ZMB-12395-34793

3 vaccinations 7 coded responses 32 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 190 / PA
Registered: 2021-02-03

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

2021-02-03
Registered in v-safe
2021-02-03
Dose 1 — Moderna
2021-02-03
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-03
Dose 2 — Moderna
2021-03-03
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Chills — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Last night, I had chills as well. They resolved today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Myalgia — Feeling: Good · Site: Pain, Swelling, Itching

Free text: Last night, I had some muscle aches and chills, but it was better than the night before

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-02
Survey response — 3 months, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Broken toes, which then got infected and led to cellulitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
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)
2021-09-01
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Foot fracture, Localised infection, Pre-existing disease — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Infected broken toe and flare of autoimmune disease, pemphigus vulgaris. Now on prednisone and cellcept.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-03
Call 1 — Left Voicemail
2021-10-03
Dose 3 — Moderna
2021-10-28
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-31
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-08
Survey response — day 35, dose 3
MedDRA: Cough, Dysphonia, Rhinorrhoea, Sneezing — 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 · Telehealth, virtual health, or email health consultation

Free text: Cough, runny nose, sneezing, hoarseness

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Report sent to call center — day 35, dose 3
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)
2021-11-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-11-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-11-10
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-03
Survey response — 3 months, dose 3
MedDRA: Cough, Lethargy, Oropharyngeal pain, Pain — 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 · Telehealth, virtual health, or email health consultation

Free text: Cough, body aches, sore throat, lethargy in context of known flu exposure

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Report sent to call center — 3 months, dose 3
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)
2022-01-05
Call 1 — Left Voicemail
2022-01-11
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-04
Survey response — 12 months, dose 3
MedDRA: Autoimmune disorder, Pemphigus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Started rituximab for my autoimmune disease, pemphigus vulgaris

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-05
Call 1 — Left Voicemail
2022-10-21
Callback requested for
09:00AM ET
2022-10-21
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

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

Call center

Reported	Outcome	VAERS-related outcome
2021-06-02	Successful 2021-11-10	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-09-01	Successful 2021-11-10	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-11-08	Successful 2021-11-10	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-03	Successful 2022-01-11	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-10-04	Successful 2022-10-21	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Last night, I had chills as well. They resolved today

2021-03-05

Systemic reaction (other): Last night, I had some muscle aches and chills, but it was better than the night before

Release 8 — 3 months, dose 2

2021-06-02

Symptoms: Broken toes, which then got infected and led to cellulitis

Release 9 — 6 months, dose 2

2021-09-01

Symptoms: Infected broken toe and flare of autoimmune disease, pemphigus vulgaris. Now on prednisone and cellcept.

Release 10 — day 35, dose 3

2021-11-08

Symptoms: Cough, runny nose, sneezing, hoarseness

Release 10 — 3 months, dose 3

2022-01-03

Symptoms: Cough, body aches, sore throat, lethargy in context of known flu exposure

Release 12 — 12 months, dose 3

2022-10-04

Symptoms: Started rituximab for my autoimmune disease, pemphigus vulgaris

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	Autoimmune disorder	·	·	✓
SD	Condition aggravated	✓	·	✓
SD	Cough	·	·	✓
SD	Dysphonia	·	·	✓
SD	Foot fracture	✓	·	✓
SD	Lethargy	·	·	✓
SD	Localised infection	✓	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pemphigus	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Myalgia	✓	✓	✓

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