ZLE-10317-48762

4 vaccinations 11 coded responses 52 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 450 / OH
Registered: 2020-12-24

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

2020-12-24
Registered in v-safe
2020-12-24
Dose 1 — Moderna
2020-12-24
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-25
Survey response — days 1–6 daily, dose 1
MedDRA: Irritability — Feeling: Good · Site: Pain, Redness, Swelling · Headache

Free text: Irritability

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-26
Survey response — days 1–6 daily, dose 1
MedDRA: Irritability — Feeling: Good · Site: Swelling · Fatigue or tiredness

Free text: IRRITABILITY

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-27
Survey response — days 1–6 daily, dose 1
MedDRA: Irritability — Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness

Free text: IRRITABILITY

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2020-12-28
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2020-12-31
Survey response — day 7, dose 1
MedDRA: Mood swings — Feeling: Good · Fatigue or tiredness

Free text: Mood swings

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling — Feeling: Good

Free text: If intial shot day is DAY ZERO, on Day 8, after 2 days of being completely unremarkable, the injection site started to itch and became swollen, red, and itchy. It started subsiding on Day 10, and by Day 11 was unremarkable. Day 12 red but unswollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Survey response — day 21, dose 1
MedDRA: Arthralgia, Muscle fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Joint pain, muscle fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-21
Dose 2 — Moderna
2021-01-21
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Nausea

Adult check-in
2021-01-28
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-26
Dose 3 — Moderna
2021-10-26
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Swelling · Chills, Fatigue or tiredness, Diarrhea

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-11-02
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-16
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-23
Survey response — day 28, dose 3
MedDRA: Parosmia, SARS-CoV-2 test negative, Taste disorder — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Altered sense of taste and smell 6 days ago for several days. Covid test came back negative. Worked remotely until results came back

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Report sent to call center — day 28, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-24
Call 1 — Left Voicemail
2021-11-24
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-11-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-25
Health check-in — 3 months, dose 3
Feeling: Fair

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

Adult check-in
2022-09-08
Dose 4 — Moderna
Co-administered: Flu
2022-09-08
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-09-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-17
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-22
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-09-29
Survey response — day 21, dose 4
MedDRA: Arthralgia, Myalgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Sore joints, muscle aches

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Survey response — day 28, dose 4
MedDRA: Arthralgia, Asthenia, Fatigue, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increasing muscle and joint pain, fatigue, and weakness

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-20
Survey response — day 42, dose 4
MedDRA: Insomnia — Feeling: Fair

Free text: Insomnia

MedDRA releases: 2024-11 · check-in free text available
2022-12-08
Survey response — 3 months, dose 4
MedDRA: Respiratory tract infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Respiratory infection

MedDRA releases: 2024-11 · check-in free text available
2022-12-08
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-09
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-09
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-24	Moderna
2	2021-01-21	Moderna
3	2021-10-26	Moderna	No
4	2022-09-08	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2020-12-28	priority 2/3
2021-01-16	priority 2/3
2021-11-23	Successful 2021-11-24	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-08	Successful 2022-12-09	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-25

Systemic reaction (other): Irritability

2020-12-26

Systemic reaction (other): IRRITABILITY

2020-12-27

Systemic reaction (other): IRRITABILITY

Release 1 — day 7, dose 1

2020-12-31

Systemic reaction (other): Mood swings

Release 1 — day 14, dose 1

2021-01-08

Symptoms: If intial shot day is DAY ZERO, on Day 8, after 2 days of being completely unremarkable, the injection site started to itch and became swollen, red, and itchy. It started subsiding on Day 10, and by Day 11 was unremarkable. Day 12 red but unswollen cut off by CDC

Release 2 — day 21, dose 1

2021-01-16

Symptoms: Joint pain, muscle fatigue

Release 10 — day 28, dose 3

2021-11-23

Symptoms: Altered sense of taste and smell 6 days ago for several days. Covid test came back negative. Worked remotely until results came back

Release 12 — day 21, dose 4

2022-09-29

Symptoms: Sore joints, muscle aches

Release 12 — day 28, dose 4

2022-10-06

Symptoms: Increasing muscle and joint pain, fatigue, and weakness

Release 12 — day 42, dose 4

2022-10-20

Symptoms: Insomnia

Release 12 — 3 months, dose 4

2022-12-08

Symptoms: Respiratory infection

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	Arthralgia	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Fatigue	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Insomnia	·	·	✓
SD	Muscle fatigue	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Parosmia	·	·	✓
SD	Respiratory tract infection	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Taste disorder	·	·	✓
SRO	Irritability	✓	✓	✓
SRO	Mood swings	✓	✓	✓

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