Z72-14675-85752

2 vaccinations 6 coded responses 24 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 981 / WA
Registered: 2021-03-21

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-21
Registered in v-safe
2021-03-21
Dose 1 — Moderna
2021-03-21
Survey response — day 0, dose 1
MedDRA: Skin warm — Feeling: Good

Free text: Got really warm on arm next and cheek right after the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Paranasal sinus hypersecretion — Feeling: Poor · Site: Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Blowing my nose- lots of drainage.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-04-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-19
Survey response — day 28, dose 1
MedDRA: Breast pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Breast pain · Healthcare visit (other): In person appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-24
Dose 2 — Moderna
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-03
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-17
Survey response — day 21, dose 2
MedDRA: Feeling hot, Malaise — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: I feel like I have a cold. It started yesterday. I also have that really hot sensation all through my body like the one I had when I first received my shot. Its very similar to when you get die put into your body when you were getting an MRI and y

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Survey response — day 28, dose 2
MedDRA: Cough, Eye swelling — Feeling: Poor · Be unable to do your normal daily activities

Free text: Swollen eyes. Lots of coughing. Hopefully allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-07
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-23
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-21	Moderna
2	2021-04-24	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-19	Unsuccessful

Free text

Release 6 — day 0, dose 1

2021-03-21

Systemic reaction (other): Got really warm on arm next and cheek right after the vaccine

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): Blowing my nose- lots of drainage.

Release 7 — day 28, dose 1

2021-04-19

Symptoms: Breast pain

Healthcare visit (other): In person appointment

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Dizzy

Release 8 — day 21, dose 2

2021-05-17

Symptoms: I feel like I have a cold. It started yesterday. I also have that really hot sensation all through my body like the one I had when I first received my shot. Its very similar to when you get die put into your body when you were getting an MRI and y

Release 8 — day 28, dose 2

2021-05-22

Symptoms: Swollen eyes. Lots of coughing. Hopefully allergies

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	Breast pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Eye swelling	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Malaise	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Paranasal sinus hypersecretion	✓	✓	✓
SRO	Skin warm	✓	✓	✓

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