ZGT-16663-34880

2 vaccinations 8 coded responses 18 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 982 / WA
Registered: 2021-02-26

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

2021-02-25
Dose 1 — Moderna
2021-02-26
Registered in v-safe
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Site: Pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Asthma attack

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-18
Survey response — day 21, dose 1
MedDRA: Abdominal discomfort, Chest pain, Palpitations, Paraesthesia — Feeling: Fair

Free text: Chest pain, palpitations, stomach distress. Occasional body tingling,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Dose 2 — Moderna
2021-03-25
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia, Skin disorder — Feeling: Poor · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Tingling scalp and side of face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tingling and numbing on left side of face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-04-01
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-04-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-17
Survey response — day 21, dose 2
MedDRA: Muscle spasms, Myalgia — Feeling: Fair

Free text: Noticing overall aching muscles / joint and muscle spasms in my legs at night. Dont know if vaccine related but a new symptom that is different for me to have.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — day 28, dose 2
MedDRA: Cheilitis, Fatigue, Malaise, Oral herpes — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bottom lip inflamed - Cold sores developing . Also not feeling well. Tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 35, dose 2
MedDRA: Erythema, Headache, Oral herpes, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lingering tingling and redness left side of face. Got cold sores on bottom lip. Have recently been having a headache on left side. All symptoms I never had pre-vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-06
Call 1 — Left Voicemail
2021-09-23
Survey response — 6 months, dose 2
MedDRA: Blepharospasm, Hypoaesthesia, Paraesthesia — Feeling: Fair

Free text: Occasional tingling, numbing on left side head and face. Eye has also recently started to twitch.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Moderna
2	2021-03-25	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-26	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-26

Systemic reaction (other): Asthma attack

Release 5 — day 21, dose 1

2021-03-18

Symptoms: Chest pain, palpitations, stomach distress. Occasional body tingling,

Release 6 — days 1–6 daily, dose 2

2021-03-26

Systemic reaction (other): Tingling scalp and side of face

2021-03-27

Systemic reaction (other): Tingling and numbing on left side of face

Release 7 — day 21, dose 2

2021-04-17

Symptoms: Noticing overall aching muscles / joint and muscle spasms in my legs at night. Dont know if vaccine related but a new symptom that is different for me to have.

Release 7 — day 28, dose 2

2021-04-25

Symptoms: Bottom lip inflamed - Cold sores developing . Also not feeling well. Tired

Release 8 — day 35, dose 2

2021-04-30

Symptoms: Lingering tingling and redness left side of face. Got cold sores on bottom lip. Have recently been having a headache on left side. All symptoms I never had pre-vaccine.

Release 9 — 6 months, dose 2

2021-09-23

Symptoms: Occasional tingling, numbing on left side head and face. Eye has also recently started to twitch.

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	Abdominal discomfort	✓	✓	✓
SD	Blepharospasm	·	·	✓
SD	Cheilitis	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Malaise	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Oral herpes	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Skin disorder	✓	✓	○

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