ZKA-88027-63226

2 vaccinations 11 coded responses 27 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 040 / ME
Registered: 2021-01-16

Relationship: Self
Race: Multiracial
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

2021-01-16
Registered in v-safe
2021-01-16
Dose 1 — Moderna
2021-01-16
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Site: Pain · Headache

Free text: Yesterday- headache became much worse. Better today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Arm is sore to the touch, not with movement

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle twitching, Rhinorrhoea — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Occasional runny nose, muscles twitching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Flatulence — Feeling: Good · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Feels like I have gas pain, could be unrelated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-01-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-13
Survey response — day 28, dose 1
MedDRA: Headache, Quarantine, Rhinorrhoea, Throat irritation, Upper-airway cough syndrome — Feeling: Fair

Free text: Headaches, runny nose, post nasal drip, scratchy throat. Spouse is Covid positive & I am under quarantine- unable to go to work but still physically can work. Testing on 2/14/21

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-03-05
Dose 2 — Moderna
2021-03-05
Survey response — day 0, dose 2
MedDRA: Discomfort, Skin warm — Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness

Free text: Injection arm felt warm and wrist was uncomfortable soon after the shot was administered

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: No fever. 97.9 today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Muscle or body aches

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-02
Survey response — day 28, dose 2
MedDRA: Migraine — Feeling: Good

Free text: Migraine for 4 days but likely due to menstrual cycle

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

Adult check-in
2021-04-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-04
Survey response — 3 months, dose 2
MedDRA: Hypersensitivity — Feeling: Good

Free text: Just allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-05
Survey response — 6 months, dose 2
MedDRA: Nasopharyngitis, Oropharyngeal pain, Pre-existing disease — Feeling: Fair

Free text: Feels like allergies but woke with a sore throat today. Likely cold virus. Will test today 9/5/21 @ 3:15 to r/o COVID19. I have allergy symptoms all of the time, so that is not unusual.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-03-05
Survey response — 12 months, dose 2
MedDRA: Headache, Myalgia, Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to work or attend school

Free text: Sore throat, runny nose, headache, sneeze, muscle ache

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Moderna
2	2021-03-05	Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): Yesterday- headache became much worse. Better today.

2021-01-19

Systemic reaction (other): Arm is sore to the touch, not with movement

2021-01-21

Systemic reaction (other): Occasional runny nose, muscles twitching

2021-01-22

Systemic reaction (other): Feels like I have gas pain, could be unrelated.

Release 4 — day 28, dose 1

2021-02-13

Symptoms: Headaches, runny nose, post nasal drip, scratchy throat. Spouse is Covid positive & I am under quarantine- unable to go to work but still physically can work. Testing on 2/14/21

Release 5 — day 0, dose 2

2021-03-05

Systemic reaction (other): Injection arm felt warm and wrist was uncomfortable soon after the shot was administered

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): No fever. 97.9 today

Release 6 — day 28, dose 2

2021-04-02

Symptoms: Migraine for 4 days but likely due to menstrual cycle

Release 8 — 3 months, dose 2

2021-06-04

Symptoms: Just allergies

Release 9 — 6 months, dose 2

2021-09-05

Symptoms: Feels like allergies but woke with a sore throat today. Likely cold virus. Will test today 9/5/21 @ 3:15 to r/o COVID19. I have allergy symptoms all of the time, so that is not unusual.

Release 11 — 12 months, dose 2

2022-03-05

Symptoms: Sore throat, runny nose, headache, sneeze, muscle ache

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	Headache	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nasopharyngitis	✓	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Quarantine	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sneezing	·	·	✓
SD	Throat irritation	✓	✓	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Muscle twitching	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Skin warm	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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