ZKD-30387-51021

3 vaccinations 8 coded responses 34 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 030 / NH
Registered: 2021-02-20

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

2021-02-19
Dose 1 — Moderna
2021-02-20
Registered in v-safe
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-05
Survey response — day 14, dose 1
MedDRA: Asthma, Pre-existing disease — Feeling: Good

Free text: I didnt report this earlier because I thought it was a coincidence, but my asthma has been noticeably worse since getting the vaccine (not super severe, just more frequent). Im still not sure its related, but thought it was worth mentioning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-19
Dose 2 — Moderna
2021-03-19
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Bone pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Excruciating bone pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Bone pain — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · 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: Excruciating bone pain (better this morning, but got worse yesterday after my last check in)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
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)
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: More asthma issues than normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Pre-existing disease — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work

Free text: Had more asthmatic symptoms that are unusual for me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-10
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-19
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-24
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-18
Survey response — 3 months, dose 2
MedDRA: Loss of bladder sensation, Urinary incontinence — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I had an incident of losing control of my bladder, which has never happened before.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-21
Call successful
Participant prefers to complete VAERS report online
2021-06-21
Call successful
Participant prefers to complete VAERS report online
2021-09-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-30
Dose 3 — Moderna
2022-01-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain

Adult check-in
2022-01-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-08
Health check-in — day 7, dose 3
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2022-01-13
Survey response — day 14, dose 3
MedDRA: Asthma, Pre-existing disease — Feeling: Fair

Free text: My asthma has been worse.

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-27
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-02-05
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-02-12
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-04-02
Health check-in — 3 months, dose 3
Feeling: Poor

Adult check-in
2022-06-30
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-12-30
Survey response — 12 months, dose 3
MedDRA: Asthma, Pre-existing disease, Reaction to previous exposure to any vaccine — Feeling: Fair

Free text: Worsened asthma (worsened after first two shots and again after I recently received the bivalent vaccine).

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-19	Moderna
2	2021-03-19	Moderna
3	2021-12-30	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-21	Successful 2021-06-21	Participant prefers to complete VAERS report online
2021-06-18	Successful 2021-06-21	Participant prefers to complete VAERS report online

Free text

Release 5 — day 14, dose 1

2021-03-05

Symptoms: I didnt report this earlier because I thought it was a coincidence, but my asthma has been noticeably worse since getting the vaccine (not super severe, just more frequent). Im still not sure its related, but thought it was worth mentioning.

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Excruciating bone pain

2021-03-21

Systemic reaction (other): Excruciating bone pain (better this morning, but got worse yesterday after my last check in)

2021-03-23

Systemic reaction (other): More asthma issues than normal

2021-03-24

Systemic reaction (other): Had more asthmatic symptoms that are unusual for me

Release 9 — 3 months, dose 2

2021-06-18

Symptoms: I had an incident of losing control of my bladder, which has never happened before.

Release 10 — day 14, dose 3

2022-01-13

Symptoms: My asthma has been worse.

Release 12 — 12 months, dose 3

2022-12-30

Symptoms: Worsened asthma (worsened after first two shots and again after I recently received the bivalent vaccine).

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	Asthma	✓	✓	✓
SD	Loss of bladder sensation	✓	✓	○
SD	Pre-existing disease	✓	✓	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Urinary incontinence	·	·	✓
SRO	Asthma	✓	✓	✓
SRO	Bone pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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