ZHY-12203-97096

4 vaccinations 10 coded responses 33 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 932 / CA
Registered: 2020-12-31

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Hispanic or Latino

Timeline

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

2020-12-31
Registered in v-safe
2020-12-31
Dose 1 — Moderna
2020-12-31
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenopia, Respiratory tract congestion — Feeling: Good

Free text: Congestion & eye strain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Survey response — day 14, dose 1
MedDRA: Malaise, Oropharyngeal pain, Somnolence — Feeling: Good · Be unable to do your normal daily activities

Free text: Sore throat, ear pressure, moderate HA, malaise, sleepiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-21
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-01-28
Dose 2 — Moderna
2021-02-04
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-29
Survey response — 6 months, dose 2
MedDRA: Brain fog, Dyspnoea, Fatigue, Headache, Oropharyngeal pain — 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: HA, sore throat, trouble breathing, fatigue , head fog etc

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-29
Report sent to call center — 6 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)
2021-08-02
Call 1 — Left Voicemail
2021-10-28
Dose 3 — Moderna
2022-01-28
Survey response — 12 months, dose 2
MedDRA: Dizziness, Malaise, Nausea, Oropharyngeal pain, Throat irritation — Feeling: Poor · Be unable to work or attend school

Free text: Scratchy, sore throat. Malaise. Light-headedness nausea etc

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Dose 4 — Moderna
2022-04-23
Survey response — day 0, dose 4
MedDRA: Feeling hot, Flushing — Feeling: Good · Site: Pain · Muscle or body aches

Free text: My face is feeling warm/flushed

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Survey response — days 1–6 daily, dose 4
MedDRA: Arthralgia, Pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pain radiating to wrist on same side of injection

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Survey response — days 1–6 daily, dose 4
MedDRA: Fatigue, Headache, Hyperhidrosis, Night sweats, Pain — Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Drenched during the night twice. HA & body aches gone upon waking exhausted

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-04-28
Survey response — days 1–6 daily, dose 4
MedDRA: Nasopharyngitis — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: May be a cold

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Survey response — days 1–6 daily, dose 4
MedDRA: Unevaluable event — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Free text: May be a terrible cold

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Health check-in — day 7, dose 4
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-05-07
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-14
Survey response — day 21, dose 4
MedDRA: Dyspnoea, Fatigue, Sinus disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Winded , fatigue & sinus issues

MedDRA releases: 2024-11 · check-in free text available
2022-05-21
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-28
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-04
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-23
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-22
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-23
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna
2	2021-01-28	Moderna
3	2021-10-28	Moderna	No
4	2022-04-23	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-16	priority 2/3
2021-07-29	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): Congestion & eye strain

Release 2 — day 14, dose 1

2021-01-16

Symptoms: Sore throat, ear pressure, moderate HA, malaise, sleepiness

Release 9 — 6 months, dose 2

2021-07-29

Symptoms: HA, sore throat, trouble breathing, fatigue , head fog etc

Release 11 — 12 months, dose 2

2022-01-28

Symptoms: Scratchy, sore throat. Malaise. Light-headedness nausea etc

Release 11 — day 0, dose 4

2022-04-23

Systemic reaction (other): My face is feeling warm/flushed

Release 11 — days 1–6 daily, dose 4

2022-04-24

Systemic reaction (other): Pain radiating to wrist on same side of injection

2022-04-25

Systemic reaction (other): Drenched during the night twice. HA & body aches gone upon waking exhausted

2022-04-28

Systemic reaction (other): May be a cold

2022-04-29

Systemic reaction (other): May be a terrible cold

Release 11 — day 21, dose 4

2022-05-14

Symptoms: Winded , fatigue & sinus issues

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	Brain fog	✓	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	·	✓
SD	Malaise	✓	✓	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Sinus disorder	·	·	✓
SD	Somnolence	✓	✓	✓
SD	Throat irritation	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Asthenopia	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Feeling hot	·	·	✓
SRO	Flushing	·	·	✓
SRO	Headache	·	·	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Nasopharyngitis	·	·	✓
SRO	Night sweats	·	·	✓
SRO	Pain	·	·	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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