ZDY-21092-38030

2 vaccinations 10 coded responses 25 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 011 / MA
Registered: 2021-02-06

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-05
Dose 1 — Moderna
2021-02-06
Registered in v-safe
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Horrible headache that lasted 24 hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Muscle or body aches

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: COVID-19 — Feeling: Good · Chills

Free text: I have long covid so I have many of these these symptoms on a semi daily basis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — day 7, dose 1
MedDRA: Post-acute COVID-19 syndrome — Feeling: Good · Chills, Muscle or body aches

Free text: I suffer from long covid so that is why I am having residual symptoms. However, I do not believe the symptoms I am experiencing are due to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-26
Survey response — day 21, dose 1
MedDRA: Unevaluable event — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: I suffer from long covid which has nothing to do with the vaccine. I experience random symptoms for the past 11 months

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 28, dose 1
MedDRA: Nervous system disorder, Neurological symptom, Pain, Post-acute COVID-19 syndrome, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Horrible neurological issues pain throughout my body. But it's bit due to the vaccine. I suffer from long covid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Dose 2 — Moderna
2021-03-11
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, Post-acute COVID-19 syndrome — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I do not believe that the vaccine has caused these issues. I have long covid and I think my symptoms increased after having the vaccine. But Ii can not be certain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: These symptoms are not due to the vaccine. They are ongoing due to long covid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-18
Survey response — day 7, dose 2
MedDRA: Post-acute COVID-19 syndrome — Feeling: Good · Chills, Muscle or body aches

Free text: My symptoms are not from the vaccine I have long covid and the symptoms have been ongoing for a year.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-15
Survey response — day 35, dose 2
MedDRA: Arthralgia, Office visit, Pain — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: More body pain esp in the joints · Healthcare visit (other): Dr office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-09
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-22
Call 1 — Left Voicemail
2022-03-13
Survey response — 12 months, dose 2
MedDRA: Ageusia, Alopecia, Anosmia, Brain fog, Cognitive disorder, Erythema, Fatigue, Nervous system disorder, Pain, Photophobia, Physiotherapy, Pre-existing disease, Rash macular, Speech-language therapy, Weight decreased — Feeling: Fair · Be unable to work or attend school, 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: Long covid. Fatigue, brain fog. Neurological and cognitive issues, hair loss, occasional red lesions, visual problems light sensitivity. Limited taste and smell 2 years after having Covid. Weight loss, body pain etc · Healthcare visit (other): Physical and speech therapy

MedDRA releases: 2024-11 · check-in free text available
2022-03-13
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-19
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Moderna
2	2021-03-11	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-15	Unsuccessful
2022-03-13	Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-06

Systemic reaction (other): Horrible headache that lasted 24 hours

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): I have long covid so I have many of these these symptoms on a semi daily basis.

Release 4 — day 7, dose 1

2021-02-12

Systemic reaction (other): I suffer from long covid so that is why I am having residual symptoms. However, I do not believe the symptoms I am experiencing are due to the vaccine.

Release 4 — day 21, dose 1

2021-02-26

Symptoms: I suffer from long covid which has nothing to do with the vaccine. I experience random symptoms for the past 11 months

Release 5 — day 28, dose 1

2021-03-05

Symptoms: Horrible neurological issues pain throughout my body. But it's bit due to the vaccine. I suffer from long covid

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): I do not believe that the vaccine has caused these issues. I have long covid and I think my symptoms increased after having the vaccine. But Ii can not be certain.

2021-03-14

Systemic reaction (other): These symptoms are not due to the vaccine. They are ongoing due to long covid

Release 5 — day 7, dose 2

2021-03-18

Systemic reaction (other): My symptoms are not from the vaccine I have long covid and the symptoms have been ongoing for a year.

Release 7 — day 35, dose 2

2021-04-15

Symptoms: More body pain esp in the joints

Healthcare visit (other): Dr office visit

Release 11 — 12 months, dose 2

2022-03-13

Symptoms: Long covid. Fatigue, brain fog. Neurological and cognitive issues, hair loss, occasional red lesions, visual problems light sensitivity. Limited taste and smell 2 years after having Covid. Weight loss, body pain etc

Healthcare visit (other): Physical and speech therapy

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	Physiotherapy	·	·	✓
HCVO	Speech-language therapy	·	·	✓
SD	Ageusia	·	·	✓
SD	Alopecia	·	·	✓
SD	Anosmia	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Cognitive disorder	·	·	✓
SD	Erythema	·	·	✓
SD	Fatigue	·	·	✓
SD	Nervous system disorder	✓	·	✓
SD	Neurological symptom	○	✓	○
SD	Pain	✓	✓	✓
SD	Photophobia	·	·	✓
SD	Post-acute COVID-19 syndrome	○	✓	○
SD	Pre-existing disease	✓	·	✓
SD	Rash macular	·	·	✓
SD	Unevaluable event	✓	✓	✓
SD	Weight decreased	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	COVID-19	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Post-acute COVID-19 syndrome	✓	✓	✓

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