ZGX-25587-44122

2 vaccinations 10 coded responses 21 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 857 / AZ
Registered: 2021-04-05

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

Timeline

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

2021-04-05
Registered in v-safe
2021-04-05
Dose 1 — Moderna
2021-04-05
Survey response — day 0, dose 1
MedDRA: Fatigue, Headache — Feeling: Good · Site: Itching

Free text: A little headache beginning and a little fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema, Pain, Pruritus, Rash, Self-medication — Feeling: Good · Site: Pain, Redness, Itching

Free text: Yesterday, the itching, pain, and rash were significant. I am using Benedryl cream and Tylenol. I still have a red circle the size of a 50 cent piece on my arm. I also have felt itching, and pin prick itching in other areas.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — day 7, dose 1
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-04-19
Survey response — day 14, dose 1
MedDRA: Fatigue, Rash, Rash erythematous, Rash pruritic — Feeling: Good

Free text: The rash on my arm stayed for a week. Red and very itchy. Some fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 21, dose 1
MedDRA: Malaise — Feeling: Fair · Be unable to do your normal daily activities

Free text: Felt sick yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Dose 2 — Moderna
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Nausea — Feeling: Poor · Site: Pain, Redness · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Loss of appetite. Some nausea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-11
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-17
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-31
Survey response — day 28, dose 2
MedDRA: Fatigue — Feeling: Poor

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Survey response — day 35, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue continues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-03
Survey response — 3 months, dose 2
MedDRA: Fatigue, Pain — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Extreme fatigue and body aches

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-03
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-12
Call successful
Participant prefers to complete VAERS report online
2022-05-03
Survey response — 12 months, dose 2
MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultation

Free text: Had Covid after booster

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
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)
2022-05-04
Call 1 — Could Not Reach Participant
2022-05-09
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Moderna
2	2021-05-03	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-08-03	Successful 2021-08-12	Participant prefers to complete VAERS report online
2022-05-03	Successful 2022-05-09	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 6 — day 0, dose 1

2021-04-05

Systemic reaction (other): A little headache beginning and a little fatigue.

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): Yesterday, the itching, pain, and rash were significant. I am using Benedryl cream and Tylenol. I still have a red circle the size of a 50 cent piece on my arm. I also have felt itching, and pin prick itching in other areas.

Release 7 — day 14, dose 1

2021-04-19

Symptoms: The rash on my arm stayed for a week. Red and very itchy. Some fatigue.

Release 8 — day 21, dose 1

2021-04-26

Symptoms: Felt sick yesterday.

Release 8 — days 1–6 daily, dose 2

2021-05-06

Systemic reaction (other): Loss of appetite. Some nausea.

Release 8 — day 14, dose 2

2021-05-17

Symptoms: Fatigue

Release 8 — day 28, dose 2

2021-05-31

Symptoms: Fatigue

Release 9 — day 35, dose 2

2021-06-10

Symptoms: Fatigue continues

Release 9 — 3 months, dose 2

2021-08-03

Symptoms: Extreme fatigue and body aches

Release 11 — 12 months, dose 2

2022-05-03

Symptoms: Had Covid after booster

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	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Pain	✓	·	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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