Z6Z-18230-91718

5 vaccinations 13 coded responses 47 check-ins 12 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 992 / WA
Registered: 2021-01-14

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site induration — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches

Free text: Firm welt at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site mass — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches

Free text: Firm lump at injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site swelling — Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches

Free text: Firm swelling at injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-28
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: The redness at injection site returned and spread out to a larger diameter than before and I had lymph node swelling and pain in my armpit on the same side. This started around day 10 and is now resolving on day 14.

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

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Calf muscle cramp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Disturbance in attention — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Difficulty concentrating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 28, dose 2
MedDRA: Gastrointestinal disorder, Irritable bowel syndrome, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Gastrointestinalnausea, diarrhea, irritable bowel

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 42, dose 2
MedDRA: Urinary tract infection — 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

Free text: Urinary tract infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-12
Survey response — 6 months, dose 2
MedDRA: Back pain, Epstein-Barr virus infection reactivation, Fatigue, Headache, Myalgia, Neck pain, Pre-existing disease, Tinnitus — 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

Free text: Reactivation of Epstein Barr virusfatigue, myalgia, back and neck pain, tinnitus, headaches

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-12
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)
2021-08-16
Call 2 — Left Voicemail
2021-09-03
Dose 3 — Moderna
Co-administered: Flu
2021-09-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-09-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-09-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-09-10
Health check-in — day 7, dose 3
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-09-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-05
Survey response — 3 months, dose 3
MedDRA: Cough, Fatigue — 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

Free text: Fatigue, cough

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-07
Call 2 — Left Voicemail
2022-02-07
Dose 4 — Moderna
Co-administered: Shingles
2022-03-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-10
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-08-08
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2022-09-23
Dose 5 — Moderna
Co-administered: Flu
2022-10-04
Health check-in — day 7, dose 5
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-10-07
Survey response — day 14, dose 5
MedDRA: Fatigue, Headache, Myalgia, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Gastrointestinal, muscle pain, headaches , fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-24
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-28
Survey response — day 35, dose 5
MedDRA: Gastrointestinal pain, Muscle spasms, Nausea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Gastrointestinal pain, cramps, nausea.

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-03-24
Survey response — 6 months, dose 5
MedDRA: COVID-19, Cholecystitis — Feeling: Fair · Be unable to work or attend school, 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

MedDRA releases: 2024-11
2023-03-24
Report sent to call center — 6 months, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2023-03-28
Call 1 — Left Voicemail
2023-03-28
Call 1 — Left Voicemail
2023-03-28
Call 1 — Left Voicemail
2023-03-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna
3	2021-09-03	Moderna	Flu
4	2022-02-07	Moderna	Shingles
5	2022-09-23	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-03-25	Unsuccessful
2021-08-12	Unsuccessful
2021-12-05	Unsuccessful
2023-03-24	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Firm welt at injection site

2021-01-16

Systemic reaction (other): Firm lump at injection site.

2021-01-17

Systemic reaction (other): Firm swelling at injection site.

Release 3 — day 14, dose 1

2021-01-28

Symptoms: The redness at injection site returned and spread out to a larger diameter than before and I had lymph node swelling and pain in my armpit on the same side. This started around day 10 and is now resolving on day 14.

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Calf muscle cramp

2021-02-16

Systemic reaction (other): Difficulty concentrating

Release 5 — day 28, dose 2

2021-03-11

Symptoms: Gastrointestinalnausea, diarrhea, irritable bowel

Release 6 — day 42, dose 2

2021-03-25

Symptoms: Urinary tract infection

Release 9 — 6 months, dose 2

2021-08-12

Symptoms: Reactivation of Epstein Barr virusfatigue, myalgia, back and neck pain, tinnitus, headaches

Release 10 — 3 months, dose 3

2021-12-05

Symptoms: Fatigue, cough

Release 12 — day 14, dose 5

2022-10-07

Symptoms: Gastrointestinal, muscle pain, headaches , fatigue

Release 12 — day 35, dose 5

2022-10-28

Symptoms: Gastrointestinal pain, cramps, nausea.

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	Back pain	✓	·	✓
SD	Cholecystitis	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Epstein-Barr virus infection reactivation	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Gastrointestinal pain	·	·	✓
SD	Headache	✓	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Irritable bowel syndrome	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Myalgia	✓	·	✓
SD	Nausea	✓	✓	✓
SD	Neck pain	✓	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Tinnitus	✓	·	✓
SD	Unevaluable event	·	·	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Injection site induration	✓	✓	✓
SRO	Injection site mass	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓

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