Z7S-76389-63578

3 vaccinations 8 coded responses 40 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 310 / GA
Registered: 2021-03-31

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

2021-03-31
Registered in v-safe
2021-03-31
Dose 1 — Moderna
2021-03-31
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

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

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: I have other health problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-07
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

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

Adult check-in
2021-04-21
Survey response — day 21, dose 1
MedDRA: Chest pain, Dyspnoea, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Chest pain and short of breath at times. I have ASHD and diabetes. Had stress test yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Dose 2 — Moderna
2021-04-28
Survey response — day 0, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Nausea

Free text: These may be from other health problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, 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, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains · Be unable to work

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-05-05
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-12
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-19
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-26
Survey response — day 28, dose 2
MedDRA: Chest pain, Dyspnoea, Fatigue, Hypoaesthesia — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Left leg numbness, fatigue, chest pain, short breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Survey response — day 35, dose 2
MedDRA: Asthenia, Hypoaesthesia, Nausea, Neuropathy peripheral, Pyrexia, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Nausea, vomiting, low fever, fatigue and weakness; loss of feeling on left leg to hip which might be from neuropathy? Or other health problems??

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

Adult check-in
2021-07-28
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-27
Survey response — 6 months, dose 2
MedDRA: Colitis ischaemic, Gastrointestinal inflammation — 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 · Emergency room or emergency department visit, Hospitalization

Free text: Ischemic colitis Inflammation of intestines

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-10-28
Call 1 — Left Voicemail
2022-01-13
Dose 3 — Moderna
2022-01-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-01-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling · None

Adult check-in
2022-01-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Muscle or body aches

Adult check-in
2022-01-17
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling · Joint pains · Be unable to do your normal daily activities

Adult check-in
2022-01-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains

Adult check-in
2022-01-20
Health check-in — day 7, dose 3
Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-01-27
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-02-03
Survey response — day 21, dose 3
MedDRA: Chills, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Chills and aches

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-02-17
Health check-in — day 35, dose 3
Feeling: Poor

Adult check-in
2022-02-24
Health check-in — day 42, dose 3
Feeling: Poor

Adult check-in
2022-04-14
Health check-in — 3 months, dose 3
Feeling: Poor

Adult check-in
2022-07-14
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2023-01-13
Survey response — 12 months, dose 3
MedDRA: Adverse drug reaction — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Moderna
2	2021-04-28	Moderna
3	2022-01-13	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-27	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-05

Systemic reaction (other): I have other health problems

Release 7 — day 21, dose 1

2021-04-21

Symptoms: Chest pain and short of breath at times. I have ASHD and diabetes. Had stress test yesterday.

Release 8 — day 0, dose 2

2021-04-28

Systemic reaction (other): These may be from other health problems

Release 8 — day 28, dose 2

2021-05-26

Symptoms: Left leg numbness, fatigue, chest pain, short breath

Release 8 — day 35, dose 2

2021-06-02

Symptoms: Nausea, vomiting, low fever, fatigue and weakness; loss of feeling on left leg to hip which might be from neuropathy? Or other health problems??

Release 10 — 6 months, dose 2

2021-10-27

Symptoms: Ischemic colitis Inflammation of intestines

Release 11 — day 21, dose 3

2022-02-03

Symptoms: Chills and aches

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	Adverse drug reaction	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Chills	·	·	✓
SD	Colitis ischaemic	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal inflammation	·	·	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Neuropathy peripheral	✓	✓	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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