: Good

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Moderna
2021-04-07
Survey response — day 0, dose 2
MedDRA: Migraine — Feeling: Poor

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine, Peripheral swelling — Feeling: Fair · Fatigue or tiredness

Free text: Swelling of hand on injection side, migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine, Paraesthesia, Peripheral swelling — Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Migraine, swelling in hand on side of injection, tingling in sinuses

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis, Migraine — Feeling: Fair · Fatigue or tiredness

Free text: Migraine, sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine — Feeling: Poor · Be unable to do your normal daily activities

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine — Feeling: Poor · Be unable to do your normal daily activities

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 7, dose 2
MedDRA: Migraine — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 14, dose 2
Feeling: Poor

Adult check-in
2021-04-28
Survey response — day 21, dose 2
MedDRA: Migraine, Nausea, Vomiting — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Nausea, vomiting and unbreakable migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-05
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-12
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-19
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-07
Survey response — 3 months, dose 2
MedDRA: Migraine, Nausea, Vomiting — Feeling: Poor · 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, Emergency room or emergency department visit

Free text: Migraine that does not respond to abortives plus nausea and vomiting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
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)
2021-07-09
Call 1 — Left Voicemail
2021-07-14
Call 2 — Left Voicemail
2021-10-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-14
Dose 3 — Moderna
2022-04-07
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-08
Dose 4 — Moderna
2022-09-15
Dose 5 — Moderna
2022-10-04
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-06
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-13
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-29
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-15
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-03-16
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-07	Moderna
3	2021-11-14	Moderna	No
4	2022-05-08	Moderna	No
5	2022-09-15	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-28	Unsuccessful
2021-07-07	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Sneezing, dripping nose, tingling in sinuses

2021-03-13

Systemic reaction (other): Minor sneezing, dripping nose and burning in sinuses. Also 2 nights in a row the hand of the injection arm retained fluids and I had to remove rings that are normally loose

2021-03-14

Systemic reaction (other): Burning in sinuses

2021-03-15

Systemic reaction (other): Drippy nose

Release 5 — day 7, dose 1

2021-03-18

Systemic reaction (other): Runny nose

Release 7 — day 0, dose 2

2021-04-07

Systemic reaction (other): Migraine

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Migraine

2021-04-09

Systemic reaction (other): Swelling of hand on injection side, migraine

2021-04-10

Systemic reaction (other): Migraine, swelling in hand on side of injection, tingling in sinuses

2021-04-11

Systemic reaction (other): Migraine, sweating

2021-04-12

Systemic reaction (other): Migraine

2021-04-13

Systemic reaction (other): Migraine

Release 7 — day 7, dose 2

2021-04-14

Systemic reaction (other): Migraine

Release 8 — day 21, dose 2

2021-04-28

Symptoms: Nausea, vomiting and unbreakable migraine

Release 9 — 3 months, dose 2

2021-07-07

Symptoms: Migraine that does not respond to abortives plus nausea and vomiting

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	Migraine	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Nasal discomfort	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Upper-airway cough syndrome	✓	✓	✓

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