Z7H-28712-28581

3 vaccinations 7 coded responses 25 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 930 / CA
Registered: 2021-03-08

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

2021-03-08
Registered in v-safe
2021-03-08
Dose 1 — Moderna
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-06
Dose 2 — Moderna
2021-04-06
Survey response — day 0, dose 2
MedDRA: Hypoaesthesia — Feeling: Good · Site: Pain · Be unable to work

Free text: Numbness in my fingers on the side of my injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold, Hot flush — Feeling: Fair · Chills, Headache · Be unable to do your normal daily activities

Free text: Cold hot flashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-20
Survey response — day 14, dose 2
MedDRA: Peripheral swelling — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: My Right hand is swollen after using it for a few hours cleaning the bathtub. Its strange and Im not sure if its related but I thought I would list it. I have obviously clean my bathtub before and this has never happened. Injection on left a

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 21, dose 2
MedDRA: Impaired work ability, No adverse event — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Headaches that incapacitate me to the point of not being able to work. · Healthcare visit (other): I havent yet. Hate doctors

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-04
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-11
Survey response — day 35, dose 2
MedDRA: Chills, Feeling of body temperature change, Hyperhidrosis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Chills, hot/cold, sweating a lot at night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-06
Survey response — 3 months, dose 2
MedDRA: Neuralgia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Neuralgia on my scalp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-05
Survey response — 6 months, dose 2
MedDRA: Chills, Headache — Feeling: Fair · Be unable to work or attend school

Free text: Chills and headaches

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Dose 3 — Pfizer-BioNTech
2022-04-06
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-04-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-08	Moderna
2	2021-04-06	Moderna
3	2022-01-05	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-27	Unsuccessful

Free text

Release 7 — day 0, dose 2

2021-04-06

Systemic reaction (other): Numbness in my fingers on the side of my injection

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Cold hot flashes

Release 7 — day 14, dose 2

2021-04-20

Symptoms: My Right hand is swollen after using it for a few hours cleaning the bathtub. Its strange and Im not sure if its related but I thought I would list it. I have obviously clean my bathtub before and this has never happened. Injection on left a

Release 8 — day 21, dose 2

2021-04-27

Symptoms: Headaches that incapacitate me to the point of not being able to work.

Healthcare visit (other): I havent yet. Hate doctors

Release 8 — day 35, dose 2

2021-05-11

Symptoms: Chills, hot/cold, sweating a lot at night.

Release 9 — 3 months, dose 2

2021-07-06

Symptoms: Neuralgia on my scalp

Release 10 — 6 months, dose 2

2021-10-05

Symptoms: Chills and headaches

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	No adverse event	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Feeling of body temperature change	✓	✓	✓
SD	Headache	·	·	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Neuralgia	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓

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