Z7K-27411-04151

2 vaccinations 9 coded responses 23 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 300 / GA
Registered: 2021-04-05

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-04-04
Dose 1 — Moderna
2021-04-05
Registered in v-safe
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema, Peripheral swelling — Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal pain

Free text: Redness, swelling on toes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema, Pruritus — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Itchy red toes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — day 7, dose 1
MedDRA: Blister, Erythema, Pruritus — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Itchy red blisters on toes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-25
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-03
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-05-07
Dose 2 — Moderna
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Chest discomfort, Dyspnoea, Heart rate increased, Oropharyngeal pain — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Sore throat, tightness in chest, feeling winded, fast heartbeat, very weak

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-14
Survey response — day 7, dose 2
MedDRA: Chest discomfort, Chest pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Pain and discomfort in my chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — day 14, dose 2
MedDRA: Abdominal pain, Asthenia, Fatigue, Nausea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Painful Abdominal pain and cramping yesterday. Severe nausea the day before . Continued fatigue and weakness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Survey response — day 28, dose 2
MedDRA: Abdominal pain, Asthenia, Fatigue, Nausea — Feeling: Good · Be unable to work

Free text: Abdominal pain and nausea, fatigue and weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Survey response — day 35, dose 2
MedDRA: Palpitations — Feeling: Fair

Free text: Heart palpitations for the last couple weeks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-08
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-07
Survey response — 12 months, dose 2
MedDRA: Fatigue, Palpitations — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Heart palpitations and fatigue

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-04	Moderna
2	2021-05-07	Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-09

Systemic reaction (other): Redness, swelling on toes

2021-04-10

Systemic reaction (other): Itchy red toes

Release 7 — day 7, dose 1

2021-04-11

Systemic reaction (other): Itchy red blisters on toes

Release 8 — days 1–6 daily, dose 2

2021-05-09

Systemic reaction (other): Sore throat, tightness in chest, feeling winded, fast heartbeat, very weak

Release 8 — day 7, dose 2

2021-05-14

Systemic reaction (other): Pain and discomfort in my chest

Release 8 — day 14, dose 2

2021-05-21

Symptoms: Painful Abdominal pain and cramping yesterday. Severe nausea the day before . Continued fatigue and weakness.

Release 8 — day 28, dose 2

2021-06-06

Symptoms: Abdominal pain and nausea, fatigue and weakness

Release 9 — day 35, dose 2

2021-06-11

Symptoms: Heart palpitations for the last couple weeks

Release 11 — 12 months, dose 2

2022-05-07

Symptoms: Heart palpitations and fatigue

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	Abdominal pain	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Palpitations	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Blister	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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