ZG4-20903-72422

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 020 / MA
Registered: 2020-12-26

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

2020-12-26
Registered in v-safe
2020-12-26
Dose 1 — Moderna
2020-12-26
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-27
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Free text: Not hungry

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

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

Adult check-in
2021-01-02
Survey response — day 7, dose 1
MedDRA: Feeling hot, Headache, Hot flush, Nausea — Feeling: Fair · Fever · Fatigue or tiredness, Nausea

Free text: Flashes of feeling really hot. No fever. Nausea. mild headache comes /goes. I took Tylenol last evening and again today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Survey response — day 14, dose 1
MedDRA: Fatigue, Feeling hot, Nausea, Self-medication — Feeling: Fair

Free text: Occasional nausea. Almost once daily very brief periods of feeling hot, no fever. Tylenol a few times. Waves of fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-23
Dose 2 — Moderna
2021-01-23
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Alopecia — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Hair loss started last week- clumps falling out

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 2
MedDRA: Swelling face — Feeling: Good · Headache, Fatigue or tiredness

Free text: Mild swollen face and feet yesterday am/ evening. Improved today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Alopecia — Feeling: Good

Free text: Unusual hair loss

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — day 7, dose 2
MedDRA: Alopecia — Feeling: Good

Free text: Hair loss

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-13
Survey response — day 21, dose 2
MedDRA: Alopecia — Feeling: Good

Free text: Significant Hair loss

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-24
Survey response — 3 months, dose 2
MedDRA: Migraine, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Headaches with migraine symptoms · Healthcare visit (other): MRI head. Medication started

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-23
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-04
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-26	Moderna
2	2021-01-23	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-24	Successful 2022-04-04	Participant prefers to complete VAERS report online

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-27

Systemic reaction (other): Not hungry

Release 1 — day 7, dose 1

2021-01-02

Systemic reaction (other): Flashes of feeling really hot. No fever. Nausea. mild headache comes /goes. I took Tylenol last evening and again today.

Release 1 — day 14, dose 1

2021-01-09

Symptoms: Occasional nausea. Almost once daily very brief periods of feeling hot, no fever. Tylenol a few times. Waves of fatigue

Release 2 — days 1–6 daily, dose 2

2021-01-24

Systemic reaction (other): Hair loss started last week- clumps falling out

2021-01-25

Systemic reaction (other): Mild swollen face and feet yesterday am/ evening. Improved today

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Unusual hair loss

Release 3 — day 7, dose 2

2021-01-30

Systemic reaction (other): Hair loss

Release 4 — day 21, dose 2

2021-02-13

Symptoms: Significant Hair loss

Release 7 — 3 months, dose 2

2021-04-24

Symptoms: Headaches with migraine symptoms

Healthcare visit (other): MRI head. Medication started

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	Unevaluable event	✓	✓	✓
SD	Alopecia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Alopecia	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Swelling face	✓	✓	✓

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