ZJT-24043-82868

3 vaccinations 6 coded responses 27 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 302 / GA
Registered: 2021-04-21

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

2021-03-22
Dose 1 — Moderna
2021-04-19
Dose 2 — Moderna
2021-04-21
Registered in v-safe
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Neck pain, Pain in jaw — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, 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: Really intense chest, neck, and jaw pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — days 1–6 daily, 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)
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Headache

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-24
Survey response — day 35, dose 2
MedDRA: Menstruation irregular — Feeling: Good · Be unable to do your normal daily activities

Free text: This is not since my last check in, but i just realized it could be related. I had a HORRENDOUSLY bad period after my shot, worse than I'd ever had, starting 4/27/2021.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-19
Survey response — 3 months, dose 2
MedDRA: Cough, Nasopharyngitis — 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 · Outpatient clinic or urgent care clinic visit

Free text: I got a really severe cold about two weeks ago, and the cough hasn't gone away yet

MedDRA releases: 2024-11 · check-in free text available
2021-07-19
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)
2021-07-24
Call 1 — Left Voicemail
2021-10-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-12
Dose 3 — Moderna
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-15
Survey response — days 1–6 daily, dose 3
MedDRA: Discomfort, Dysphagia, Hypoaesthesia, Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Nausea, Rash, not including the immediate area around the injection site

Free text: Extremely swollen and painful lymph nodes in armpits and difficulty swallowing. My shot arm goes numb in some positions from the pressure.

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-11-19
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-26
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-17
Survey response — day 35, dose 3
MedDRA: Cough, Exposure to SARS-CoV-2, Nasopharyngitis — Feeling: Good

Free text: I think I have a cold, I've been coughing. I was exposed to someone with COVID 12/11 but hopefully it is unrelated.

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-11
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-15
Survey response — 6 months, dose 3
MedDRA: COVID-19, Immune system disorder, Malaise — Feeling: Good · Be unable to do your normal daily activities

Free text: Ever since I got COVID, a few months back, my immune system has sucked. I get sick at least once a month when I used to get sick once a year.

MedDRA releases: 2024-11 · check-in free text available
2022-11-12
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Moderna
2	2021-04-19	Moderna
3	2021-11-12	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-21	Unsuccessful
2021-07-19	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): Really intense chest, neck, and jaw pain

Release 8 — day 35, dose 2

2021-05-24

Symptoms: This is not since my last check in, but i just realized it could be related. I had a HORRENDOUSLY bad period after my shot, worse than I'd ever had, starting 4/27/2021.

Release 9 — 3 months, dose 2

2021-07-19

Symptoms: I got a really severe cold about two weeks ago, and the cough hasn't gone away yet

Release 10 — days 1–6 daily, dose 3

2021-11-15

Systemic reaction (other): Extremely swollen and painful lymph nodes in armpits and difficulty swallowing. My shot arm goes numb in some positions from the pressure.

Release 10 — day 35, dose 3

2021-12-17

Symptoms: I think I have a cold, I've been coughing. I was exposed to someone with COVID 12/11 but hopefully it is unrelated.

Release 11 — 6 months, dose 3

2022-05-15

Symptoms: Ever since I got COVID, a few months back, my immune system has sucked. I get sick at least once a month when I used to get sick once a year.

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	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Immune system disorder	·	·	✓
SD	Malaise	·	·	✓
SD	Menstruation irregular	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Discomfort	·	·	✓
SRO	Dysphagia	·	·	✓
SRO	Hypoaesthesia	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓

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