ZGB-29428-72754

2 vaccinations 12 coded responses 24 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 554 / MN
Registered: 2021-03-02

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

2021-03-02
Registered in v-safe
2021-03-02
Dose 1 — Moderna
2021-03-02
Health check-in — day 0, dose 1
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-11
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Chills, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-16
Survey response — day 14, dose 1
MedDRA: Insomnia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Difficulty staying asleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 21, dose 1
MedDRA: Fatigue, Myalgia, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle pain, trouble staying asleep, tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Dose 2 — Moderna
2021-03-30
Survey response — day 0, dose 2
MedDRA: Feeling abnormal, Pyrexia — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: White noise like a fever is coming. Felt it 2 hrs after injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: White noise in my head

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

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Survey response — day 14, dose 2
MedDRA: Insomnia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sleeplessness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 21, dose 2
MedDRA: Asthenia, Dizziness, Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Hazy sensation in my head similar to dizzy, also headache and low energy, flare ups of nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 28, dose 2
MedDRA: Cough, Oropharyngeal pain, Pyrexia, Rest regimen — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat, cough, low fever but it only lasted one 24 hours. I stayed in bed and napped and my husband took care of me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 35, dose 2
MedDRA: Fatigue, Feeling abnormal, Lethargy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Tired, foggy head, lethargic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — day 42, dose 2
MedDRA: Fatigue, Initial insomnia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Extremely tired today. Not able to fall asleep again if I wake during the night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Survey response — 3 months, dose 2
MedDRA: Office visit, Vascular pain, Vein rupture — Feeling: Fair · 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: The vein in my left arm broke 3 days after give Red Cross blood donation. It is still the set and aches off and on. It the arm I received my vaccine. I ended up at doctors office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
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)
2021-07-06
Call 1 — Left Voicemail
2021-09-28
Survey response — 6 months, dose 2
MedDRA: Chest discomfort, Dyspnoea, Hyperacusis, Myalgia, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Heavy feeling in my chest. Super sensitive to loud base tones during worship music at church. Nausea and shortness of breath but my oxygen level when tested is fine. Aches most days in muscles

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Survey response — 12 months, dose 2
MedDRA: Dizziness, Fatigue, Pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fatigue and dizziness and all over aches

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna
2	2021-03-30	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-06-29	Unsuccessful

Free text

Release 5 — day 14, dose 1

2021-03-16

Symptoms: Difficulty staying asleep

Release 6 — day 21, dose 1

2021-03-23

Symptoms: Muscle pain, trouble staying asleep, tired

Release 6 — day 0, dose 2

2021-03-30

Systemic reaction (other): White noise like a fever is coming. Felt it 2 hrs after injection.

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): White noise in my head

Release 7 — day 14, dose 2

2021-04-13

Symptoms: Sleeplessness

Release 7 — day 21, dose 2

2021-04-20

Symptoms: Hazy sensation in my head similar to dizzy, also headache and low energy, flare ups of nausea

Release 8 — day 28, dose 2

2021-04-27

Symptoms: Sore throat, cough, low fever but it only lasted one 24 hours. I stayed in bed and napped and my husband took care of me

Release 8 — day 35, dose 2

2021-05-04

Symptoms: Tired, foggy head, lethargic

Release 8 — day 42, dose 2

2021-05-11

Symptoms: Extremely tired today. Not able to fall asleep again if I wake during the night

Release 9 — 3 months, dose 2

2021-06-29

Symptoms: The vein in my left arm broke 3 days after give Red Cross blood donation. It is still the set and aches off and on. It the arm I received my vaccine. I ended up at doctors office

Release 9 — 6 months, dose 2

2021-09-28

Symptoms: Heavy feeling in my chest. Super sensitive to loud base tones during worship music at church. Nausea and shortness of breath but my oxygen level when tested is fine. Aches most days in muscles

Release 11 — 12 months, dose 2

2022-03-30

Symptoms: Fatigue and dizziness and all over aches

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	Asthenia	✓	✓	✓
SD	Chest discomfort	·	·	✓
SD	Cough	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hyperacusis	·	·	✓
SD	Initial insomnia	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Lethargy	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rest regimen	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SD	Vascular pain	✓	✓	✓
SD	Vein rupture	✓	✓	✓
SRO	Feeling abnormal	·	·	✓
SRO	Pyrexia	✓	✓	○
SRO	Tinnitus	✓	✓	✓

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