ZKX-77415-84730

3 vaccinations 9 coded responses 40 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 150 / PA
Registered: 2021-02-18

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

2021-02-18
Registered in v-safe
2021-02-18
Dose 1 — Moderna
2021-02-18
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

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

Adult check-in
2021-02-25
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 21, dose 1
MedDRA: Headache, Oropharyngeal pain — Feeling: Good

Free text: Sore throat, headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Dose 2 — Moderna
2021-03-18
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Lack of appetite, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Headache

Free text: Sore throat

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: Oropharyngeal pain — Feeling: Fair · Headache

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 7, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-17
Survey response — 3 months, dose 2
MedDRA: Pruritus, Urticaria — Feeling: Good

Free text: Get random patches of super itchy hives in the evening. Not sure if its related to the vaccine or not.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-16
Survey response — 6 months, dose 2
MedDRA: Pruritus, Urticaria — Feeling: Good

Free text: I have been getting itchy patches hives for no reason generally in the evening. That started a month or so after the second does of the vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Dose 3 — Moderna
2021-10-31
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-07
Health check-in — day 7, dose 3
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-11-14
Survey response — day 14, dose 3
MedDRA: Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hives like rash

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-16
Call 1 — Left Voicemail
2021-11-21
Survey response — day 21, dose 3
MedDRA: Rash pruritic, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I get this random hives like rash randomly every evening Super itchy and unexplainable

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-23
Call successful
Participant prefers to complete VAERS report online
2021-11-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-30
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-31
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-18	Moderna
2	2021-03-18	Moderna
3	2021-10-31	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-14	Unsuccessful
2021-11-21	Successful 2021-11-23	Participant prefers to complete VAERS report online

Free text

Release 5 — day 21, dose 1

2021-03-11

Symptoms: Sore throat, headache

Release 5 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): Lack of appetite, sore throat

Release 6 — days 1–6 daily, dose 2

2021-03-23

Systemic reaction (other): Sore throat

2021-03-24

Systemic reaction (other): Sore throat

Release 6 — day 7, dose 2

2021-03-25

Systemic reaction (other): Sore throat

Release 9 — 3 months, dose 2

2021-06-17

Symptoms: Get random patches of super itchy hives in the evening. Not sure if its related to the vaccine or not.

Release 9 — 6 months, dose 2

2021-09-16

Symptoms: I have been getting itchy patches hives for no reason generally in the evening. That started a month or so after the second does of the vaccine.

Release 10 — day 14, dose 3

2021-11-14

Symptoms: Hives like rash

Release 10 — day 21, dose 3

2021-11-21

Symptoms: I get this random hives like rash randomly every evening Super itchy and unexplainable

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	Oropharyngeal pain	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash pruritic	·	·	✓
SD	Urticaria	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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