ZHQ-94072-95516

3 vaccinations 9 coded responses 27 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 017 / MA
Registered: 2020-12-30

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Survey response — day 7, dose 1
MedDRA: Abdominal distension, Dyspnoea — Feeling: Poor · Fever · Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Shortness of breath, bloating, abdominal distention

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Survey response — day 14, dose 1
MedDRA: Inflammation, Tendonitis — Feeling: Good

Free text: Flareup of tendon and ligament inflammation around my knee

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-27
Survey response — day 28, dose 1
MedDRA: Hypoaesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Numbness in left hand index fingers and partial numbness of thumb and middle fingers. Same side as vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-29
Dose 2 — Moderna
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Flatulence — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Increased gassiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort — Feeling: Fair · Joint pains, Fatigue or tiredness, Nausea

Free text: Weird Chest sensation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-12
Call 1 — Left Voicemail
2021-04-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-01
Survey response — 6 months, dose 2
MedDRA: Abdominal discomfort, Abdominal distension, Abdominal rigidity — Feeling: Good

Free text: Feeling of fullness and discomfort in LUQ including sudden intermittent spasms or stitches on that side.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-27
Dose 3 — Moderna
2022-01-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-01-29
Survey response — 12 months, dose 2
MedDRA: Cough — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: A cough usually at the end of the day. I think it's all the mask wearing - 10-12 hrs 5 days a week

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-31
Call 1 — Left Voicemail
2022-04-27
Survey response — 6 months, dose 3
MedDRA: COVID-19, Fatigue, Gastrointestinal disorder, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school

Free text: #NAME?

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Survey response — 12 months, dose 3
MedDRA: COVID-19 — 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, Outpatient clinic or urgent care clinic visit

Free text: Had covid

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Report sent to call center — 12 months, dose 3
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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-28
Call 2 — Left Voicemail
2022-10-28
Call 2 — Left Voicemail
2022-10-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-29	Moderna
3	2021-10-27	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-07	priority 2/3
2021-01-27	Unsuccessful
2022-01-29	Unsuccessful
2022-10-27	Unsuccessful

Free text

Release 1 — day 7, dose 1

2021-01-07

Systemic reaction (other): Shortness of breath, bloating, abdominal distention

Release 2 — day 14, dose 1

2021-01-15

Symptoms: Flareup of tendon and ligament inflammation around my knee

Release 2 — day 28, dose 1

2021-01-27

Symptoms: Numbness in left hand index fingers and partial numbness of thumb and middle fingers. Same side as vaccine

Release 3 — days 1–6 daily, dose 2

2021-01-31

Systemic reaction (other): Increased gassiness

2021-02-03

Systemic reaction (other): Weird Chest sensation

Release 9 — 6 months, dose 2

2021-08-01

Symptoms: Feeling of fullness and discomfort in LUQ including sudden intermittent spasms or stitches on that side.

Release 11 — 12 months, dose 2

2022-01-29

Symptoms: A cough usually at the end of the day. I think it's all the mask wearing - 10-12 hrs 5 days a week

Release 11 — 6 months, dose 3

2022-04-27

Symptoms: #NAME?

Release 12 — 12 months, dose 3

2022-10-27

Symptoms: Had covid

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	Abdominal distension	✓	·	✓
SD	Abdominal rigidity	✓	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Tendonitis	✓	✓	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Flatulence	✓	✓	✓

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