ZLN-24395-93104

2 vaccinations 6 coded responses 24 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 458 / OH
Registered: 2021-03-20

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

2021-03-20
Registered in v-safe
2021-03-20
Dose 1 — Moderna
2021-03-20
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — day 7, dose 1
Feeling: Good · None

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

Adult check-in
2021-04-10
Survey response — day 21, dose 1
MedDRA: Cough, Eye pruritus, Fatigue, Impaired work ability, Oropharyngeal pain, Paranasal sinus hypersecretion, Respiratory tract congestion — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Started on April 5th. Sinus drainage, sore throat, Itchy eyes, cough, congestion. Tired. Could be allergies /hayfever. Missed some work April 8 and 9. Considered seeing Dr.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Dose 2 — Moderna
2021-04-17
Survey response — day 0, dose 2
MedDRA: Headache, Paranasal sinus discomfort — Feeling: Good · Site: Pain · Headache

Free text: The headache happened 2-3 hours after the shot, and only lasted a couple of minutes. Felt like intense sinus pressure from above the eyes to the cheeks. This happened with the first shot also.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion, Paranasal sinus hypersecretion — Feeling: Good

Free text: Stuffy, clogged nose. Sinus drainage. Could be hayfever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — day 7, dose 2
MedDRA: Nasal congestion — Feeling: Good

Free text: Stuffy nose/sinuses

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — day 14, dose 2
MedDRA: Asthma, Cough, Nasal congestion, Office visit, Pre-existing disease, Upper respiratory tract infection — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Have had a cough for 3 weeks, and stuffy nose. went to the doctor. She said I was having an asthmatic flare. This has never happened to me before. URI. I'm now on a daily maintenance inhaler and Singulair. Steroid and antibiotic. · Healthcare visit (other): Regular in office Dr visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
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)
2021-05-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-17
Survey response — 3 months, dose 2
MedDRA: Asthma, Fatigue, Office visit — 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

Free text: Symptoms: Diagnosed Asthmatic - put on daily prevention meds. Tired most of the time. · Healthcare visit (other): In person Dr. visit

MedDRA releases: 2024-11 · check-in free text available
2021-07-17
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)
2021-07-26
Call 1 — Left Voicemail
2021-10-16
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Moderna
2	2021-04-17	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-05-01	Unsuccessful
2021-07-17	Unsuccessful

Free text

Release 7 — day 21, dose 1

2021-04-10

Symptoms: Started on April 5th. Sinus drainage, sore throat, Itchy eyes, cough, congestion. Tired. Could be allergies /hayfever. Missed some work April 8 and 9. Considered seeing Dr.

Release 7 — day 0, dose 2

2021-04-17

Systemic reaction (other): The headache happened 2-3 hours after the shot, and only lasted a couple of minutes. Felt like intense sinus pressure from above the eyes to the cheeks. This happened with the first shot also.

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Stuffy, clogged nose. Sinus drainage. Could be hayfever.

Release 7 — day 7, dose 2

2021-04-24

Systemic reaction (other): Stuffy nose/sinuses

Release 8 — day 14, dose 2

2021-05-01

Symptoms: Have had a cough for 3 weeks, and stuffy nose. went to the doctor. She said I was having an asthmatic flare. This has never happened to me before. URI. I'm now on a daily maintenance inhaler and Singulair. Steroid and antibiotic.

Healthcare visit (other): Regular in office Dr visit

Release 9 — 3 months, dose 2

2021-07-17

Symptoms: Diagnosed Asthmatic - put on daily prevention meds. Tired most of the time.

Healthcare visit (other): In person Dr. visit

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	Asthma	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Eye pruritus	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Paranasal sinus hypersecretion	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Upper respiratory tract infection	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Paranasal sinus hypersecretion	✓	✓	✓

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