ZKK-33509-53194

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 936 / CA
Registered: 2021-04-08

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

2021-04-08
Registered in v-safe
2021-04-08
Dose 1 — Moderna
2021-04-08
Survey response — day 0, dose 1
MedDRA: Ear discomfort, Tinnitus — Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Ringing in left ear and some congestion in left ear

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

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Feeling abnormal, Malaise, Muscular weakness, Tremor — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I haves failed to report over this week that if I walk on my treadmill or exert myself I get very weak and feel a bit sick. Last night I felt very strange, very weak and buzzy. I havent been able to do my normal running around without feeling really weak in my muscles and shaky.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 7, dose 1
MedDRA: Fatigue, Loss of personal independence in daily activities — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: As previously reported, I get fatigued easily and cannot yet do my exercise routine of walking 45-50 minutes on a treadmill. Though have more energy today I had to lie down for an hour mid day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-06
Dose 2 — Moderna
2021-05-06
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: My normal temperature is 97.1 which was my temp before the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Normally my temp is 97.1

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature decreased, Pyrexia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Temp dropped to 96.8 by mid morning

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

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-07
Survey response — 3 months, dose 2
MedDRA: Dyspepsia, Eructation, Nausea, Oesophageal pain — Feeling: Good

Free text: Pain in esophagus, burping, indigestion and some nausea early on

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-06
Survey response — 6 months, dose 2
MedDRA: Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Recurring sinus infections

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-09
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Moderna
2	2021-05-06	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-11-06	Successful 2021-11-09	Does not wish to fill out VAERS report

Free text

Release 7 — day 0, dose 1

2021-04-08

Systemic reaction (other): Ringing in left ear and some congestion in left ear

Release 7 — days 1–6 daily, dose 1

2021-04-14

Systemic reaction (other): I haves failed to report over this week that if I walk on my treadmill or exert myself I get very weak and feel a bit sick. Last night I felt very strange, very weak and buzzy. I havent been able to do my normal running around without feeling really weak in my muscles and shaky.

Release 7 — day 7, dose 1

2021-04-15

Systemic reaction (other): As previously reported, I get fatigued easily and cannot yet do my exercise routine of walking 45-50 minutes on a treadmill. Though have more energy today I had to lie down for an hour mid day.

Release 8 — day 0, dose 2

2021-05-06

Systemic reaction (other): My normal temperature is 97.1 which was my temp before the shot

Release 8 — days 1–6 daily, dose 2

2021-05-07

Systemic reaction (other): Normally my temp is 97.1

2021-05-08

Systemic reaction (other): Temp dropped to 96.8 by mid morning

Release 9 — 3 months, dose 2

2021-08-07

Symptoms: Pain in esophagus, burping, indigestion and some nausea early on

Release 10 — 6 months, dose 2

2021-11-06

Symptoms: Recurring sinus infections

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	Dyspepsia	✓	·	✓
SD	Eructation	✓	·	✓
SD	Nausea	✓	·	✓
SD	Oesophageal pain	✓	·	✓
SD	Sinusitis	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Body temperature decreased	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Tremor	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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