ZDT-67730-81855

4 vaccinations 8 coded responses 35 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 836 / ID
Registered: 2021-01-16

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

2021-01-15
Dose 1 — Moderna
2021-01-16
Registered in v-safe
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-29
Survey response — day 14, dose 1
MedDRA: SARS-CoV-2 test, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I have now tested positive for COVID · Healthcare visit (other): COVID Test and lung x-ray

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-12
Dose 2 — Moderna
2021-02-12
Survey response — day 0, dose 2
MedDRA: COVID-19, Cough, Discomfort — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Residual cough and slight lung discomfort after having COVID. Finished quarantine 1 week ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-26
Survey response — day 42, dose 2
MedDRA: Chest pain, Cough, Feeling abnormal — Feeling: Good

Free text: Some chest pain, brain fog and my cough seems to have come back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — 3 months, dose 2
MedDRA: Chest pain — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Have had some ongoing chedt pain; started after vaccine. Dr. says must give it some more time to see if dissipates.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-08
Call 1 — Left Voicemail
2021-08-13
Survey response — 6 months, dose 2
MedDRA: Fatigue, Pulmonary pain, Pyrexia, Rhinorrhoea, Throat irritation — 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

Free text: Fever, lung pain, nasal drainage, scratchy throat, fatigue

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
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)
2021-08-18
Call successful
Participant prefers to complete VAERS report online
2021-10-26
Dose 3 — Moderna
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Severe pain in legs and arms. Better today, but severe evening of vaccine and following day and into early a.m.

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fever · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-02
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-07
Survey response — day 42, dose 3
MedDRA: Pneumonia, Sinusitis — 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

Free text: I have a bad sinus infection and gone into my lungs. Not COVID rekated.

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-08
Call 1 — Left Voicemail
2022-01-25
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-22
Dose 4 — Moderna
2022-04-26
Survey response — 6 months, dose 3
MedDRA: Chills, Headache, Illness, Influenza like illness, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: 2nd booster caused illness; chills, fever, achey/flu-like, headache.

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-21
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-27
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-12	Moderna
3	2021-10-26	Moderna	No
4	2022-04-22	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-16	priority 2/3
2021-01-29	Successful	Participant prefers to complete VAERS report online
2021-05-14	Successful	Participant prefers to complete VAERS report online
2021-08-13	Successful 2021-08-18	Participant prefers to complete VAERS report online
2021-12-07	Unsuccessful

Free text

Release 3 — day 14, dose 1

2021-01-29

Symptoms: I have now tested positive for COVID

Healthcare visit (other): COVID Test and lung x-ray

Release 4 — day 0, dose 2

2021-02-12

Systemic reaction (other): Residual cough and slight lung discomfort after having COVID. Finished quarantine 1 week ago.

Release 6 — day 42, dose 2

2021-03-26

Symptoms: Some chest pain, brain fog and my cough seems to have come back

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: Have had some ongoing chedt pain; started after vaccine. Dr. says must give it some more time to see if dissipates.

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: Fever, lung pain, nasal drainage, scratchy throat, fatigue

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): Severe pain in legs and arms. Better today, but severe evening of vaccine and following day and into early a.m.

Release 10 — day 42, dose 3

2021-12-07

Symptoms: I have a bad sinus infection and gone into my lungs. Not COVID rekated.

Release 11 — 6 months, dose 3

2022-04-26

Symptoms: 2nd booster caused illness; chills, fever, achey/flu-like, headache.

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	SARS-CoV-2 test	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Chills	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	○	○	○
SD	Fatigue	✓	·	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	·	·	✓
SD	Illness	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Pneumonia	·	·	✓
SD	Pulmonary pain	✓	·	✓
SD	Pyrexia	✓	·	✓
SD	Rhinorrhoea	✓	·	✓
SD	SARS-CoV-2 test positive	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Throat irritation	✓	·	✓
SRO	Cough	✓	✓	✓
SRO	COVID-19	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Pain in extremity	·	·	✓

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