ZGC-22824-60587

2 vaccinations 12 coded responses 26 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 522 / IA
Registered: 2021-04-18

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-18
Registered in v-safe
2021-04-18
Dose 1 — Moderna
2021-04-18
Survey response — day 0, dose 1
MedDRA: Dysgeusia — Feeling: Fair · Headache

Free text: Metalic taste in mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Felt hot even with 97.0F.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort, Dysgeusia, Feeling hot, Immediate post-injection reaction — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: metallic taste persists since minutes after shot. GI discomfort. Feel warm w/o fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Metallic taste continues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-02
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-09
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-16
Dose 2 — Moderna
2021-05-16
Survey response — day 0, dose 2
MedDRA: Dysgeusia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Metalic taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Metaluc/weird taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: Metalic taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia, Gastric disorder — Feeling: Fair · Headache, Fatigue or tiredness

Free text: I had some mild GI issues last night post check-in. No GI issues today. Metalic taste is also resolved.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-23
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-30
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-06
Survey response — day 21, dose 2
MedDRA: Abdominal distension, Abdominal pain, Abdominal tenderness, Flatulence, Gastric disorder — Feeling: Fair

Free text: Digestive issues. Ab pain/tender Bloating/gas. All recent Gyno tests neg. ( pap/mamo, bloodwork)Colonoscopy neg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-20
Survey response — day 35, dose 2
MedDRA: Fatigue, Headache — Feeling: Fair

Free text: Headaches & fatigue continue with no known cause. Echo indicates slight L.atrial enlargement, mitral regurgitation, impaired L. ventricle relaxation. I have requested cards consult to explore adding metoprolol succinate. Possibly had covid Feb 2020.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-15
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-14
Survey response — 6 months, dose 2
MedDRA: Peripheral swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Leg swelling.

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
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)
2021-11-16
Call 1 — Left Voicemail
2022-05-16
Survey response — 12 months, dose 2
MedDRA: Idiopathic intracranial hypertension, Office visit — Feeling: Fair · Be unable to work or attend school, 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: Symptoms: I have been treated for Idiopathic intracranial hypertension. · Healthcare visit (other): Several visits with neurology/Opthalmology, blood work, MRI, Lumbar puncture, new Rx

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-17
Call 1 — Left Voicemail
2022-05-19
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-18	Moderna
2	2021-05-16	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-11-14	Unsuccessful
2022-05-16	Successful 2022-05-19	Participant prefers to complete VAERS report online

Free text

Release 7 — day 0, dose 1

2021-04-18

Systemic reaction (other): Metalic taste in mouth

Release 7 — days 1–6 daily, dose 1

2021-04-19

Systemic reaction (other): Felt hot even with 97.0F.

2021-04-20

Systemic reaction (other): metallic taste persists since minutes after shot. GI discomfort. Feel warm w/o fever.

2021-04-21

Systemic reaction (other): Metallic taste continues

Release 8 — day 0, dose 2

2021-05-16

Systemic reaction (other): Metalic taste

Release 8 — days 1–6 daily, dose 2

2021-05-17

Systemic reaction (other): Metaluc/weird taste

2021-05-18

Systemic reaction (other): Metalic taste

2021-05-19

Systemic reaction (other): I had some mild GI issues last night post check-in. No GI issues today. Metalic taste is also resolved.

Release 8 — day 21, dose 2

2021-06-06

Symptoms: Digestive issues. Ab pain/tender Bloating/gas. All recent Gyno tests neg. ( pap/mamo, bloodwork)Colonoscopy neg.

Release 9 — day 35, dose 2

2021-06-20

Symptoms: Headaches & fatigue continue with no known cause. Echo indicates slight L.atrial enlargement, mitral regurgitation, impaired L. ventricle relaxation. I have requested cards consult to explore adding metoprolol succinate. Possibly had covid Feb 2020. cut off by CDC

Release 10 — 6 months, dose 2

2021-11-14

Symptoms: Leg swelling.

Release 11 — 12 months, dose 2

2022-05-16

Symptoms: I have been treated for Idiopathic intracranial hypertension.

Healthcare visit (other): Several visits with neurology/Opthalmology, blood work, MRI, Lumbar puncture, new Rx

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	Office visit	·	·	✓
SD	Abdominal distension	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Abdominal tenderness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Flatulence	✓	✓	✓
SD	Gastric disorder	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Idiopathic intracranial hypertension	·	·	✓
SD	Peripheral swelling	·	·	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Gastric disorder	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓

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