ZB8-11726-92253

2 vaccinations 9 coded responses 19 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 984 / WA
Registered: 2021-01-07

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

Timeline

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-07
Survey response — day 0, dose 1
MedDRA: Dysgeusia — Feeling: Good

Free text: funny taste in my mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Tenderness — Feeling: Good · Site: Pain · Be unable to do your normal daily activities

Free text: my arm hurts to touch or more it more then a foot from my body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Be unable to do your normal daily activities

Free text: arm still hurts but better then yesterday can't do alot with it

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

1 call case(s)
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-05
Dose 2 — Moderna
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Chills, Electric shock sensation, Fatigue, Pain in extremity, Swelling — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Joint pains · Be unable to do your normal daily activities

Free text: swollen my arm hurts, I'm tried, my joints all hurt, and i have the chills, along with brain zaps like when you stop taking anti depressants

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Injection site induration, Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: the injection site is about 3 quarters inside red,tender and hard little warm to the touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising, Injection site swelling — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: bruise at the injection site might be from the swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising, Injection site erythema, Injection site induration, Injection site swelling — Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: bruise at infection site still red swollen and hard

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising, Injection site erythema, Injection site induration — Feeling: Fair · Site: Itching

Free text: bruise and hard little red at the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-26
Survey response — day 21, dose 2
MedDRA: Arthralgia — Feeling: Good

Free text: Joints hurt alittle of and on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-05	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-08	priority 2/3
2021-01-09	priority 2/3

Free text

Release 1 — day 0, dose 1

2021-01-07

Systemic reaction (other): funny taste in my mouth

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): my arm hurts to touch or more it more then a foot from my body

2021-01-09

Systemic reaction (other): arm still hurts but better then yesterday can't do alot with it

Release 3 — days 1–6 daily, dose 2

2021-02-06

Systemic reaction (other): swollen my arm hurts, I'm tried, my joints all hurt, and i have the chills, along with brain zaps like when you stop taking anti depressants

2021-02-08

Systemic reaction (other): the injection site is about 3 quarters inside red,tender and hard little warm to the touch

2021-02-09

Systemic reaction (other): bruise at the injection site might be from the swelling

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): bruise at infection site still red swollen and hard

2021-02-11

Systemic reaction (other): bruise and hard little red at the injection site

Release 4 — day 21, dose 2

2021-02-26

Symptoms: Joints hurt alittle of and on

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	Arthralgia	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Electric shock sensation	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site induration	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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