ZCD-32190-81067

2 vaccinations 6 coded responses 27 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 067 / CT
Registered: 2021-03-01

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

2021-03-01
Registered in v-safe
2021-03-01
Dose 1 — Moderna
2021-03-01
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: On the 8th and 9th day after vaccination I had swelling, redness, itching, and pain at the injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-30
Dose 2 — Moderna
2021-03-30
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Free text: Swelling in arm pit of same arm where vaccine was given.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension, Dyspepsia, Generalised oedema, Lethargy, Lymphadenopathy, Sluggishness — Feeling: Good · Site: Redness, Swelling, Itching · Joint pains, Fatigue or tiredness

Free text: Heartburn, tried to strength train today and do HIIT cycle for first time after dose 2 and felt extra lethargic trying to move. Still feel slight bloat/swelling all over my body, especially in areas of lymph nodes. Not enough to affect not working, but enough to function slower than usual still.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Itching

Free text: Still slight swelling in armpit of the arm injection was given. Less than yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-27
Survey response — day 28, dose 2
MedDRA: Migraine, Pre-existing disease — Feeling: Good · Be unable to work

Free text: Allergies - migraine lasting 12 hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-13
Call successful
Participant prefers to complete VAERS report online
2022-03-30
Survey response — 12 months, dose 2
MedDRA: COVID-19, Tinnitus, Upper-airway cough syndrome — 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: Post-nasal drip, ear ringing, had COVID in january

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-31
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Moderna
2	2021-03-30	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-15	Successful 2021-12-13	Participant prefers to complete VAERS report online
2022-03-30	Unsuccessful

Free text

Release 5 — day 14, dose 1

2021-03-15

Symptoms: On the 8th and 9th day after vaccination I had swelling, redness, itching, and pain at the injection site.

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): Swelling in arm pit of same arm where vaccine was given.

2021-04-04

Systemic reaction (other): Heartburn, tried to strength train today and do HIIT cycle for first time after dose 2 and felt extra lethargic trying to move. Still feel slight bloat/swelling all over my body, especially in areas of lymph nodes. Not enough to affect not working, but enough to function slower than usual still.

2021-04-05

Systemic reaction (other): Still slight swelling in armpit of the arm injection was given. Less than yesterday

Release 8 — day 28, dose 2

2021-04-27

Symptoms: Allergies - migraine lasting 12 hours

Release 11 — 12 months, dose 2

2022-03-30

Symptoms: Post-nasal drip, ear ringing, had COVID in january

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	COVID-19	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Tinnitus	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Abdominal distension	○	✓	○
SRO	Dyspepsia	✓	✓	✓
SRO	Generalised oedema	✓	✓	✓
SRO	Lethargy	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Sluggishness	✓	·	✓

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