Z8M-22309-82571

3 vaccinations 6 coded responses 27 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 956 / CA
Registered: 2021-01-01

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

2020-12-31
Dose 1 — Moderna
2021-01-01
Registered in v-safe
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-01-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-01-07
Health check-in — day 7, dose 1
Feeling: Fair · Diarrhea

Adult check-in
2021-01-14
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-21
Survey response — day 21, dose 1
MedDRA: Heavy menstrual bleeding — Feeling: Fair

Free text: Period is not stopping. Not sure if related. 15 days now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 28, dose 1
MedDRA: Cough, Diarrhoea, Pyrexia, Rash, SARS-CoV-2 test negative, Tonsillitis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Tonsillitis or possible strep throat. Doctor told me to assume i have covid, i got covid test, negative, unable to get strep swabbed. Cough, mild fever, skin yeast rash in multiple areas likely from antibiotics. Diarea likely from antibiotics.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — day 28, dose 1
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)
2021-02-02
Dose 2 — Moderna
2021-02-02
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Diarrhea

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Headache

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Muscle or body aches

Adult check-in
2021-02-09
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Headache

Adult check-in
2021-02-16
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-04
Call 1 — Left Voicemail
2021-08-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-21
Dose 3 — Moderna
2022-02-02
Survey response — 12 months, dose 2
MedDRA: COVID-19, Hypertension — 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

Free text: Covid positive 1/17/21, high bloop pressure post infection

MedDRA releases: 2024-11 · check-in free text available
2022-02-02
Report sent to call center — 12 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 · 1 call case(s)
2022-02-04
Call 1 — Left Voicemail
2022-06-21
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-23
Survey response — 12 months, dose 3
MedDRA: Influenza, Nasopharyngitis, Respiratory syncytial virus infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Have had rsv, and the flu, and multiple cold illnesses this season

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna
2	2021-02-02	Moderna
3	2021-12-21	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-02	priority 2/3
2021-01-28	Unsuccessful
2022-02-02	Unsuccessful

Free text

Release 2 — day 21, dose 1

2021-01-21

Symptoms: Period is not stopping. Not sure if related. 15 days now

Release 2 — day 28, dose 1

2021-01-28

Symptoms: Tonsillitis or possible strep throat. Doctor told me to assume i have covid, i got covid test, negative, unable to get strep swabbed. Cough, mild fever, skin yeast rash in multiple areas likely from antibiotics. Diarea likely from antibiotics.

Release 3 — day 0, dose 2

2021-02-02

Systemic reaction (other): Dizziness

Release 3 — days 1–6 daily, dose 2

2021-02-03

Systemic reaction (other): Dizziness

Release 11 — 12 months, dose 2

2022-02-02

Symptoms: Covid positive 1/17/21, high bloop pressure post infection

Release 12 — 12 months, dose 3

2022-12-23

Symptoms: Have had rsv, and the flu, and multiple cold illnesses this season

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	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Hypertension	·	·	✓
SD	Influenza	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Respiratory syncytial virus infection	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Tonsillitis	✓	✓	✓
SRO	Dizziness	✓	✓	✓

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