ZCX-31806-65922

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 505 / IA
Registered: 2021-08-20

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

2021-08-20
Registered in v-safe
2021-08-20
Dose 1 — Moderna
2021-08-20
Survey response — day 0, dose 1
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain

Free text: Arm I received injection in has been tingling

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-21
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Site: Pain

Free text: About 2 hrs after the injection, I had itchiness all over my body for a couple of hours

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-08-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-09-03
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache — Feeling: Good

Free text: Yesterday (9/2/21) I was very fatigued & had a really bad headache that would feel sharp at times. I stayed at work but I really didnt want to.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-09-17
Dose 2 — Moderna
2021-09-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Ear pain — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Occasional dizziness, ear ache

MedDRA releases: 2024-11 · check-in free text available
2021-09-19
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Occasionally lightheaded or dizzy.

MedDRA releases: 2024-11 · check-in free text available
2021-09-20
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Injection site pruritus, Office visit, Paraesthesia — Feeling: Fair · Site: Pain, Redness, Itching · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Arm in which I received the injection continues to have sensations of numbness or tingling, especially after the injection site feels itchy. I can feel it move down my arm, or partway up my neck. · Healthcare visit (other): Visited workplace nurse to get hydrocortisone cream

MedDRA releases: 2024-11 · check-in free text available
2021-09-20
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-09-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-09-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-09-23
Call 1 — Could Not Reach Participant
2021-09-24
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-28
Call 2 — Could Not Reach Participant
2021-10-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-10-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-10-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-10-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-10-31
Survey response — day 42, dose 2
MedDRA: Adverse reaction, Heart rate increased — Feeling: Good

Free text: Ocasional sensation of rapid heartbeat. I haven't told my doctor because he's overloaded and the other symptoms I've had, I'm just told "well it's still better than having Covid. The benefits outweigh the risks."

MedDRA releases: 2024-11 · check-in free text available
2022-03-18
Survey response — 6 months, dose 2
MedDRA: Blood pressure diastolic increased, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Increased heart palpitations and high diastolic blood pressure. Now on prescription heart medication.

MedDRA releases: 2024-11 · check-in free text available
2022-03-18
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-21
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-20	Moderna	No
2	2021-09-17	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-09-20	Unsuccessful
2022-03-18	Unsuccessful

Free text

Release 9 — day 0, dose 1

2021-08-20

Systemic reaction (other): Arm I received injection in has been tingling

Release 9 — days 1–6 daily, dose 1

2021-08-21

Systemic reaction (other): About 2 hrs after the injection, I had itchiness all over my body for a couple of hours

Release 9 — day 14, dose 1

2021-09-03

Symptoms: Yesterday (9/2/21) I was very fatigued & had a really bad headache that would feel sharp at times. I stayed at work but I really didnt want to.

Release 9 — days 1–6 daily, dose 2

2021-09-18

Systemic reaction (other): Occasional dizziness, ear ache

2021-09-19

Systemic reaction (other): Occasionally lightheaded or dizzy.

2021-09-20

Systemic reaction (other): Arm in which I received the injection continues to have sensations of numbness or tingling, especially after the injection site feels itchy. I can feel it move down my arm, or partway up my neck.

Healthcare visit (other): Visited workplace nurse to get hydrocortisone cream

Release 10 — day 42, dose 2

2021-10-31

Symptoms: Ocasional sensation of rapid heartbeat. I haven't told my doctor because he's overloaded and the other symptoms I've had, I'm just told "well it's still better than having Covid. The benefits outweigh the risks."

Release 11 — 6 months, dose 2

2022-03-18

Symptoms: Increased heart palpitations and high diastolic blood pressure. Now on prescription heart medication.

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	Adverse reaction	·	·	✓
SD	Blood pressure diastolic increased	·	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	·	✓
SD	Heart rate increased	·	·	✓
SD	Palpitations	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Ear pain	·	·	✓
SRO	Hypoaesthesia	·	·	✓
SRO	Injection site pruritus	·	·	✓
SRO	Paraesthesia	✓	·	✓
SRO	Pruritus	✓	·	✓

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