ZKB-31448-54625

2 vaccinations 17 coded responses 22 check-ins 17 free-text entries 5 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 284 / NC
Registered: 2021-04-05

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

2021-04-05
Registered in v-safe
2021-04-05
Dose 1 — Moderna
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Dyspnoea — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: SOB; chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Depression, Irritability — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Depression, irritability

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Dyspnoea, Feeling abnormal — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Chest pain; shortness of breath; brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — day 7, dose 1
MedDRA: Dyspnoea, Feeling abnormal, Tachycardia — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Elevated heart rate; shortness of breath; brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 14, dose 1
MedDRA: Chest pain, Dyspnoea, Fatigue, Feeling abnormal — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Fatigue, brain fog, shortness of breath, chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 21, dose 1
MedDRA: Ageusia, Anosmia, Brain fog, Chest pain, Dyspnoea, Fatigue, Vision blurred — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Shortness of breath; chest pain; fatigue; blurry vision; loss of taste and smell; brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Dose 2 — Moderna
2021-05-03
Survey response — day 0, dose 2
MedDRA: Chest discomfort, Feeling abnormal, Heart rate increased, Tremor — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Shakes; chest discomfort; shortness of breath; brain fog; elevated heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Dyspnoea, Feeling abnormal, Heart rate increased — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Elevate heart rate, chest discomfort, shortness of breath, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Dizziness, Heart rate increased — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Brain fog, elevated heart rate, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Heart rate increased — Feeling: Fair · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Chest discomfort, elevated heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Respiratory tract congestion — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Congestion, chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 7, dose 2
MedDRA: Dyspnoea, Heart rate increased, Insomnia — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Shortness of breath, insomnia, elevated heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — day 14, dose 2
MedDRA: Brain fog, Chest discomfort, Cough, Depressed mood, Diarrhoea, Dry skin, Dyspnoea, Fatigue, Heart rate increased, Pruritus, Respiratory tract congestion — Feeling: Poor · 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: Flare up of post covid symptoms, including: elevated heart rate; shortness of breath; chest discomfort; fatigue; brain fog; depressed mood; chest congestion; cough; dry, itchy skin; diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Report sent to call center — day 14, 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)
2021-05-24
Survey response — day 21, dose 2
MedDRA: Ageusia, Anosmia, Brain fog, Chest discomfort, Dyspnoea, Fatigue, Tachycardia — Feeling: Fair · 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: Post covid symptoms including: shortness of breath; tachycardia; tightness in chest; fatigue; brain fog; loss of smell and taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Report sent to call center — day 21, 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)
2021-06-07
Survey response — day 35, dose 2
MedDRA: Brain fog, Dyspnoea, Office visit, Postural orthostatic tachycardia syndrome, Supraventricular extrasystoles, Tachycardia — Feeling: Poor · 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: Symptoms: PACS symptoms including: POTS; tachycardia; shortness of breath; brain fog · Healthcare visit (other): Pulmonology

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Report sent to call center — day 35, 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)
2021-06-14
Survey response — day 42, dose 2
MedDRA: Anxiety, Asthma, Brain fog, COVID-19, Depression, Fatigue, Office visit, Postural orthostatic tachycardia syndrome, Tachycardia — 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 · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: POTS; tachycardia - started metoprolol last week; fatigue; brain fog; post covid asthma - symbicort & singulair; fatigue; anxiety, depression · Healthcare visit (other): Pulmonologist; cardiologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Report sent to call center — day 42, 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)
2021-07-01
Call 1 — Left Voicemail
2021-08-03
Survey response — 3 months, dose 2
MedDRA: Asthma, Office visit, Postural orthostatic tachycardia syndrome — 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 · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: POTS, asthma · Healthcare visit (other): Cardiology; pulmonology

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-03
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)
2021-08-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Moderna
2	2021-05-03	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-05-17	Unsuccessful
2021-05-24	Unsuccessful
2021-06-07	Unsuccessful
2021-06-14	Unsuccessful
2021-08-03	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-09

Systemic reaction (other): SOB; chest pain

2021-04-10

Systemic reaction (other): Depression, irritability

2021-04-11

Systemic reaction (other): Chest pain; shortness of breath; brain fog

Release 7 — day 7, dose 1

2021-04-12

Systemic reaction (other): Elevated heart rate; shortness of breath; brain fog

Release 7 — day 14, dose 1

2021-04-19

Symptoms: Fatigue, brain fog, shortness of breath, chest pain

Release 8 — day 21, dose 1

2021-04-26

Symptoms: Shortness of breath; chest pain; fatigue; blurry vision; loss of taste and smell; brain fog

Release 8 — day 0, dose 2

2021-05-03

Systemic reaction (other): Shakes; chest discomfort; shortness of breath; brain fog; elevated heart rate

Release 8 — days 1–6 daily, dose 2

2021-05-04

Systemic reaction (other): Elevate heart rate, chest discomfort, shortness of breath, brain fog

2021-05-06

Systemic reaction (other): Brain fog, elevated heart rate, dizziness

2021-05-08

Systemic reaction (other): Chest discomfort, elevated heart rate

2021-05-09

Systemic reaction (other): Congestion, chest pain

Release 8 — day 7, dose 2

2021-05-10

Systemic reaction (other): Shortness of breath, insomnia, elevated heart rate

Release 8 — day 14, dose 2

2021-05-17

Symptoms: Flare up of post covid symptoms, including: elevated heart rate; shortness of breath; chest discomfort; fatigue; brain fog; depressed mood; chest congestion; cough; dry, itchy skin; diarrhea

Release 8 — day 21, dose 2

2021-05-24

Symptoms: Post covid symptoms including: shortness of breath; tachycardia; tightness in chest; fatigue; brain fog; loss of smell and taste

Release 8 — day 35, dose 2

2021-06-07

Symptoms: PACS symptoms including: POTS; tachycardia; shortness of breath; brain fog

Healthcare visit (other): Pulmonology

Release 9 — day 42, dose 2

2021-06-14

Symptoms: POTS; tachycardia - started metoprolol last week; fatigue; brain fog; post covid asthma - symbicort & singulair; fatigue; anxiety, depression

Healthcare visit (other): Pulmonologist; cardiologist

Release 9 — 3 months, dose 2

2021-08-03

Symptoms: POTS, asthma

Healthcare visit (other): Cardiology; pulmonology

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
HCVO	Office visit	✓	✓	✓
SD	Ageusia	✓	✓	✓
SD	Anosmia	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Asthma	✓	✓	✓
SD	Brain fog	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	COVID-19	✓	✓	✓
SD	Depressed mood	✓	✓	✓
SD	Depression	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dry skin	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Postural orthostatic tachycardia syndrome	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Supraventricular extrasystoles	✓	✓	✓
SD	Tachycardia	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Tachycardia	✓	✓	✓
SRO	Tremor	✓	✓	✓

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