ZG5-19198-85437

2 vaccinations 22 coded responses 27 check-ins 22 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 910 / CA
Registered: 2021-01-25

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-25
Registered in v-safe
2021-01-25
Dose 1 — Moderna
2021-01-25
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Throat tightness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Yesterday throat tightness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Throat tightness, Upper-airway cough syndrome — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Free text: A little throat tightness/soreness again/ nasal drip morning/

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Lacrimation increased, Respiratory tract congestion, Throat irritation — Feeling: Fair · Site: Pain · Chills, Joint pains

Free text: Throat raspy Watery eyes all day and morning congestion two days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Throat irritation — Feeling: Fair · Site: Redness

Free text: Scratchy throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Dysphonia — Feeling: Good

Free text: Throat raspy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · None

Adult check-in
2021-02-01
Survey response — day 7, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — day 14, dose 1
MedDRA: Dysphonia, Menstrual disorder, Pain in extremity — Feeling: Fair

Free text: Menstruation problems I bled for three weeks after I got my shot and I was finishing that day.. I still have a raspy throat from original injection Arm pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — day 21, dose 1
MedDRA: Chapped lips, Oral herpes — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Fever blisters and cracked lips with no fever never have experienced chapped lips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-22
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-25
Dose 2 — Moderna
2021-02-25
Survey response — day 0, dose 2
MedDRA: Throat tightness — Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness

Free text: Tight throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Respiratory tract congestion, Upper-airway cough syndrome — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Congestion/nasal drip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pruritus, Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Nausea, Abdominal pain

Free text: Sore throat/eyes are itchy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Throat irritation — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Abdominal pain

Free text: Throat itchy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 7, dose 2
MedDRA: Pharyngeal disorder — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Abdominal pain

Free text: Throat issue still

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 14, dose 2
MedDRA: Cough, Dry throat — Feeling: Good

Free text: Dry throat and cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 21, dose 2
MedDRA: Dysphonia, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat and raspy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 28, dose 2
MedDRA: Head discomfort, Pain, Paranasal sinus discomfort — Feeling: Fair

Free text: Body aches sinus pressure and cheek bone pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 35, dose 2
MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Good

Free text: Running nose and congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 42, dose 2
MedDRA: Nasal congestion, Rhinorrhoea, Urine analysis abnormal — Feeling: Fair

Free text: Stuffy nose, drainage, and some like oil stuff in my urine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — 3 months, dose 2
MedDRA: Menstrual disorder — Feeling: Fair

Free text: Menstruation issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-06
Call 1 — Left Voicemail
2021-08-26
Survey response — 6 months, dose 2
MedDRA: Hypersensitivity, Pre-existing disease, Throat tightness — Feeling: Fair

Free text: Allergies seem to hit more after vaccine throat tightness here and there

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-25
Survey response — 12 months, dose 2
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school

Free text: Covid 12/22

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Moderna
2	2021-02-25	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-17	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): Yesterday throat tightness

2021-01-27

Systemic reaction (other): A little throat tightness/soreness again/ nasal drip morning/

2021-01-28

Systemic reaction (other): Throat raspy Watery eyes all day and morning congestion two days

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Scratchy throat

2021-01-30

Systemic reaction (other): Throat raspy

Release 3 — day 7, dose 1

2021-02-01

Systemic reaction (other): Sore throat

Release 3 — day 14, dose 1

2021-02-08

Symptoms: Menstruation problems I bled for three weeks after I got my shot and I was finishing that day.. I still have a raspy throat from original injection Arm pain

Release 4 — day 21, dose 1

2021-02-17

Symptoms: Fever blisters and cracked lips with no fever never have experienced chapped lips

Release 4 — day 0, dose 2

2021-02-25

Systemic reaction (other): Tight throat

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Congestion/nasal drip

2021-02-28

Systemic reaction (other): Sore throat

2021-03-02

Systemic reaction (other): Sore throat/eyes are itchy

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Throat itchy

Release 5 — day 7, dose 2

2021-03-04

Systemic reaction (other): Throat issue still

Release 5 — day 14, dose 2

2021-03-11

Symptoms: Dry throat and cough

Release 5 — day 21, dose 2

2021-03-18

Symptoms: Sore throat and raspy

Release 6 — day 28, dose 2

2021-03-25

Symptoms: Body aches sinus pressure and cheek bone pressure

Release 6 — day 35, dose 2

2021-04-01

Symptoms: Running nose and congestion

Release 7 — day 42, dose 2

2021-04-08

Symptoms: Stuffy nose, drainage, and some like oil stuff in my urine

Release 8 — 3 months, dose 2

2021-05-27

Symptoms: Menstruation issues

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: Allergies seem to hit more after vaccine throat tightness here and there

Release 11 — 12 months, dose 2

2022-02-25

Symptoms: Covid 12/22

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	Chapped lips	✓	✓	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dry throat	✓	✓	✓
SD	Dysphonia	✓	✓	✓
SD	Head discomfort	✓	✓	✓
SD	Hypersensitivity	✓	·	✓
SD	Menstrual disorder	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Oral herpes	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Throat tightness	✓	·	✓
SD	Urine analysis abnormal	✓	✓	✓
SRO	Dysphonia	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Lacrimation increased	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pharyngeal disorder	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Throat irritation	✓	✓	✓
SRO	Throat tightness	✓	✓	✓
SRO	Upper-airway cough syndrome	✓	✓	✓

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