ZDG-14966-71063

5 vaccinations 9 coded responses 51 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 016 / MA
Registered: 2021-03-29

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

2021-03-29
Registered in v-safe
2021-03-29
Dose 1 — Moderna
2021-03-29
Health check-in — day 0, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

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

Adult check-in
2021-04-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-26
Dose 2 — Moderna
2021-04-26
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness, Nausea

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Dizziness — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy and brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Headache, Joint pains

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Joint pains, Muscle or body aches

Adult check-in
2021-05-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-07
Survey response — day 42, dose 2
MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Regular headaches. At least every couple days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-26
Survey response — 3 months, dose 2
MedDRA: Amenorrhoea, Condition aggravated, Fatigue, Headache, Pre-existing disease, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Congestion, tired, headaches, runny nose, ulcerative colitis flare up, menstruation has stopped.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-25
Survey response — 6 months, dose 2
MedDRA: Colitis ulcerative, Headache, Pre-existing disease, Stress — Feeling: Good · Be unable to work or attend school

Free text: Ulcerative colitis flare up started in July and lasted to September. May be unrelated to 2nd vax end of April. Having some pretty terrible headaches, but likely stress related on both counts.

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Dose 3 — Moderna
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tiredness

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-01
Dose 4 — Moderna
2022-05-05
Survey response — 6 months, dose 3
MedDRA: Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tinnitis/ear ringing

MedDRA releases: 2024-11 · check-in free text available
2022-10-11
Dose 5 — Moderna
2022-10-11
Health check-in — day 0, dose 5
Feeling: Good · None

Adult check-in
2022-10-12
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-13
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-10-14
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-17
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-18
Health check-in — day 7, dose 5
Feeling: Good · Headache, Joint pains

Adult check-in
2022-10-25
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-01
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-08
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-15
Survey response — day 35, dose 5
MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Good

Free text: Runny nose, congestion

MedDRA releases: 2024-11 · check-in free text available
2022-11-22
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-10
Survey response — 3 months, dose 5
MedDRA: Influenza — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-01-10
Report sent to call center — 3 months, dose 5
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-01-11
Call 1 — Left Voicemail
2023-04-13
Survey response — 6 months, dose 5
MedDRA: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Sneezing — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-29	Moderna
2	2021-04-26	Moderna
3	2021-11-01	Moderna	No
4	2022-05-01	Moderna	No
5	2022-10-11	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2023-01-10	Unsuccessful

Free text

Release 8 — day 0, dose 2

2021-04-26

Systemic reaction (other): Dizziness

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Dizzy and brain fog

Release 8 — day 42, dose 2

2021-06-07

Symptoms: Regular headaches. At least every couple days

Release 9 — 3 months, dose 2

2021-07-26

Symptoms: Congestion, tired, headaches, runny nose, ulcerative colitis flare up, menstruation has stopped.

Release 10 — 6 months, dose 2

2021-10-25

Symptoms: Ulcerative colitis flare up started in July and lasted to September. May be unrelated to 2nd vax end of April. Having some pretty terrible headaches, but likely stress related on both counts.

Release 11 — 6 months, dose 3

2022-05-05

Symptoms: Tinnitis/ear ringing

Release 12 — day 35, dose 5

2022-11-15

Symptoms: Runny nose, congestion

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	Amenorrhoea	✓	·	✓
SD	Colitis ulcerative	·	·	✓
SD	Condition aggravated	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	✓	✓
SD	Influenza	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Respiratory tract congestion	✓	·	✓
SD	Rhinorrhoea	✓	·	✓
SD	Sneezing	·	·	✓
SD	Stress	·	·	✓
SD	Tinnitus	·	·	✓
SRO	Brain fog	✓	✓	✓
SRO	Dizziness	✓	✓	✓

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