ZFP-28852-86391

2 vaccinations 11 coded responses 26 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 566 / MN
Registered: 2021-03-24

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-24
Registered in v-safe
2021-03-24
Dose 1 — Moderna
2021-03-24
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Irritability — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: Irritable

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Nausea — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness and nausea last evening for about 2hrs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Irritability, Nervousness — Feeling: Fair · Headache

Free text: Slight nervousness/anxiousness/Irritability

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Ear discomfort, Irritability — Feeling: Good · Fatigue or tiredness

Free text: Still a bit irritable. And have had some ear popping all along but failed to mention it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 7, dose 1
MedDRA: Ear discomfort, Fatigue, Headache, Irritability, Malaise — Feeling: Fair · Fatigue or tiredness

Free text: Just feel crummy. Very slight headache. Tired. Irritable. Ears feel full.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 14, dose 1
MedDRA: Anxiety, Irritability — Feeling: Fair

Free text: Theres no way for me to know whether this is pertinent or not, but I have felt fairly and unusually anxious and irritable since not long after receiving my first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-21
Dose 2 — Moderna
2021-04-21
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Survey response — day 7, dose 2
MedDRA: Cyst — Feeling: Good

Free text: I first noticed a cyst on my right clavicle on April 1. I had my first Moderna COVID-19 shot on March 24. Is the cyst likely related to that vaccine?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 14, dose 2
MedDRA: Anxiety, Cyst, Fatigue, Nervousness — Feeling: Fair

Free text: General nervousness, anxious and fatigue. Could just be life though.I mentioned a cyst on my collarbone at one of my earlier check-ins. It is on the right side which is the same side I had the first shot on 3/24/21. I first noticed it on April 1.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-21
Survey response — 3 months, dose 2
MedDRA: Cyst, Nodule, Office visit — Feeling: Good

Free text: Im knot or cyst on the top of my left foot. I mentioned it at my physical a month or so ago.

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Survey response — 6 months, dose 2
MedDRA: Peripheral swelling — Feeling: Good

Free text: I'm sure it's not related but I have a swollen finger with no explanation as of two or three days ago.

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-21	Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-25

Systemic reaction (other): Irritable

2021-03-27

Systemic reaction (other): Dizziness and nausea last evening for about 2hrs

2021-03-29

Systemic reaction (other): Slight nervousness/anxiousness/Irritability

2021-03-30

Systemic reaction (other): Still a bit irritable. And have had some ear popping all along but failed to mention it.

Release 6 — day 7, dose 1

2021-03-31

Systemic reaction (other): Just feel crummy. Very slight headache. Tired. Irritable. Ears feel full.

Release 7 — day 14, dose 1

2021-04-07

Symptoms: Theres no way for me to know whether this is pertinent or not, but I have felt fairly and unusually anxious and irritable since not long after receiving my first shot.

Release 7 — day 0, dose 2

2021-04-21

Systemic reaction (other): No

Release 8 — day 7, dose 2

2021-04-28

Systemic reaction (other): I first noticed a cyst on my right clavicle on April 1. I had my first Moderna COVID-19 shot on March 24. Is the cyst likely related to that vaccine?

Release 8 — day 14, dose 2

2021-05-05

Symptoms: General nervousness, anxious and fatigue. Could just be life though.I mentioned a cyst on my collarbone at one of my earlier check-ins. It is on the right side which is the same side I had the first shot on 3/24/21. I first noticed it on April 1.

Release 9 — 3 months, dose 2

2021-07-21

Symptoms: Im knot or cyst on the top of my left foot. I mentioned it at my physical a month or so ago.

Release 10 — 6 months, dose 2

2021-10-20

Symptoms: I'm sure it's not related but I have a swollen finger with no explanation as of two or three days ago.

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	Anxiety	✓	✓	✓
SD	Cyst	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Irritability	✓	✓	✓
SD	Nervousness	✓	✓	✓
SD	Nodule	·	·	✓
SD	Office visit	·	·	✓
SD	Peripheral swelling	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Cyst	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Nervousness	✓	✓	✓
SRO	No adverse event	✓	✓	✓

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