ZCQ-28958-11427

4 vaccinations 7 coded responses 13 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 275 / NC
Registered: 2021-03-21

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

2021-03-15
Dose 1 — Moderna
2021-03-21
Registered in v-safe
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site swelling, Injection site warmth — Feeling: Good

Free text: new symptom last Thursday the area of infection turned red, was swollen, and hot to thr touch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-12
Dose 2 — Moderna
2021-04-26
Survey response — day 14, dose 2
MedDRA: Back pain, Brain fog, Chills, Fatigue, Musculoskeletal pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: Did not have the opportunity to report side effects after shot 2 on 4/12/21. Side effects: 102.8 fever for 6-8 hrs followed by 101.5 fever for 8-9 hrs followed by 100-101 fever for 8 hrsLower back butt pain ChillsVery tireFelt foggy for 2 weeks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 28, dose 2
MedDRA: Heavy menstrual bleeding, Menstrual discomfort, Menstrual disorder, Vaccine positive rechallenge — Feeling: Good

Free text: With menstrual cycle with both shots experienced lots of pressure and discomfort and a very heavy period which is abnormal for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — day 35, dose 2
MedDRA: Heavy menstrual bleeding, Vulvovaginal discomfort — Feeling: Good

Free text: Very heavy period with lots of vagina pressure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-17
Dose 3 — Moderna
2022-02-16
Survey response — 3 months, dose 3
MedDRA: Oophorectomy, Ovarian cyst, Ovarian cystectomy — Feeling: Good · Be unable to work or attend school

Free text: Ovarian cyst grew had to have surgery to remove cyst and lost my ovary.

MedDRA releases: 2024-11 · check-in free text available
2022-09-12
Dose 4 — Moderna
Co-administered: Flu
2022-10-18
Survey response — day 35, dose 4
MedDRA: Blood pressure abnormal, Chest discomfort, Emergency care, Heart rate abnormal, Office visit, Respiratory disorder, Visual impairment — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Vision changes, hesrt rate changes, breathing changes, blood pressure changes, chest tightness. Ive been to ER, ENT, PC, Eye dr

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Report sent to call center — day 35, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-10-19
Call 1 — Left Voicemail
2022-10-26
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-03-13
Survey response — 6 months, dose 4
MedDRA: Blood glucose increased, Glycosylated haemoglobin increased — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-15	Moderna
2	2021-04-12	Moderna
3	2021-11-17	Moderna	No
4	2022-09-12	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-10-18	Unsuccessful

Free text

Release 6 — day 14, dose 1

2021-03-29

Symptoms: new symptom last Thursday the area of infection turned red, was swollen, and hot to thr touch.

Release 7 — day 14, dose 2

2021-04-26

Symptoms: Did not have the opportunity to report side effects after shot 2 on 4/12/21. Side effects: 102.8 fever for 6-8 hrs followed by 101.5 fever for 8-9 hrs followed by 100-101 fever for 8 hrsLower back butt pain ChillsVery tireFelt foggy for 2 weeks

Release 8 — day 28, dose 2

2021-05-11

Symptoms: With menstrual cycle with both shots experienced lots of pressure and discomfort and a very heavy period which is abnormal for me.

Release 8 — day 35, dose 2

2021-05-17

Symptoms: Very heavy period with lots of vagina pressure.

Release 11 — 3 months, dose 3

2022-02-16

Symptoms: Ovarian cyst grew had to have surgery to remove cyst and lost my ovary.

Release 12 — day 35, dose 4

2022-10-18

Symptoms: Vision changes, hesrt rate changes, breathing changes, blood pressure changes, chest tightness. Ive been to ER, ENT, PC, Eye dr

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	Back pain	✓	✓	✓
SD	Blood glucose increased	·	·	✓
SD	Blood pressure abnormal	·	·	✓
SD	Brain fog	✓	✓	✓
SD	Chest discomfort	·	·	✓
SD	Chills	✓	✓	✓
SD	Emergency care	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Glycosylated haemoglobin increased	·	·	✓
SD	Heart rate abnormal	·	·	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Menstrual discomfort	✓	✓	✓
SD	Menstrual disorder	✓	✓	✓
SD	Musculoskeletal pain	✓	✓	✓
SD	Office visit	·	·	✓
SD	Oophorectomy	·	·	✓
SD	Ovarian cyst	·	·	✓
SD	Ovarian cystectomy	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory disorder	·	·	✓
SD	Vaccine positive rechallenge	✓	✓	✓
SD	Visual impairment	·	·	✓
SD	Vulvovaginal discomfort	✓	✓	✓

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