ZGH-25847-74622

4 vaccinations 8 coded responses 49 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 646 / MO
Registered: 2021-02-20

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

2021-02-20
Registered in v-safe
2021-02-20
Dose 1 — Moderna
2021-02-20
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-14
Survey response — day 21, dose 1
MedDRA: Office visit, Post herpetic neuralgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I've had an episode of post herpetic neuralgia the last few days. I went to my local doctor Friday morning. It's better today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-20
Dose 2 — Moderna
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-24
Survey response — day 35, dose 2
MedDRA: Oropharyngeal pain, Pyrexia — Feeling: Fair

Free text: For 2 days, I had a sore throat & felt feverish. Today i am feeling better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-18
Survey response — 6 months, dose 2
MedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Feel like I have a mild cold & sore throat.

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Dose 3 — Moderna
2021-11-16
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · None

Adult check-in
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-23
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-30
Survey response — day 14, dose 3
MedDRA: Headache, Malaise, Oropharyngeal pain — Feeling: Good

Free text: Yesterday & the day before, I had headache & sore throat & malaise. Rapid antigen test yesterday was negative. Today I am feeling fine.

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-10
Call 1 — Left Voicemail
2021-12-14
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-28
Survey response — day 42, dose 3
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair

Free text: I am having a post herpetic neuralgia flat up, but this is not at all related to my vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-02-15
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-17
Dose 4 — Moderna
2022-05-17
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2022-05-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling · Fatigue or tiredness, Diarrhea

Adult check-in
2022-05-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2022-05-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-24
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-31
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-07
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-14
Survey response — day 28, dose 4
MedDRA: Chills, Fatigue, Influenza like illness, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities

Free text: For 2 days, Sunday & Monday off this week, had a sore throat & chills & felt flu-ish & tired. I feel fine today. Yesterday I tested negative for COVID-19 using an at home rapid antigen test.

MedDRA releases: 2024-11 · check-in free text available
2022-06-21
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-28
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-16
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-15
Survey response — 6 months, dose 4
MedDRA: Influenza like illness, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good

Free text: I felt flu-ish & had a sore throat for a couple days, 2 weeks ago. No fever. My over the counter covid test was negative. I only did 1 test. Brief & mild cold I figured.

MedDRA releases: 2024-11 · check-in free text available
2023-05-17
Survey response — 12 months, dose 4
MedDRA: Fatigue, Headache, Nasopharyngitis, Oropharyngeal pain, Respiratory disorder — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-20	Moderna
2	2021-03-20	Moderna
3	2021-11-16	Moderna	No
4	2022-05-17	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-14	Unsuccessful

Free text

Release 5 — day 21, dose 1

2021-03-14

Symptoms: I've had an episode of post herpetic neuralgia the last few days. I went to my local doctor Friday morning. It's better today.

Release 7 — day 35, dose 2

2021-04-24

Symptoms: For 2 days, I had a sore throat & felt feverish. Today i am feeling better.

Release 9 — 6 months, dose 2

2021-09-18

Symptoms: Feel like I have a mild cold & sore throat.

Release 10 — day 14, dose 3

2021-11-30

Symptoms: Yesterday & the day before, I had headache & sore throat & malaise. Rapid antigen test yesterday was negative. Today I am feeling fine.

Release 10 — day 42, dose 3

2021-12-28

Symptoms: I am having a post herpetic neuralgia flat up, but this is not at all related to my vaccine.

Release 12 — day 28, dose 4

2022-06-14

Symptoms: For 2 days, Sunday & Monday off this week, had a sore throat & chills & felt flu-ish & tired. I feel fine today. Yesterday I tested negative for COVID-19 using an at home rapid antigen test.

Release 12 — 6 months, dose 4

2022-11-15

Symptoms: I felt flu-ish & had a sore throat for a couple days, 2 weeks ago. No fever. My over the counter covid test was negative. I only did 1 test. Brief & mild cold I figured.

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	Chills	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Malaise	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Office visit	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Post herpetic neuralgia	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory disorder	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓

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