ZHJ-18005-52197

2 vaccinations 4 coded responses 25 check-ins 4 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 601 / IL
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

2021-02-26
Registered in v-safe
2021-02-26
Dose 1 — Moderna
2021-02-26
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper, Gastrointestinal sounds abnormal, Pain — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dull stomach ache and gurgling

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

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-03-05
Survey response — day 7, dose 1
MedDRA: Feeling of body temperature change — Feeling: Good · Joint pains

Free text: Hot and cold on/off but maybe hot flashes? I dont normally get cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Moderna
2021-03-26
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Fever · Headache, Abdominal pain

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Fair · Site: Redness · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 28, dose 2
MedDRA: Blood pressure increased, Headache, Hypertension — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: High blood pressure: 190/108; my normal blood pressure is 120/80Have head headache at base if head since 2nd Covid shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — day 28, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-25
Survey response — 3 months, dose 2
MedDRA: Hypertension, Inflammation, Office visit, Pain, Physiotherapy — 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 · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Pain from inflammation response has moved to my ankles and foot. inflammation issues continue with my heart and knees. Went on a blood pressure medicine to address high blood pressure from Covid vaccine. · Healthcare visit (other): Physical therapy / Pain Dr.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Report sent to call center — 3 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

1 call case(s)
2021-06-28
Call successful
Participant prefers to complete VAERS report online
2021-09-26
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-26
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-26	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-23	Successful	Participant prefers to complete VAERS report online
2021-06-25	Successful 2021-06-28	Participant prefers to complete VAERS report online

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-01

Systemic reaction (other): Dull stomach ache and gurgling

Release 5 — day 7, dose 1

2021-03-05

Systemic reaction (other): Hot and cold on/off but maybe hot flashes? I dont normally get cold

Release 7 — day 28, dose 2

2021-04-23

Symptoms: High blood pressure: 190/108; my normal blood pressure is 120/80Have head headache at base if head since 2nd Covid shot.

Release 9 — 3 months, dose 2

2021-06-25

Symptoms: Pain from inflammation response has moved to my ankles and foot. inflammation issues continue with my heart and knees. Went on a blood pressure medicine to address high blood pressure from Covid vaccine.

Healthcare visit (other): Physical therapy / Pain Dr.

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	✓	✓	✓
HCVO	Physiotherapy	✓	✓	✓
SD	Blood pressure increased	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Pain	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Feeling of body temperature change	✓	✓	✓
SRO	Gastrointestinal sounds abnormal	✓	✓	✓
SRO	Pain	✓	✓	✓

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