ZGN-44040-18529

2 vaccinations 9 coded responses 17 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 448 / OH
Registered: 2021-02-16

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

2021-02-13
Dose 1 — Moderna
2021-02-16
Registered in v-safe
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Paranasal sinus hypersecretion, Rhinorrhoea — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Clear mucous in right side only of sinus. I keep brushing my teeth especially before bed. Yesterday I felt it was trying to turn into a sore throat. It didnt. But definitely a lot of mucous since that eve of Saturday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion, Urinary tract infection — Feeling: Fair · Headache

Free text: Still same right side snotty nose & feel like a UTI coming on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea, Migraine — Feeling: Poor · Site: Pain · Headache, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Woke up with a migraine and diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Good

Free text: Still stuffy nose on right side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Survey response — day 14, dose 1
MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-13
Survey response — day 28, dose 1
MedDRA: Sinus disorder — Feeling: Good

Free text: Right side Sinus started That night, 28 days ago, and has never went away. So aggravating at night time especially.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Dose 2 — Moderna
2021-03-27
Survey response — day 7, dose 2
MedDRA: Rhinorrhoea, Sinusitis — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Diarrhea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Snotty nose since the night of the 1st one. Now its a sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-03
Survey response — day 14, dose 2
MedDRA: Rhinorrhoea, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Dr. Called in a script. Antibiotic for sinus infection. Had runny nose since evening of 1st shot. Was exposed to 6 year old granddaughters sinus infection, also.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-10
Call successful
Does not wish to fill out VAERS report
2021-06-10
Call successful
Does not wish to fill out VAERS report
2021-06-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-20
Survey response — 12 months, dose 2
MedDRA: Bedridden, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Tested Positive for Covid over Christmas . · Healthcare visit (other): Bedridden

MedDRA releases: 2024-11 · check-in free text available
2022-03-20
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-23
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-13	Moderna
2	2021-03-20	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-27	Successful 2021-06-10	Does not wish to fill out VAERS report
2021-04-03	Successful 2021-06-10	Does not wish to fill out VAERS report
2022-03-20	Successful 2022-03-23	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-16

Systemic reaction (other): Clear mucous in right side only of sinus. I keep brushing my teeth especially before bed. Yesterday I felt it was trying to turn into a sore throat. It didnt. But definitely a lot of mucous since that eve of Saturday.

2021-02-17

Systemic reaction (other): Still same right side snotty nose & feel like a UTI coming on

2021-02-18

Systemic reaction (other): Woke up with a migraine and diarrhea

2021-02-19

Systemic reaction (other): Still stuffy nose on right side

Release 4 — day 14, dose 1

2021-02-27

Symptoms: Headaches

Release 5 — day 28, dose 1

2021-03-13

Symptoms: Right side Sinus started That night, 28 days ago, and has never went away. So aggravating at night time especially.

Release 6 — day 7, dose 2

2021-03-27

Systemic reaction (other): Snotty nose since the night of the 1st one. Now its a sinus infection

Release 6 — day 14, dose 2

2021-04-03

Symptoms: Dr. Called in a script. Antibiotic for sinus infection. Had runny nose since evening of 1st shot. Was exposed to 6 year old granddaughters sinus infection, also.

Release 11 — 12 months, dose 2

2022-03-20

Symptoms: Tested Positive for Covid over Christmas .

Healthcare visit (other): Bedridden

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	Bedridden	·	·	✓
SD	Headache	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinus disorder	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paranasal sinus hypersecretion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sinusitis	✓	✓	✓
SRO	Urinary tract infection	✓	✓	✓

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