ZMW-20695-24554

5 vaccinations 7 coded responses 30 check-ins 7 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 156 / PA
Registered: 2021-03-26

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

2021-03-22
Dose 1 — Moderna
2021-03-26
Registered in v-safe
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Survey response — day 14, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Not ill, but my glands feel a bit swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-19
Dose 2 — Moderna
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-17
Survey response — day 28, dose 2
MedDRA: Chills, Cough, Headache, Lymphadenopathy, Oropharyngeal pain, Sinus congestion, Viral infection — 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

Free text: Have a virus -- sinus congestuon, headache, sore throat cough, chills, and swollen glands.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-24
Survey response — day 35, dose 2
MedDRA: Bacterial infection, SARS-CoV-2 test negative — Feeling: Fair · 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: Had some kind of bacterial infection. Took z-pack. Getting better. Had a covid test. It was negative.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-19
Survey response — 3 months, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · 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: Chronic sinus infection and chronic bronchitis

MedDRA releases: 2024-11 · check-in free text available
2021-07-19
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-24
Call 2 — Left Voicemail
2021-10-19
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-16
Dose 3 — Moderna
2022-04-22
Survey response — 12 months, dose 2
MedDRA: Lower respiratory tract congestion, Sinusitis — Feeling: Fair · 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: Another sinus infection with bronchial congestion.

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-25
Call 1 — Left Voicemail
2022-05-25
Dose 4 — Moderna
2022-06-01
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-08
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-15
Survey response — day 21, dose 4
MedDRA: Bronchitis, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sinus/bronchial infection.

MedDRA releases: 2024-11 · check-in free text available
2022-06-15
Report sent to call center — day 21, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-16
Call 1 — Left Voicemail
2022-06-16
Call 1 — Left Voicemail
2022-06-16
Call 1 — Left Voicemail
2022-06-16
Call 2 — Left Voicemail
2022-06-16
Call 1 — Left Voicemail
2022-06-22
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-29
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-06
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-24
Survey response — 3 months, dose 4
MedDRA: Dizziness, Office visit, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Was feeling very lightheaded. My doctor changed my blood pressure medication, and I'm feeling much better. · Healthcare visit (other): In-office appointment

MedDRA releases: 2024-11 · check-in free text available
2022-08-24
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-08-25
Call 2 — Left Voicemail
2022-08-25
Call 2 — Left Voicemail
2022-08-25
Call 3 — Left Voicemail
2022-08-25
Call 3 — Left Voicemail
2022-08-25
Call 2 — Left Voicemail
2022-08-25
Call 1 — Left Voicemail
2022-09-19
Dose 5 — Moderna
Co-administered: Flu
2022-11-02
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-19
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Moderna
2	2021-04-19	Moderna
3	2021-11-16	Moderna	No
4	2022-05-25	Moderna	No
5	2022-09-19	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-05-17	Unsuccessful
2021-05-24	Unsuccessful
2021-07-19	Unsuccessful
2022-04-22	Unsuccessful
2022-06-15	Unsuccessful
2022-08-24	Unsuccessful

Free text

Release 6 — day 14, dose 1

2021-04-05

Symptoms: Not ill, but my glands feel a bit swollen.

Release 8 — day 28, dose 2

2021-05-17

Symptoms: Have a virus -- sinus congestuon, headache, sore throat cough, chills, and swollen glands.

Release 8 — day 35, dose 2

2021-05-24

Symptoms: Had some kind of bacterial infection. Took z-pack. Getting better. Had a covid test. It was negative.

Release 9 — 3 months, dose 2

2021-07-19

Symptoms: Chronic sinus infection and chronic bronchitis

Release 11 — 12 months, dose 2

2022-04-22

Symptoms: Another sinus infection with bronchial congestion.

Release 12 — day 21, dose 4

2022-06-15

Symptoms: Sinus/bronchial infection.

Release 12 — 3 months, dose 4

2022-08-24

Symptoms: Was feeling very lightheaded. My doctor changed my blood pressure medication, and I'm feeling much better.

Healthcare visit (other): In-office appointment

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	Bacterial infection	✓	✓	✓
SD	Bronchitis	·	·	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Headache	✓	✓	✓
SD	Lower respiratory tract congestion	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Sinus congestion	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Viral infection	✓	✓	✓

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