ZBH-13459-38738

4 vaccinations 8 coded responses 18 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 681 / NE
Registered: 2021-04-26

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

2021-04-26
Registered in v-safe
2021-04-26
Dose 1 — Moderna
2021-04-26
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion, Rhinorrhoea — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Runny nose; stuffy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-24
Dose 2 — Moderna
2021-05-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-06-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-23
Survey response — 3 months, dose 2
MedDRA: Respiratory syncytial virus infection — 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 · Outpatient clinic or urgent care clinic visit

Free text: I contracted RSV.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
Report sent to call center — 3 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

1 call case(s)
2021-08-30
Call 2 — Left Voicemail
2021-11-22
Survey response — 6 months, dose 2
MedDRA: Malaise, Office visit, Oropharyngeal pain, Respiratory syncytial virus infection — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I contracted RSV, and was extremely sick. 3 days ago, I began having a terrible sore throat. · Healthcare visit (other): Dr's office

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
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

1 call case(s)
2021-11-23
Call 2 — Left Voicemail
2022-01-06
Dose 3 — Moderna
Co-administered: Flu
2022-07-13
Dose 4 — Moderna
2022-07-15
Survey response — days 1–6 daily, dose 4
MedDRA: Feeling abnormal, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: My whole body feels awful! One day after getting the shot, my temp was 102.5!

MedDRA releases: 2024-11 · check-in free text available
2022-07-16
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches

Adult check-in
2022-07-17
Survey response — days 1–6 daily, dose 4
MedDRA: Contusion — Feeling: Good · Site: Pain, Redness, Itching

Free text: My arm has 5 in of bruising, that looks horrible. There's 5 inches of bruising in 2 separate places on my arm.

MedDRA releases: 2024-11 · check-in free text available
2022-07-19
Survey response — days 1–6 daily, dose 4
MedDRA: Contusion — Feeling: Good

Free text: The shot left an extremely LARGE bruise on my arm. 5 1/2 in down by 3 1/2 in across

MedDRA releases: 2024-11 · check-in free text available
2022-07-20
Survey response — day 7, dose 4
MedDRA: Contusion — Feeling: Good

Free text: still bruised. I'd really like to know if you could attach pics?

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-01-12
Survey response — 6 months, dose 4
MedDRA: Respiratory syncytial virus infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-12
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-13
Call 1 — Left Voicemail
2023-01-13
Call 1 — Left Voicemail
2023-01-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-26	Moderna
2	2021-05-24	Moderna
3	2022-01-06	Moderna	Flu
4	2022-07-13	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-08-23	Unsuccessful
2021-11-22	Unsuccessful
2023-01-12	Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-27

Systemic reaction (other): Runny nose; stuffy

Release 9 — 3 months, dose 2

2021-08-23

Symptoms: I contracted RSV.

Release 10 — 6 months, dose 2

2021-11-22

Symptoms: I contracted RSV, and was extremely sick. 3 days ago, I began having a terrible sore throat.

Healthcare visit (other): Dr's office

Release 12 — days 1–6 daily, dose 4

2022-07-15

Systemic reaction (other): My whole body feels awful! One day after getting the shot, my temp was 102.5!

2022-07-17

Systemic reaction (other): My arm has 5 in of bruising, that looks horrible. There's 5 inches of bruising in 2 separate places on my arm.

2022-07-19

Systemic reaction (other): The shot left an extremely LARGE bruise on my arm. 5 1/2 in down by 3 1/2 in across

Release 12 — day 7, dose 4

2022-07-20

Systemic reaction (other): still bruised. I'd really like to know if you could attach pics?

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	Malaise	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Respiratory syncytial virus infection	✓	·	✓
SRO	Contusion	·	·	✓
SRO	Feeling abnormal	·	·	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Pyrexia	·	·	✓
SRO	Rhinorrhoea	✓	✓	✓

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