ZHU-11055-64738

2 vaccinations 14 coded responses 23 check-ins 14 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 380 / TN
Registered: 2021-03-12

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-12
Registered in v-safe
2021-03-12
Dose 1 — Moderna
2021-03-12
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot — Feeling: Fair · Site: Pain, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Been feeling very hot like sugar spike but my blood sugar is not very high or low

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Discomfort, Feeling hot, Urinary tract infection — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Feeling of hot like sugar spikes currently on medicine for a urine infection also feeling like pressure on my nose like it wants to bleed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot, Nasal discomfort — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Having hot feelings like sugar spikes also feels like my nose wants to bleed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Fatigue, Feeling hot — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Hot feeling and really feeling tiredness and when doing stuff shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Fatigue, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Really congested and runny nose get really tired and shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Fatigue, Pruritus — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Still have itchy also tiredness and shortness of breath when I do things

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 7, dose 1
MedDRA: Dyspnoea exertional, Fatigue, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Get very tired and out of breath when doing things also running nose and a touch of sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-02
Survey response — day 21, dose 1
MedDRA: Headache, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair

Free text: Have a running nose lots of congestion and headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Dose 2 — Moderna
2021-04-09
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site nodule, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Have a knot in my arm where they gave the shot its swallowing and very fever like very painful to touch and itchy around it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Injection site nodule, Injection site pain, Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Knot where got shot red swallow and feverish really hurts if you touch it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Neck pain, Peripheral swelling, Pruritus, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Arm still red swallow itching feels feverish neck and behind ear has pain at times same side got shot on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-23
Survey response — day 14, dose 2
MedDRA: Headache, Pruritus, Self-medication — Feeling: Good

Free text: Still have itchy in arm and once a day I've had a mild headache but goes away after I take a ibuprofen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 21, dose 2
MedDRA: Blood glucose increased, Condition aggravated, Headache, Injection site nodule, Injection site pruritus, Pre-existing disease — Feeling: Fair

Free text: Arm where the shot was given has a knot in have had itchy around it still have headaches and my blood sugar level have went up some nothing too bad I already take metformin for my diabetes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 28, dose 2
MedDRA: Abdominal discomfort, Ageusia, Asthenia, Chills, Decreased appetite, Fatigue, Headache, Respiratory tract congestion — Feeling: Poor

Free text: Having headache really tired no energy coughing and have a lot of congestion sometimes a chill no fever sick to stomach no taste or no appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-09
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Moderna
2	2021-04-09	Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): Been feeling very hot like sugar spike but my blood sugar is not very high or low

2021-03-14

Systemic reaction (other): Feeling of hot like sugar spikes currently on medicine for a urine infection also feeling like pressure on my nose like it wants to bleed

2021-03-15

Systemic reaction (other): Having hot feelings like sugar spikes also feels like my nose wants to bleed

2021-03-16

Systemic reaction (other): Hot feeling and really feeling tiredness and when doing stuff shortness of breath

2021-03-17

Systemic reaction (other): Really congested and runny nose get really tired and shortness of breath

2021-03-18

Systemic reaction (other): Still have itchy also tiredness and shortness of breath when I do things

Release 5 — day 7, dose 1

2021-03-19

Systemic reaction (other): Get very tired and out of breath when doing things also running nose and a touch of sore throat

Release 6 — day 21, dose 1

2021-04-02

Symptoms: Have a running nose lots of congestion and headaches

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Have a knot in my arm where they gave the shot its swallowing and very fever like very painful to touch and itchy around it

2021-04-11

Systemic reaction (other): Knot where got shot red swallow and feverish really hurts if you touch it

2021-04-13

Systemic reaction (other): Arm still red swallow itching feels feverish neck and behind ear has pain at times same side got shot on

Release 7 — day 14, dose 2

2021-04-23

Symptoms: Still have itchy in arm and once a day I've had a mild headache but goes away after I take a ibuprofen

Release 8 — day 21, dose 2

2021-04-30

Symptoms: Arm where the shot was given has a knot in have had itchy around it still have headaches and my blood sugar level have went up some nothing too bad I already take metformin for my diabetes

Release 8 — day 28, dose 2

2021-05-07

Symptoms: Having headache really tired no energy coughing and have a lot of congestion sometimes a chill no fever sick to stomach no taste or no appetite

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	Ageusia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Blood glucose increased	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site nodule	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Dyspnoea exertional	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site nodule	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Nasal discomfort	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Urinary tract infection	✓	✓	✓

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