Z92-19249-80998

2 vaccinations 13 coded responses 26 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 800 / CO
Registered: 2020-12-31

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2020-12-31
Registered in v-safe
2020-12-31
Dose 1 — Moderna
2020-12-31
Health check-in — day 0, dose 1
Feeling: Good · Chills

Adult check-in
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Nausea · Be unable to work

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia — Feeling: Good · Site: Pain · Headache

Free text: Tingling/ mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Dizziness, Muscle tightness — Feeling: Good

Free text: Dizziness and tightness in the chest and back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Musculoskeletal discomfort — Feeling: Fair · Nausea

Free text: Tightness in the chest and back for 2 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Muscle tightness — Feeling: Good

Free text: Feeling tightness in my chest and back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Muscle tightness — Feeling: Good

Free text: Back and chest tightness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Survey response — day 7, dose 1
MedDRA: Back pain, Chest pain, Poor quality sleep — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chest pain and back pain. Not able to sleep well pain not resolving

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-28
Dose 2 — Moderna
2021-01-28
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Groin pain, Pain in extremity — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Free text: Sudden pain in my R calf and groin area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Chest pain — Feeling: Good

Free text: Chest and back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Chest discomfort — Feeling: Good · Site: Itching · Muscle or body aches

Free text: Chest tightness and back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — day 7, dose 2
MedDRA: Back pain, Chest pain — Feeling: Good · Muscle or body aches

Free text: Chest and back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 42, dose 2
MedDRA: Pain in extremity, Rash — Feeling: Good

Free text: Pain in the r leg and rash on the side of upper body that comes and goes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Pregnancy registry survey
Not pregnant at or since vaccination ·
2021-04-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-30
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna
2	2021-01-28	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-01	priority 2/3
2021-01-07	priority 2/3

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): Light headed

2021-01-02

Systemic reaction (other): Tingling/ mild

2021-01-03

Systemic reaction (other): Dizziness and tightness in the chest and back

2021-01-04

Systemic reaction (other): Tightness in the chest and back for 2 days

2021-01-05

Systemic reaction (other): Feeling tightness in my chest and back

2021-01-06

Systemic reaction (other): Back and chest tightness

Release 1 — day 7, dose 1

2021-01-07

Systemic reaction (other): Chest pain and back pain. Not able to sleep well pain not resolving

Release 3 — days 1–6 daily, dose 2

2021-01-30

Systemic reaction (other): Dizziness

2021-01-31

Systemic reaction (other): Sudden pain in my R calf and groin area

2021-02-01

Systemic reaction (other): Chest and back pain

2021-02-03

Systemic reaction (other): Chest tightness and back pain

Release 3 — day 7, dose 2

2021-02-04

Systemic reaction (other): Chest and back pain

Release 5 — day 42, dose 2

2021-03-11

Symptoms: Pain in the r leg and rash on the side of upper body that comes and goes

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	Pain in extremity	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Groin pain	·	·	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Musculoskeletal discomfort	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓

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