ZGC-27472-23349

5 vaccinations 11 coded responses 55 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 504 / IA
Registered: 2021-03-05

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

2021-03-05
Registered in v-safe
2021-03-05
Dose 1 — Moderna
2021-03-05
Health check-in — day 0, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Muscle or body aches

Adult check-in
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Moderna
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-21
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-28
Survey response — day 21, dose 2
MedDRA: Diabetes mellitus, Fatigue, Musculoskeletal pain, Pre-existing disease, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very tired, keep falling asleepDiabetes numbers go low and don't usually. Pain between sholder blades

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 28, dose 2
MedDRA: Arthralgia, Back pain, Pain in extremity, Self-medication — Feeling: Fair

Free text: Lower back, knee area and right arm and hand ache. It is enough that i have to take pain pill so i can sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-07
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-29
Health check-in — day 0, dose 3
Feeling: Good · Fever · None

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Cough — Feeling: Fair · Diarrhea

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Cough — Feeling: Good · Fatigue or tiredness

Free text: Persistent cough

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-11-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Survey response — day 28, dose 3
MedDRA: Musculoskeletal stiffness, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very stiff. Sharp pains in legs. Not sure it has any connection

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Survey response — day 35, dose 3
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Survey response — day 42, dose 3
MedDRA: Muscular weakness, Vascular pain — Feeling: Fair

Free text: Weakening of legs, sharp pain in BLood vessels in legs

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Survey response — 3 months, dose 3
MedDRA: Back pain, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Pain in low e r back · Healthcare visit (other): Regular doctor's office

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-31
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-06-18
Dose 4 — Moderna
2022-06-30
Survey response — day 7, dose 4
MedDRA: Joint swelling — Feeling: Fair

Free text: Swollen ankles

MedDRA releases: 2024-11 · check-in free text available
2022-07-02
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-09
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-16
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-23
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-07-30
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-09-17
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-03
Dose 5 — Pfizer-BioNTech
2022-10-09
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2022-10-10
Health check-in — day 7, dose 5
Feeling: Good · Fever · Fatigue or tiredness

Adult check-in
2022-10-17
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-24
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-31
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-07
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-14
Survey response — day 42, dose 5
MedDRA: Headache, Nasopharyngitis — Feeling: Fair

Free text: Cold and heaaches

MedDRA releases: 2024-11 · check-in free text available
2023-01-02
Survey response — 3 months, dose 5
MedDRA: Nasopharyngitis — Feeling: Poor

MedDRA releases: 2024-11
2023-04-03
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-07	Moderna
3	2021-10-29	Pfizer-BioNTech	Flu
4	2022-06-18	Moderna	No
5	2022-10-03	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-01-28	Successful 2022-03-31	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 8 — day 21, dose 2

2021-04-28

Symptoms: Very tired, keep falling asleepDiabetes numbers go low and don't usually. Pain between sholder blades

Release 8 — day 28, dose 2

2021-05-06

Symptoms: Lower back, knee area and right arm and hand ache. It is enough that i have to take pain pill so i can sleep

Release 10 — days 1–6 daily, dose 3

2021-11-03

Systemic reaction (other): Cough

2021-11-04

Systemic reaction (other): Persistent cough

Release 10 — day 28, dose 3

2021-11-26

Symptoms: Very stiff. Sharp pains in legs. Not sure it has any connection

Release 10 — day 35, dose 3

2021-12-03

Symptoms: Joint pain

Release 10 — day 42, dose 3

2021-12-10

Symptoms: Weakening of legs, sharp pain in BLood vessels in legs

Release 11 — 3 months, dose 3

2022-01-28

Symptoms: Pain in low e r back

Healthcare visit (other): Regular doctor's office

Release 12 — day 7, dose 4

2022-06-30

Systemic reaction (other): Swollen ankles

Release 12 — day 42, dose 5

2022-11-14

Symptoms: Cold and heaaches

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	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Diabetes mellitus	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Musculoskeletal pain	✓	✓	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Somnolence	✓	✓	✓
SD	Vascular pain	·	·	✓
SRO	Cough	·	·	✓
SRO	Joint swelling	·	·	✓

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