ZDY-93435-46807

3 vaccinations 4 coded responses 41 check-ins 4 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 802 / CO
Registered: 2021-02-24

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

2021-02-24
Registered in v-safe
2021-02-24
Dose 1 — Moderna
2021-02-24
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-24
Dose 2 — Moderna
2021-03-24
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache · Be unable to work

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Diarrhea

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Conjunctivitis — Feeling: Fair · Be unable to work

Free text: I got pink eye on March 27

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-14
Survey response — day 21, dose 2
MedDRA: Chills — Feeling: Good

Free text: Still get the chills on and off

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-23
Survey response — 3 months, dose 2
MedDRA: Chills, Fatigue, No reaction on previous exposure to drug, Pain, Pyrexia — 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 · Outpatient clinic or urgent care clinic visit

Free text: I had bad reaction to a Tdap shot. I had chills, fever up 101.6, Fatigue and body aches. This was the first time I every had a reaction to vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-23
Report sent to call center — 3 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

1 call case(s)
2021-06-25
Call 1 — Left Voicemail
2021-09-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-17
Dose 3 — Moderna
2021-12-17
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · None

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-24
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-31
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-07
Survey response — day 21, dose 3
MedDRA: Migraine — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Migraine yesterday

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-21
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-28
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-18
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-17
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-17
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Moderna
2	2021-03-24	Moderna
3	2021-12-17	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-06-23	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-29

Systemic reaction (other): I got pink eye on March 27

Release 7 — day 21, dose 2

2021-04-14

Symptoms: Still get the chills on and off

Release 9 — 3 months, dose 2

2021-06-23

Symptoms: I had bad reaction to a Tdap shot. I had chills, fever up 101.6, Fatigue and body aches. This was the first time I every had a reaction to vaccine.

Release 10 — day 21, dose 3

2022-01-07

Symptoms: Migraine yesterday

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	Chills	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Migraine	·	·	✓
SD	No reaction on previous exposure to drug	·	·	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Conjunctivitis	✓	✓	✓

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