ZDV-29347-85220

2 vaccinations 10 coded responses 15 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 703 / LA
Registered: 2021-01-22

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-09
Dose 1 — Moderna
2021-01-22
Registered in v-safe
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-23
Survey response — day 14, dose 1
MedDRA: Hypoaesthesia, Hypoaesthesia eye, Immediate post-injection reaction — Feeling: Good

Free text: About 10 minutes after injection my eye and part of face on right side felt a little bit numb. It wasnt a lot. Stayed less than 24 hrs. Has not come back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Dose 2 — Pfizer-BioNTech
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: My first injection was Pfizer. NOT Moderna. Made a mistake

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Urinary tract infection — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I have discovered I have a UTI.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Urinary tract infection — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Have a UTI

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — day 7, dose 2
MedDRA: Urinary tract infection — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I have a UTI

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-20
Survey response — day 21, dose 2
MedDRA: Fatigue, Pain, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ache all over. Tired. Took Cipro meds for an UTI infection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — day 28, dose 2
MedDRA: Office visit, Tendonitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Have tendinitis in ankle and shoulder. Just came on in last 2 weeks. · Healthcare visit (other): Doctor visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-03
Survey response — 3 months, dose 2
MedDRA: Unevaluable event, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Uti · Healthcare visit (other): Schedule cyctiscope

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-31
Survey response — 6 months, dose 2
MedDRA: Back disorder, Depression, Office visit, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: UTI. Back issues. Depression · Healthcare visit (other): Urologist, primary care doctor

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-31
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)
2021-08-12
Call 1 — Left Voicemail
2022-01-30
Survey response — 12 months, dose 2
MedDRA: Rhinorrhoea — Feeling: Good

Free text: Running nose for a few days

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-09	Moderna
2	2021-01-30	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-02-27	Unsuccessful
2021-05-03	Unsuccessful
2021-07-31	Unsuccessful

Free text

Release 2 — day 14, dose 1

2021-01-23

Symptoms: About 10 minutes after injection my eye and part of face on right side felt a little bit numb. It wasnt a lot. Stayed less than 24 hrs. Has not come back.

Release 3 — days 1–6 daily, dose 2

2021-02-02

Systemic reaction (other): My first injection was Pfizer. NOT Moderna. Made a mistake

2021-02-03

Systemic reaction (other): I have discovered I have a UTI.

2021-02-05

Systemic reaction (other): Have a UTI

Release 3 — day 7, dose 2

2021-02-06

Systemic reaction (other): I have a UTI

Release 4 — day 21, dose 2

2021-02-20

Symptoms: Ache all over. Tired. Took Cipro meds for an UTI infection.

Release 4 — day 28, dose 2

2021-02-27

Symptoms: Have tendinitis in ankle and shoulder. Just came on in last 2 weeks.

Healthcare visit (other): Doctor visit

Release 8 — 3 months, dose 2

2021-05-03

Symptoms: Uti

Healthcare visit (other): Schedule cyctiscope

Release 9 — 6 months, dose 2

2021-07-31

Symptoms: UTI. Back issues. Depression

Healthcare visit (other): Urologist, primary care doctor

Release 11 — 12 months, dose 2

2022-01-30

Symptoms: Running nose for a few days

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	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Back disorder	✓	·	✓
SD	Depression	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Hypoaesthesia eye	✓	✓	✓
SD	Immediate post-injection reaction	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Tendonitis	✓	✓	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Urinary tract infection	✓	✓	✓

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