ZM2-26318-93284

3 vaccinations 19 coded responses 23 check-ins 19 free-text entries 6 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 974 / OR
Registered: 2021-01-24

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Registered dependents

GK8-12520-09232 Child or adolescent in my care · Male · 2022-01-28

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-24
Registered in v-safe
2021-01-24
Dose 1 — Moderna
2021-01-24
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal distension, Flatulence — Feeling: Fair · Joint pains, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: BloAting and gas pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspepsia, Gastrooesophageal reflux disease — Feeling: Fair · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Indigestion and acid reflux, chest pains gassy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — day 7, dose 1
MedDRA: Breast discharge, Pre-existing disease — Feeling: Good · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Gerd gas bloating, nipple discharge

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — day 14, dose 1
MedDRA: Constipation, Fatigue, Flatulence, Gastrooesophageal reflux disease, Headache, Lethargy, Myalgia, Respiratory tract congestion, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue and lethargy, constipation, gas, acid reflux, congestion and postnasal drip, allergy like symptoms, headache, muscle aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — day 21, dose 1
MedDRA: Balance disorder, Breast discharge, Breast pain, Depressed mood, Fatigue, Headache, Lethargy, Rash, Respiratory tract congestion, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tired lethargic low mood, feeling imbalanced, pain in breast and nipple discharge, skin breakouts, headache sinus/ chest congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — day 28, dose 1
MedDRA: Abdominal distension, Abnormal weight gain, Adverse reaction, Arthralgia, Chills, Constipation, Fatigue, Flatulence, Fluid retention, Gingival pain, Hypersensitivity, Joint swelling, Muscle spasms, Nasopharyngitis, Oral hyperaesthesia, Oral pain, Oropharyngeal pain, Pain, Pain in extremity, Peripheral swelling, Respiratory tract congestion, SARS-CoV-2 test negative, Toothache, Upper-airway cough syndrome, Weight increased — Feeling: Fair · 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: Symptoms: Rapid weight gain, water retention, constipation, bloating gas, swollen painful legs ankles and feet, cramping feet, cold/allergy symptoms, post nasal drip, sore throat, congestion, body aches chills fatigue oral sensitivity/ pain in gums and teeth. · Healthcare visit (other): Covid swab neg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — day 28, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-01
Dose 2 — Moderna
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Fluid retention, Peripheral swelling — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Sore ankles and feet swelling and water retention

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — day 7, dose 2
MedDRA: Oedema peripheral — Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Peripheral edema,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 14, dose 2
MedDRA: Arthralgia, Fluid retention, Joint range of motion decreased, Joint swelling, Oedema, Pain in extremity, Peripheral swelling — Feeling: Poor · Be unable to do your normal daily activities, 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: Edema, water retention, swollen ankles, feet and legs, swelling is way down and feet are almost normal they hurt worse, limited motion when swollwen, unbearable pain when swelling down on tops of feet and ankles, can't wear shoes can't m I've freely.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-22
Survey response — day 21, dose 2
MedDRA: Contusion, Dry throat, Erythema, Feeling abnormal, Headache, Increased appetite, Oedema peripheral, Pain in extremity, Paraesthesia, Paraesthesia oral, Productive cough, Skin warm, Swelling, Unevaluable event, Varicose vein — Feeling: Poor · Be unable to do your normal daily activities, 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: Symptoms: Swelling edema in right leg worse (bigger) more painful. Tingling in lips and face while keeping my feet up (numbness?) Vericose vains, bruising, red hot to the touch, shiny swollen, dry throat flem, increased appetite, cravings and foggy, headaches · Healthcare visit (other): Labs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-31
Survey response — day 28, dose 2
MedDRA: Back pain, Dry mouth, Fatigue, Headache, Pain, Peripheral swelling, Swelling, Weight increased — Feeling: Poor · Be unable to do your normal daily activities

Free text: Body pains, e extremity swelling, fatigue and tiredness, weight gain, swelling and back pain, headaches dry mouth.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — day 35, dose 2
MedDRA: Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pinching like sharp pain in right hand when squeezing (example like squeezing water out of a sponge) closest to thumb but deep in hand.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-30
Survey response — 6 months, dose 2
MedDRA: Bruxism, Chest discomfort, Chest pain, Constipation, Depression, Headache, Hypoaesthesia, Joint dislocation, Massage, Muscle spasms, Myalgia, Office visit, Oropharyngeal pain, Pelvic misalignment, Pre-existing disease, Upper-airway cough syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Back and neck muscle pain and slight numbness or desensitization. Headaches and rib and pelvis out of alignment. Allergies chest tightness/pain. muscle spasms and jaw clenching. Post nasal drip sore throat, constipation and mild depression · Healthcare visit (other): Chiropractor, massage

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-30
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-31
Call 1 — Could Not Reach Participant
2021-09-02
Call 2 — Could Not Reach Participant
2021-10-24
Dose 3 — Moderna
2021-10-26
Survey response — days 1–6 daily, dose 3
MedDRA: Feeling hot, Lymph node pain, Lymphadenopathy, Unevaluable event — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Lymph nodes in armpit swollen and painful and hot · Healthcare visit (other): Asked chiropractor and acupuncturist.

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Armpit of injection arm swollen and painful lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Call 1 — Could Not Reach Participant
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion, Tension headache — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Tension headaches, congestion

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Call 2 — Could Not Reach Participant
2021-11-02
Survey response — day 7, dose 3
MedDRA: Pain, Skin odour abnormal — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Body odor in armpit that was painful

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Survey response — day 21, dose 3
MedDRA: Depression, Myalgia, Skin depigmentation — Feeling: Good · Be unable to do your normal daily activities

Free text: Body and structural neck and back muscle pain probably unrelated and some loss of pigmentation in some spots on face probably unrelated as well. Depression

MedDRA releases: 2024-11 · check-in free text available
2022-01-23
Survey response — 3 months, dose 3
MedDRA: Headache, Hypersensitivity, Myalgia, Productive cough, Respiratory tract congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Congestion and productive slight cough, mucus. Headaches and muscle aches. Allergies

MedDRA releases: 2024-11 · check-in free text available
2022-01-23
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-25
Call 1 — Could Not Reach Participant
2022-01-28
Call successful
Not applicable - Accidental Reporting
2022-10-27
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-24	Moderna
2	2021-03-01	Moderna
3	2021-10-24	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-25	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-03-16	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-03-22	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-08-30	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-26	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-23	Successful 2022-01-28	Not applicable - Accidental Reporting

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): BloAting and gas pains

2021-01-28

Systemic reaction (other): Indigestion and acid reflux, chest pains gassy

Release 3 — day 7, dose 1

2021-02-02

Systemic reaction (other): Gerd gas bloating, nipple discharge

Release 3 — day 14, dose 1

2021-02-07

Symptoms: Fatigue and lethargy, constipation, gas, acid reflux, congestion and postnasal drip, allergy like symptoms, headache, muscle aches

Release 4 — day 21, dose 1

2021-02-14

Symptoms: Tired lethargic low mood, feeling imbalanced, pain in breast and nipple discharge, skin breakouts, headache sinus/ chest congestion

Release 4 — day 28, dose 1

2021-02-25

Symptoms: Rapid weight gain, water retention, constipation, bloating gas, swollen painful legs ankles and feet, cramping feet, cold/allergy symptoms, post nasal drip, sore throat, congestion, body aches chills fatigue oral sensitivity/ pain in gums and teeth. cut off by CDC

Healthcare visit (other): Covid swab neg.

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Sore ankles and feet swelling and water retention

Release 5 — day 7, dose 2

2021-03-08

Systemic reaction (other): Peripheral edema,

Release 5 — day 14, dose 2

2021-03-16

Symptoms: Edema, water retention, swollen ankles, feet and legs, swelling is way down and feet are almost normal they hurt worse, limited motion when swollwen, unbearable pain when swelling down on tops of feet and ankles, can't wear shoes can't m I've freely. cut off by CDC

Release 6 — day 21, dose 2

2021-03-22

Symptoms: Swelling edema in right leg worse (bigger) more painful. Tingling in lips and face while keeping my feet up (numbness?) Vericose vains, bruising, red hot to the touch, shiny swollen, dry throat flem, increased appetite, cravings and foggy, headaches cut off by CDC

Healthcare visit (other): Labs

Release 6 — day 28, dose 2

2021-03-31

Symptoms: Body pains, e extremity swelling, fatigue and tiredness, weight gain, swelling and back pain, headaches dry mouth.

Release 6 — day 35, dose 2

2021-04-05

Symptoms: Pinching like sharp pain in right hand when squeezing (example like squeezing water out of a sponge) closest to thumb but deep in hand.

Release 9 — 6 months, dose 2

2021-08-30

Symptoms: Back and neck muscle pain and slight numbness or desensitization. Headaches and rib and pelvis out of alignment. Allergies chest tightness/pain. muscle spasms and jaw clenching. Post nasal drip sore throat, constipation and mild depression

Healthcare visit (other): Chiropractor, massage

Release 10 — days 1–6 daily, dose 3

2021-10-26

Systemic reaction (other): Lymph nodes in armpit swollen and painful and hot

Healthcare visit (other): Asked chiropractor and acupuncturist.

2021-10-27

Systemic reaction (other): Armpit of injection arm swollen and painful lymph nodes

2021-10-29

Systemic reaction (other): Tension headaches, congestion

Release 10 — day 7, dose 3

2021-11-02

Systemic reaction (other): Body odor in armpit that was painful

Release 10 — day 21, dose 3

2021-11-17

Symptoms: Body and structural neck and back muscle pain probably unrelated and some loss of pigmentation in some spots on face probably unrelated as well. Depression

Release 11 — 3 months, dose 3

2022-01-23

Symptoms: Congestion and productive slight cough, mucus. Headaches and muscle aches. Allergies

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	Massage	✓	·	✓
HCVO	Office visit	✓	·	✓
HCVO	SARS-CoV-2 test negative	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal distension	✓	✓	✓
SD	Abnormal weight gain	✓	·	✓
SD	Adverse reaction	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Breast discharge	✓	✓	✓
SD	Breast pain	✓	✓	✓
SD	Bruxism	✓	·	✓
SD	Chest discomfort	✓	·	✓
SD	Chest pain	✓	·	✓
SD	Chills	✓	✓	✓
SD	Constipation	✓	✓	✓
SD	Contusion	✓	✓	✓
SD	Depressed mood	✓	✓	✓
SD	Depression	✓	·	✓
SD	Dry mouth	✓	✓	✓
SD	Dry throat	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Flatulence	✓	✓	✓
SD	Fluid retention	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Gingival pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hyperaesthesia teeth	○	·	○
SD	Hypersensitivity	○	✓	✓
SD	Hypoaesthesia	✓	·	✓
SD	Increased appetite	✓	✓	✓
SD	Joint dislocation	✓	·	✓
SD	Joint range of motion decreased	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Lethargy	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oedema	✓	✓	✓
SD	Oedema peripheral	✓	✓	✓
SD	Oral hyperaesthesia	○	✓	○
SD	Oral pain	✓	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Paraesthesia oral	✓	✓	✓
SD	Pelvic misalignment	✓	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Productive cough	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sinus congestion	✓	✓	✓
SD	Skin depigmentation	·	·	✓
SD	Skin warm	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Toothache	✓	✓	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SD	Varicose vein	✓	✓	✓
SD	Weight increased	✓	✓	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Breast discharge	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Feeling hot	·	·	✓
SRO	Flatulence	✓	✓	✓
SRO	Fluid retention	✓	✓	✓
SRO	Gastrooesophageal reflux disease	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Skin odour abnormal	·	·	✓
SRO	Tension headache	·	·	✓

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