ZFT-28755-19759

2 vaccinations 6 coded responses 24 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 328 / FL
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

2021-04-07
Dose 1 — Moderna
2021-04-09
Registered in v-safe
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness

Free text: Sore throat (but vaccine was 5 days ago so probably not related to that).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness

Free text: Sore throat (2nd day in a row, but 6 days post-vaccine).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 7, dose 1
MedDRA: Oropharyngeal pain — Feeling: Poor · Fatigue or tiredness

Free text: Sore throat (3rd day in a row)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 14, dose 1
MedDRA: Chills, Ear pain, Headache, Nasopharyngitis, Oropharyngeal pain — Feeling: Poor

Free text: Sore throat and ears and icepick headache over left eye. Chills, too. (I think I have a cold, though, instead of side effects post-vaccine.)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 21, dose 1
MedDRA: Cough, Headache, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test, Viral infection — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: cough, sore throat, fever, headache, body aches, congestion, exhaustionI have a viral infection, but its not Covid. I was tested the day before yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-05
Dose 2 — Moderna
2021-05-05
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-12
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-19
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-26
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-02
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-10
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-16
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-06
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-03
Survey response — 6 months, dose 2
MedDRA: Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: 2 UTIs

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
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)
2021-11-08
Call 1 — Left Voicemail
2021-11-10
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-05-05
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Moderna
2	2021-05-05	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-28	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-03	Successful 2021-11-10	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-12

Systemic reaction (other): Sore throat (but vaccine was 5 days ago so probably not related to that).

2021-04-13

Systemic reaction (other): Sore throat (2nd day in a row, but 6 days post-vaccine).

Release 7 — day 7, dose 1

2021-04-14

Systemic reaction (other): Sore throat (3rd day in a row)

Release 7 — day 14, dose 1

2021-04-21

Symptoms: Sore throat and ears and icepick headache over left eye. Chills, too. (I think I have a cold, though, instead of side effects post-vaccine.)

Release 8 — day 21, dose 1

2021-04-28

Symptoms: cough, sore throat, fever, headache, body aches, congestion, exhaustionI have a viral infection, but its not Covid. I was tested the day before yesterday.

Release 10 — 6 months, dose 2

2021-11-03

Symptoms: 2 UTIs

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	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	SARS-CoV-2 test	✓	✓	✓
SD	Urinary tract infection	·	·	✓
SD	Viral infection	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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