ZFR-63401-79898

2 vaccinations 6 coded responses 25 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 597 / MT
Registered: 2020-12-30

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: No problems. I should probably report that I have lupus and I am currently on hydroxychloroquine 400 mg daily, prednisone 5 mg daily, and azathioprine 150 mg daily.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-01-06
Survey response — day 7, dose 1
MedDRA: Chest discomfort, Chest pain — Feeling: Fair

Free text: Chest pressure/pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Survey response — day 14, dose 1
MedDRA: Arthralgia, Fatigue, Headache, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Increased joint pain throughout. Daily headaches. Fatigue. I also have lupus, so it could be related to this as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-20
Survey response — day 21, dose 1
MedDRA: Condition aggravated, Feeling cold, Migraine, Pain in extremity, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Migraine headaches, bilateral leg and foot aching, worsening left wrist pain. Feel very cold all the time, but temperature is normal. These could a be related to my lupus diagnosis as well. I could be going through a flare right now possibly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Dose 2 — Moderna
2021-01-25
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Feel cold all day, but no chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-15
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-02-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-25
Survey response — 12 months, dose 2
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Got COVID infection

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-25	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-13	priority 2/3

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): No problems. I should probably report that I have lupus and I am currently on hydroxychloroquine 400 mg daily, prednisone 5 mg daily, and azathioprine 150 mg daily.

Release 1 — day 7, dose 1

2021-01-06

Systemic reaction (other): Chest pressure/pain

Release 1 — day 14, dose 1

2021-01-13

Symptoms: Increased joint pain throughout. Daily headaches. Fatigue. I also have lupus, so it could be related to this as well.

Release 2 — day 21, dose 1

2021-01-20

Symptoms: Migraine headaches, bilateral leg and foot aching, worsening left wrist pain. Feel very cold all the time, but temperature is normal. These could a be related to my lupus diagnosis as well. I could be going through a flare right now possibly.

Release 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): Feel cold all day, but no chills

Release 11 — 12 months, dose 2

2022-01-25

Symptoms: Got COVID infection

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	Arthralgia	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling cold	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	No adverse event	✓	✓	✓

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