ZMX-19675-44260

2 vaccinations 8 coded responses 20 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 787 / TX
Registered: 2021-02-24

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

2021-02-24
Registered in v-safe
2021-02-24
Dose 1 — Moderna
2021-02-24
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Tinnitus — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Cough, ringing in ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-03-04
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-10
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: My fatigue had improved to almost normal levels at my last checkin but it never got any better than that and for the last several days has been worse. Ive also had frequent headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-25
Dose 2 — Moderna
2021-03-25
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Lymph node pain, Medical counselling, Oropharyngeal pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · 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: Systemic reaction (other): Cough, sore throat, and painful lymph nodes, all of which I also had briefly after the first dose · Healthcare visit (other): Called my doctors offices nurse line for help

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Report sent to call center — days 1–6 daily, 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)
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Survey response — day 7, dose 2
MedDRA: Dizziness, Headache, Neck pain — Feeling: Poor · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: The back of my head/neck has hurt since a few hours after I got the vaccine and has yet to get any better. Feeling woozy and dizzy for 3 days now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 14, dose 2
MedDRA: Fatigue, Headache, Nausea, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: The same symptoms (intense fatigue, bad headaches, nausea, etc) have persisted but worsened in the last few days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 21, dose 2
MedDRA: Dizziness, Fatigue, Headache, Palpitations, Tremor — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness, headaches, racing heart, shaky hands, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 28, dose 2
MedDRA: Abdominal discomfort, Diarrhoea, Headache, Migraine, Unevaluable event — 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, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Significant worsening headache and increasingly frequent diarrhea end of last week. Headache peaked on 4/17 to point of intense migraine. Faded off after this over last three days and is beginning to resolve. Mild headache and GI upset persist. · Healthcare visit (other): Telemedicine visit lead to ordered blood work 4/19

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 28, 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)
2021-04-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-03-18
Call successful
Participant prefers to complete VAERS report online
2022-03-28
Survey response — 12 months, dose 2
MedDRA: Blood potassium decreased, Endocrine disorder, Fatigue, Hypothyroidism, Menstrual disorder, Migraine — 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, Outpatient clinic or urgent care clinic visit

Free text: 1) Migraines. 2) Menstrual disruption. 3) Some kind of endocrine dysfunction hypothyroid issues, low potassium (despite taking a potassium-sparing diuretic), nonspecific fatigue. Still waiting to see endocrinologist from PCP referral.

MedDRA releases: 2024-11 · check-in free text available
2022-03-28
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-29
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Moderna
2	2021-03-25	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-27	Successful	Participant prefers to complete VAERS report online
2021-04-22	Successful 2022-03-18	Participant prefers to complete VAERS report online
2022-03-28	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-25

Systemic reaction (other): Cough, ringing in ears

Release 5 — day 14, dose 1

2021-03-10

Symptoms: My fatigue had improved to almost normal levels at my last checkin but it never got any better than that and for the last several days has been worse. Ive also had frequent headaches.

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Cough, sore throat, and painful lymph nodes, all of which I also had briefly after the first dose

Healthcare visit (other): Called my doctors offices nurse line for help

Release 6 — day 7, dose 2

2021-04-01

Systemic reaction (other): The back of my head/neck has hurt since a few hours after I got the vaccine and has yet to get any better. Feeling woozy and dizzy for 3 days now

Release 7 — day 14, dose 2

2021-04-08

Symptoms: The same symptoms (intense fatigue, bad headaches, nausea, etc) have persisted but worsened in the last few days.

Release 7 — day 21, dose 2

2021-04-16

Symptoms: Dizziness, headaches, racing heart, shaky hands, fatigue

Release 7 — day 28, dose 2

2021-04-22

Symptoms: Significant worsening headache and increasingly frequent diarrhea end of last week. Headache peaked on 4/17 to point of intense migraine. Faded off after this over last three days and is beginning to resolve. Mild headache and GI upset persist.

Healthcare visit (other): Telemedicine visit lead to ordered blood work 4/19

Release 11 — 12 months, dose 2

2022-03-28

Symptoms: 1) Migraines. 2) Menstrual disruption. 3) Some kind of endocrine dysfunction hypothyroid issues, low potassium (despite taking a potassium-sparing diuretic), nonspecific fatigue. Still waiting to see endocrinologist from PCP referral.

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	Medical counselling	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal discomfort	✓	✓	✓
SD	Blood potassium decreased	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Endocrine disorder	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypothyroidism	·	·	✓
SD	Menstrual disorder	·	·	✓
SD	Migraine	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Tremor	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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