ZK8-93213-13607

2 vaccinations 10 coded responses 26 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 077 / NJ
Registered: 2021-04-14

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

2021-04-14
Registered in v-safe
2021-04-14
Dose 1 — Moderna
2021-04-14
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-18
Survey response — days 1–6 daily, dose 1
MedDRA: Vertigo — Feeling: Fair · Joint pains, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 1
MedDRA: Ear discomfort — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Fullness in my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-05
Survey response — day 21, dose 1
MedDRA: Hypothyroidism, SARS-CoV-2 test — Feeling: Fair

Free text: Well, since my first vaccine I had blood work approximately one week after the vaccine and my thyroid levels are a little off and I have a feeling it has to do with the vaccine. My antibodies & my tsh. Covid anti test came back + after vax

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Dose 2 — Moderna
2021-05-12
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-15
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-19
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-02
Survey response — day 21, dose 2
MedDRA: Anti-thyroid antibody increased, Condition aggravated, Pre-existing disease — Feeling: Fair

Free text: My thyroid antibodies have gone up way out of range and my hair is falling out more than usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-23
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-11
Survey response — 3 months, dose 2
MedDRA: Arthritis, Pain, Upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school

Free text: I have a few body aches here and there, I feel like I have arthritis in the knuckles of my hands, and I have an upper respiratory infection infection

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-11
Survey response — 6 months, dose 2
MedDRA: Arthritis, Fatigue, Pre-existing disease, Thyroid hormones increased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Thyroid antibodies have risen, I'm constantly tired, Arthritis flareup, and if you other things that I'm not sure if they're related or not

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-11-12
Call 1 — Could Not Reach Participant
2021-11-17
Call 2 — Could Not Reach Participant
2022-05-12
Survey response — 12 months, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: I am always tired

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-14	Moderna
2	2021-05-12	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-11-11	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-18

Systemic reaction (other): Vertigo

2021-04-19

Systemic reaction (other): Fullness in my ears

Release 8 — day 21, dose 1

2021-05-05

Symptoms: Well, since my first vaccine I had blood work approximately one week after the vaccine and my thyroid levels are a little off and I have a feeling it has to do with the vaccine. My antibodies & my tsh. Covid anti test came back + after vax

Release 8 — day 0, dose 2

2021-05-12

Systemic reaction (other): Light headed

Release 8 — days 1–6 daily, dose 2

2021-05-13

Systemic reaction (other): Light headed

2021-05-15

Systemic reaction (other): Light headed

Release 8 — day 21, dose 2

2021-06-02

Symptoms: My thyroid antibodies have gone up way out of range and my hair is falling out more than usual

Release 9 — 3 months, dose 2

2021-08-11

Symptoms: I have a few body aches here and there, I feel like I have arthritis in the knuckles of my hands, and I have an upper respiratory infection infection

Release 10 — 6 months, dose 2

2021-11-11

Symptoms: Thyroid antibodies have risen, I'm constantly tired, Arthritis flareup, and if you other things that I'm not sure if they're related or not

Release 11 — 12 months, dose 2

2022-05-12

Symptoms: I am always tired

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	Anti-thyroid antibody increased	✓	✓	✓
SD	Arthritis	✓	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Hypothyroidism	✓	✓	✓
SD	Pain	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	SARS-CoV-2 test	✓	✓	✓
SD	Thyroid hormones increased	·	·	✓
SD	Upper respiratory tract infection	✓	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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