ZM2-29998-67295

2 vaccinations 7 coded responses 21 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 366 / AL
Registered: 2021-01-19

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

2021-01-18
Dose 1 — Moderna
2021-01-19
Registered in v-safe
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Nasopharyngitis — Feeling: Good · Site: Pain · Chills, Joint pains

Free text: mild cough cold like symptoms, getting better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Nausea, Diarrhea

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — day 7, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-02-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-15
Dose 2 — Moderna
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Swelling of eyelid — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: light swelling around the right eye.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-01
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Gastric disorder — Feeling: Good

Free text: Stomach issues, light diarrea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-15
Survey response — day 28, dose 2
MedDRA: Arthralgia — Feeling: Good

Free text: Problems with my knee. I do not think it has anything to do with the vaccination.My Neuropathy in the legs seems to be worse for some time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-31
Survey response — day 42, dose 2
MedDRA: Arthropathy, Condition aggravated, Pre-existing disease, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: knee joint problems.Increase of my neuropa in feet and leg · Healthcare visit (other): made appointment at orthopedist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-19
Survey response — 3 months, dose 2
MedDRA: Cough, Infection, Pyrexia — Feeling: Fair · Be unable to work, 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: Got infected with strong cough through on of my grankids. Had some fever.It lasted about 4 days. Feeling better now. We did not get tested. He brought it from daycare

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Report sent to call center — 3 months, 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)
2021-08-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-10
Call 1 — Left Voicemail
2021-12-10
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-17
Survey response — 12 months, dose 2
MedDRA: Pneumonia, SARS-CoV-2 test negative — 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 · Hospitalization

Free text: I had the flu ? and then pneumonia at around Christmas. 3 rapid Covid test were negative

MedDRA releases: 2024-11 · check-in free text available
2022-02-17
Report sent to call center — 12 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

Hospitalization · 1 call case(s)
2022-02-21
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-18	Moderna
2	2021-02-15	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-31	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-05-19	Successful 2021-12-10	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-17	Successful 2022-02-21	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): mild cough cold like symptoms, getting better

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): light swelling around the right eye.

Release 4 — day 14, dose 2

2021-03-01

Symptoms: Stomach issues, light diarrea

Release 5 — day 28, dose 2

2021-03-15

Symptoms: Problems with my knee. I do not think it has anything to do with the vaccination.My Neuropathy in the legs seems to be worse for some time

Release 6 — day 42, dose 2

2021-03-31

Symptoms: knee joint problems.Increase of my neuropa in feet and leg

Healthcare visit (other): made appointment at orthopedist

Release 8 — 3 months, dose 2

2021-05-19

Symptoms: Got infected with strong cough through on of my grankids. Had some fever.It lasted about 4 days. Feeling better now. We did not get tested. He brought it from daycare

Release 11 — 12 months, dose 2

2022-02-17

Symptoms: I had the flu ? and then pneumonia at around Christmas. 3 rapid Covid test were negative

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	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Arthropathy	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Gastric disorder	✓	✓	✓
SD	Infection	✓	✓	✓
SD	Pneumonia	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Swelling of eyelid	✓	✓	✓

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