ZEU-18172-54881

1 vaccination 6 coded responses 14 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 775 / TX
Registered: 2021-04-09

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

2021-04-08
Dose 1 — Moderna
2021-04-09
Registered in v-safe
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Flushing, Heart rate increased, Hypertension, Rash, Sensation of foreign body — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Full body flushing/rash, lump in throat, rapud heart beat, high blood pressure, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site erythema, Injection site mass, Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Large red, hot lump at the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-22
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site inflammation, Injection site pruritus, Injection site swelling — Feeling: Fair

Free text: The injection site swoll up larger than my fist on Monday. It looks like a large red target and has been inflamed all week and itchy. Last week there was not redness or swelling. It just came back Monday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-07-09
Survey response — 3 months, dose 1
MedDRA: Muscular weakness, Neuralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nerve pain, muscle weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-07
Survey response — 6 months, dose 1
MedDRA: Anosmia, COVID-19, Diarrhoea, Dizziness, Dyspnoea, Fatigue, Headache, Migraine, Myalgia, Nausea — Feeling: Poor · 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, Emergency room or emergency department visit, Hospitalization

Free text: COVID 19; Dizzy, extreme fatigue, muscle aches, shortness of breath, loss of smell, nausea, headaches/migraines, diarrhea

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Report sent to call center — 6 months, dose 1
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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-10-08
Call successful
Participant prefers to complete VAERS report online
2022-04-08
Survey response — 12 months, dose 1
MedDRA: Oesophageal achalasia — Feeling: Fair · 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: Partially Paralyzed esophagus, Hi problems

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
Report sent to call center — 12 months, dose 1
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 · 1 call case(s)
2022-04-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-10-07	Successful 2021-10-08	Participant prefers to complete VAERS report online
2022-04-08	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-09

Systemic reaction (other): Full body flushing/rash, lump in throat, rapud heart beat, high blood pressure, dizziness

2021-04-10

Systemic reaction (other): Large red, hot lump at the injection site

Release 7 — day 14, dose 1

2021-04-22

Symptoms: The injection site swoll up larger than my fist on Monday. It looks like a large red target and has been inflamed all week and itchy. Last week there was not redness or swelling. It just came back Monday.

Release 9 — 3 months, dose 1

2021-07-09

Symptoms: Nerve pain, muscle weakness

Release 10 — 6 months, dose 1

2021-10-07

Symptoms: COVID 19; Dizzy, extreme fatigue, muscle aches, shortness of breath, loss of smell, nausea, headaches/migraines, diarrhea

Release 11 — 12 months, dose 1

2022-04-08

Symptoms: Partially Paralyzed esophagus, Hi problems

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	Anosmia	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site inflammation	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Migraine	·	·	✓
SD	Muscular weakness	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nausea	·	·	✓
SD	Neuralgia	✓	✓	✓
SD	Oesophageal achalasia	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site mass	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Sensation of foreign body	✓	✓	✓

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