Z8R-22486-76487

2 vaccinations 6 coded responses 22 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 335 / FL
Registered: 2021-03-15

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

2021-03-15
Registered in v-safe
2021-03-15
Dose 1 — Moderna
2021-03-15
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Dysphagia, Pharyngeal swelling — Feeling: Fair · Site: Pain, Swelling, Itching · Headache

Free text: Last night some trouble swallowing as if throat was swollen. Seems to have cleared up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-06
Survey response — day 21, dose 1
MedDRA: Asthma, Hypersensitivity, Pre-existing disease — Feeling: Good

Free text: My asthma and allergies have flared up horribly, but I think this is all due to environmental and seasonal changes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Dose 2 — Moderna
2021-04-12
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains

Adult check-in
2021-04-13
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, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Headache

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Diarrhea

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-19
Survey response — day 35, dose 2
MedDRA: Abscess, Ear infection, Office visit, Pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I developed an unexplained ear infection that abscessed. Severe pain. · Healthcare visit (other): In person doctors appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-12
Survey response — 3 months, dose 2
MedDRA: Headache, Pre-existing disease — Feeling: Fair

Free text: Severe headaches that dont appear to be related to my allergies or sinus issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-13
Survey response — 6 months, dose 2
MedDRA: Adverse reaction, Ageusia, Anosmia, Discharge, Headache, Respiratory tract congestion — Feeling: Fair

Free text: Severe allergy symptoms. Headache, congestion, drainage, lack of taste and smell.

MedDRA releases: 2024-11 · check-in free text available
2022-04-12
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Balance disorder, Dizziness, Ear pain, Headache, Nausea, Pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe headaches, earaches, dizziness, balance issues, body and joint pains, and nausea

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Call 1 — Could Not Reach Participant
2022-05-16
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-15	Moderna
2	2021-04-12	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-05-19	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-16

Systemic reaction (other): Last night some trouble swallowing as if throat was swollen. Seems to have cleared up.

Release 7 — day 21, dose 1

2021-04-06

Symptoms: My asthma and allergies have flared up horribly, but I think this is all due to environmental and seasonal changes.

Release 8 — day 35, dose 2

2021-05-19

Symptoms: I developed an unexplained ear infection that abscessed. Severe pain.

Healthcare visit (other): In person doctors appointment

Release 9 — 3 months, dose 2

2021-07-12

Symptoms: Severe headaches that dont appear to be related to my allergies or sinus issues.

Release 10 — 6 months, dose 2

2021-10-13

Symptoms: Severe allergy symptoms. Headache, congestion, drainage, lack of taste and smell.

Release 11 — 12 months, dose 2

2022-04-12

Symptoms: Severe headaches, earaches, dizziness, balance issues, body and joint pains, and nausea

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	Abscess	✓	✓	✓
SD	Adverse reaction	·	·	✓
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Arthralgia	·	·	✓
SD	Asthma	✓	✓	✓
SD	Balance disorder	·	·	✓
SD	Discharge	·	·	✓
SD	Dizziness	·	·	✓
SD	Ear infection	✓	✓	✓
SD	Ear pain	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Dysphagia	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓

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