ZMX-23823-12397

2 vaccinations 8 coded responses 17 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 315 / GA
Registered: 2021-03-25

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

2021-03-23
Dose 1 — Moderna
2021-03-25
Registered in v-safe
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site induration, Injection site mass, Injection site swelling — Feeling: Good · Site: Pain

Free text: Hard lump at injection site. Sligghtly smaller than yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site induration, Injection site mass, Injection site pain — Feeling: Good · Site: Pain

Free text: Hard lump at injection sight. About the same size as yesterday. Golf ball size. Tender to touch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site mass, Injection site pain — Feeling: Good · Site: Pain

Free text: Still lump at injection site. Tenderness slowly going away, but still a hard lump the size of a golf ball.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Induration, Injection site pain, Mass — Feeling: Good · Site: Pain

Free text: Still a little tender at injection site. Hard lump about the same as yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 7, dose 1
MedDRA: Injection site induration, Injection site mass, Injection site pain — Feeling: Good · Site: Pain

Free text: Injection site still tender to touch. Hard lump sum there, but seems to be slightly smaller than yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-29
Dose 2 — Moderna
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · 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

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-20
Survey response — day 21, dose 2
MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ive realized Ive had a headache & fatigue since the 2nd shot. I thought it was allergies or something, but its still daily. Just putting 2&2 together & it started approx. 5-6 days post last shot & has been daily since. So ready for it to go

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Survey response — day 28, dose 2
MedDRA: Adverse reaction, Fatigue, Headache, Insomnia, Jaw disorder, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Headache daily since onset, along w/fatigue. Nothing seems 2 touch headache & its causing lack of sleep, clinching of jaw. Saw chiropractor w/no relief. Will be seeking medical advice this week. I live on 3rd floor apt, stair climb is now issue. · Healthcare visit (other): Chiropractor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-30
Survey response — 3 months, dose 2
MedDRA: Hypertension — Feeling: Good · Be unable to do your normal daily activities

Free text: I have never had high blood pressure before. It was normal a couple months ago, and always ran low actually. All the sudden, its very high. Will be making a doctors appointment.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-04-27
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Moderna
2	2021-04-29	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-05-29	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): Hard lump at injection site. Sligghtly smaller than yesterday.

2021-03-27

Systemic reaction (other): Hard lump at injection sight. About the same size as yesterday. Golf ball size. Tender to touch.

2021-03-28

Systemic reaction (other): Still lump at injection site. Tenderness slowly going away, but still a hard lump the size of a golf ball.

2021-03-29

Systemic reaction (other): Still a little tender at injection site. Hard lump about the same as yesterday.

Release 6 — day 7, dose 1

2021-03-30

Systemic reaction (other): Injection site still tender to touch. Hard lump sum there, but seems to be slightly smaller than yesterday.

Release 8 — day 21, dose 2

2021-05-20

Symptoms: Ive realized Ive had a headache & fatigue since the 2nd shot. I thought it was allergies or something, but its still daily. Just putting 2&2 together & it started approx. 5-6 days post last shot & has been daily since. So ready for it to go

Release 8 — day 28, dose 2

2021-05-29

Symptoms: Headache daily since onset, along w/fatigue. Nothing seems 2 touch headache & its causing lack of sleep, clinching of jaw. Saw chiropractor w/no relief. Will be seeking medical advice this week. I live on 3rd floor apt, stair climb is now issue.

Healthcare visit (other): Chiropractor

Release 9 — 3 months, dose 2

2021-07-30

Symptoms: I have never had high blood pressure before. It was normal a couple months ago, and always ran low actually. All the sudden, its very high. Will be making a doctors 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	Adverse reaction	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypertension	✓	·	✓
SD	Insomnia	✓	✓	✓
SD	Jaw disorder	✓	✓	✓
SRO	Induration	✓	✓	✓
SRO	Injection site induration	✓	✓	✓
SRO	Injection site mass	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site swelling	✓	✓	○
SRO	Mass	✓	✓	✓

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