ZFP-22953-31141

3 vaccinations 10 coded responses 26 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 787 / TX
Registered: 2021-03-03

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

2021-03-03
Registered in v-safe
2021-03-03
Dose 1 — Moderna
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Pre-existing disease — Feeling: Good · Headache

Free text: Cedar count is high so I woke with a headache: normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Im not sure if its because I didnt exercise during the recent Texas snowstorm but since the vaccination which I had immediately after, Ive cut my 5-mile per day walk to about 3.5 and my weightlifting to only 3 lb and 5 lb, not 10 lb. Today I increased a little.

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

Adult check-in
2021-03-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-01
Dose 2 — Moderna
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper, Breast pain, Dizziness, Renal pain — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Sudden jabs as if poked by knitting needle in stomach, kidneys, breasts. Dizziness is subsiding.

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Survey response — day 14, dose 2
MedDRA: Arthralgia, Bone pain — Feeling: Good · Be unable to do your normal daily activities

Free text: For about 5 days every bone Id ever broken and joint Id ever injured hurt like crazy. An old knee injury woke me up throughout the nighthadnt done that since it was recent a decade ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 28, dose 2
MedDRA: Asthenia, Exercise tolerance decreased, Fibromyalgia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Drop in energy, needing to cut exercise by about a third and sit down afterwards. Return of fibromyalgia the first time in 16 years all of this week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-30
Survey response — 6 months, dose 2
MedDRA: Pre-existing disease, Transient ischaemic attack, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: TIA caused by stress.?I have scar tissue on my carotid artery probably from an old injury and a scan showed nodes probably old. · Healthcare visit (other): Scans

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-05
Call 1 — Left Voicemail
2022-04-01
Survey response — 12 months, dose 2
MedDRA: Aortic aneurysm, Diverticulitis, Transient ischaemic attack — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Aortic aneurysm, growing a long time perhaps. Diverticulitis, a TIA.

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-04-05
Call 1 — Left Voicemail
2022-04-08
Dose 3 — Moderna
2022-04-29
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-05-06
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-05-13
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-05-20
Survey response — day 42, dose 3
MedDRA: Fatigue — Feeling: Fair

Free text: A bit of fatigue. Sleeping more.

MedDRA releases: 2024-11 · check-in free text available
2022-07-08
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2023-04-10
Survey response — 12 months, dose 3
MedDRA: Arthralgia, Fatigue, Office visit, Pain — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-10
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-04-01	Moderna
3	2022-04-08	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-09-30	Successful 2023-04-11	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-01	Successful 2023-04-11	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-10	Successful 2023-04-11	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Cedar count is high so I woke with a headache: normal

2021-03-08

Systemic reaction (other): Im not sure if its because I didnt exercise during the recent Texas snowstorm but since the vaccination which I had immediately after, Ive cut my 5-mile per day walk to about 3.5 and my weightlifting to only 3 lb and 5 lb, not 10 lb. Today I increased a little.

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Dizziness

2021-04-03

Systemic reaction (other): Sudden jabs as if poked by knitting needle in stomach, kidneys, breasts. Dizziness is subsiding.

Release 7 — day 14, dose 2

2021-04-15

Symptoms: For about 5 days every bone Id ever broken and joint Id ever injured hurt like crazy. An old knee injury woke me up throughout the nighthadnt done that since it was recent a decade ago.

Release 8 — day 28, dose 2

2021-04-29

Symptoms: Drop in energy, needing to cut exercise by about a third and sit down afterwards. Return of fibromyalgia the first time in 16 years all of this week.

Release 9 — 6 months, dose 2

2021-09-30

Symptoms: TIA caused by stress.?I have scar tissue on my carotid artery probably from an old injury and a scan showed nodes probably old.

Healthcare visit (other): Scans

Release 11 — 12 months, dose 2

2022-04-01

Symptoms: Aortic aneurysm, growing a long time perhaps. Diverticulitis, a TIA.

Release 11 — day 42, dose 3

2022-05-20

Symptoms: A bit of fatigue. Sleeping more.

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	Aortic aneurysm	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Bone pain	✓	✓	✓
SD	Diverticulitis	·	·	✓
SD	Exercise tolerance decreased	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Fibromyalgia	✓	✓	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Transient ischaemic attack	·	·	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Breast pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Renal pain	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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