ZEZ-52565-13848

2 vaccinations 5 coded responses 21 check-ins 5 free-text entries 0 call cases

Sex: —
Age at first dose: 31-35
ZIP prefix: 794 / TX
Registered: 2021-08-16

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-08-16
Registered in v-safe
2021-08-16
Dose 1 — Moderna
2021-08-17
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-18
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-08-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling, Itching · Fever · Chills, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-08-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-08-23
Health check-in — day 7, dose 1
Feeling: Good · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2021-08-30
Survey response — day 14, dose 1
MedDRA: Injection site pruritus, Injection site warmth, Mobility decreased, Musculoskeletal stiffness — Feeling: Good

Free text: Arm at injection site burns up, always feels hot. Itching has not stopped, but is mild now. Shoulder area feels like it randomly gets stiff or hard to move, which initially I had the first 3 days after getting vax and then went away, now its back.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-06
Survey response — day 21, dose 1
MedDRA: Injection site nodule, Injection site pruritus, Injection site vesicles — Feeling: Good

Free text: Blister/knob dime sized at injection site, itchy but not painful.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-13
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-09-17
Dose 2 — Moderna
2021-09-17
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-09-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-09-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-09-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-26
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-10-01
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-10-15
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-10-22
Survey response — day 35, dose 2
MedDRA: Temperature intolerance — Feeling: Poor

Free text: Heat intolerance

MedDRA releases: 2024-11 · check-in free text available
2021-12-19
Survey response — 3 months, dose 2
MedDRA: Fatigue, Injection site bruising — Feeling: Good

Free text: Bruising at the site and fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-09-20
Survey response — 12 months, dose 2
MedDRA: COVID-19, Dyspnoea, Fatigue, Hyposmia, Parosmia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Smell still has not come back to even half of what it used to be, even with smell training. Still randomly smell like my house is on fire. Still far more fatigued than usual, especially short of breath since having covid. Nothing sourced from shot.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-16	Moderna	No
2	2021-09-17	Moderna	No

Free text

Release 9 — day 14, dose 1

2021-08-30

Symptoms: Arm at injection site burns up, always feels hot. Itching has not stopped, but is mild now. Shoulder area feels like it randomly gets stiff or hard to move, which initially I had the first 3 days after getting vax and then went away, now its back.

Release 9 — day 21, dose 1

2021-09-06

Symptoms: Blister/knob dime sized at injection site, itchy but not painful.

Release 10 — day 35, dose 2

2021-10-22

Symptoms: Heat intolerance

Release 10 — 3 months, dose 2

2021-12-19

Symptoms: Bruising at the site and fatigue

Release 12 — 12 months, dose 2

2022-09-20

Symptoms: Smell still has not come back to even half of what it used to be, even with smell training. Still randomly smell like my house is on fire. Still far more fatigued than usual, especially short of breath since having covid. Nothing sourced from shot. cut off by CDC

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	COVID-19	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Hyposmia	·	·	✓
SD	Injection site bruising	·	·	✓
SD	Injection site nodule	✓	·	✓
SD	Injection site pruritus	✓	·	✓
SD	Injection site vesicles	✓	·	✓
SD	Injection site warmth	✓	·	✓
SD	Mobility decreased	✓	·	✓
SD	Musculoskeletal stiffness	✓	·	✓
SD	Parosmia	·	·	✓
SD	Temperature intolerance	·	·	✓

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