ZC2-14426-86283

3 vaccinations 6 coded responses 24 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 379 / TN
Registered: 2021-02-26

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

2021-02-17
Dose 1 — Moderna
2021-02-26
Registered in v-safe
2021-02-26
Survey response — day 7, dose 1
MedDRA: Headache — Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness

Free text: I had mild headaches for three days after the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-18
Dose 2 — Moderna
2021-03-18
Survey response — day 0, dose 2
MedDRA: Erythema — Feeling: Good

Free text: I woke up this morning with a red area on my face. This was before the 2nd vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Glossodynia, Paraesthesia oral, Vaccine positive rechallenge — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: White sore on tongue after first and second vaccine. I had tingling on my lips the first night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Chills, Fatigue or tiredness

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Vitreous floaters — Feeling: Good · Site: Itching

Free text: A new floater has developed in my left eye that is jet black. It was first noticed on Sunday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-18
Survey response — 6 months, dose 2
MedDRA: Dysphonia, Ear pain, Office visit, Oropharyngeal pain, Productive cough, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative, Secretion discharge — Feeling: Good · 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: Symptoms: Aug 11 sore throat, fever earache- 2 days with fever. Mucus drainage and coughing up. Covid+ strep tests negative. Antibiotics-10 days. Still experiencing raspy voice+ congestion/not as bad as it was. Prevented me from going to sisters funera · Healthcare visit (other): 2 visits

MedDRA releases: 2024-11 · check-in free text available
2021-09-18
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-22
Call 1 — Left Voicemail
2022-03-18
Survey response — 12 months, dose 2
MedDRA: Increased upper airway secretion, Muscle twitching, Office visit, Paranasal sinus hypersecretion, Productive cough, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Beginning the middle of December I started having severe sinus drainage Mucus and phlegm from my nose and into my throat. I don't know if this has to do with the Riabni infusions that I had in November or not. I have twitching in right calf · Healthcare visit (other): Family doctor

MedDRA releases: 2024-11 · check-in free text available
2022-03-18
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-21
Call successful
Does not wish to fill out VAERS report
2022-09-25
Dose 3 — Moderna
2022-10-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-10-16
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-10-23
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-10-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-11-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-12-25
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Moderna
2	2021-03-18	Moderna
3	2022-09-25	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-09-18	Successful	Does not wish to fill out VAERS report
2022-03-18	Successful 2022-03-21	Does not wish to fill out VAERS report

Free text

Release 4 — day 7, dose 1

2021-02-26

Systemic reaction (other): I had mild headaches for three days after the vaccine

Release 5 — day 0, dose 2

2021-03-18

Systemic reaction (other): I woke up this morning with a red area on my face. This was before the 2nd vaccine

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): White sore on tongue after first and second vaccine. I had tingling on my lips the first night

2021-03-23

Systemic reaction (other): A new floater has developed in my left eye that is jet black. It was first noticed on Sunday

Release 9 — 6 months, dose 2

2021-09-18

Symptoms: Aug 11 sore throat, fever earache- 2 days with fever. Mucus drainage and coughing up. Covid+ strep tests negative. Antibiotics-10 days. Still experiencing raspy voice+ congestion/not as bad as it was. Prevented me from going to sisters funera

Healthcare visit (other): 2 visits

Release 11 — 12 months, dose 2

2022-03-18

Symptoms: Beginning the middle of December I started having severe sinus drainage Mucus and phlegm from my nose and into my throat. I don't know if this has to do with the Riabni infusions that I had in November or not. I have twitching in right calf

Healthcare visit (other): Family doctor

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	Dysphonia	·	·	✓
SD	Ear pain	·	·	✓
SD	Increased upper airway secretion	·	·	✓
SD	Muscle twitching	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Productive cough	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Secretion discharge	·	·	✓
SRO	Erythema	✓	✓	✓
SRO	Glossodynia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Vaccine positive rechallenge	✓	✓	✓
SRO	Vitreous floaters	✓	✓	✓

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