ZMY-22799-90980

3 vaccinations 9 coded responses 25 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 547 / WI
Registered: 2021-05-05

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

2021-04-07
Dose 1 — Moderna
2021-05-05
Registered in v-safe
2021-05-05
Dose 2 — Moderna
2021-05-05
Health check-in — day 0, dose 2
Feeling: Good · Site: Swelling, Itching · Headache

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · Joint pains

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-12
Health check-in — day 7, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-05-19
Survey response — day 14, dose 2
MedDRA: Arthralgia — Feeling: Good

Free text: Knee joints are still sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — day 21, dose 2
MedDRA: Menopause, Vaginal discharge, Vaginal haemorrhage — Feeling: Good

Free text: Im in menopause but since the 2nd vaccine shot, I have had vaginal discharge as if I was having a light period.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-09
Survey response — day 35, dose 2
MedDRA: Arthralgia, Peripheral swelling — Feeling: Good

Free text: Knee joints are swollen and sore. Could be weather related or vaccine related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Survey response — day 42, dose 2
MedDRA: Dyspnoea, Hypersensitivity, Increased upper airway secretion, Nasal congestion, Pre-existing disease — Feeling: Good

Free text: I have had problems with breathing. Nose closes up and have buildup of fluid in throat. Allergies are going nuts.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-05
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-05
Survey response — 6 months, dose 2
MedDRA: Hypertension, Influenza like illness — Feeling: Good

Free text: Flu like symptoms mid September and high blood pressure.

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Dose 3 — Moderna
2022-01-08
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-10
Health check-in — day 7, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-01-17
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-24
Survey response — day 21, dose 3
MedDRA: Night sweats, Pyrexia — Feeling: Good

Free text: Have had spiked in temperature and at night have experienced night sweats.

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
Survey response — day 28, dose 3
MedDRA: Chills, Influenza like illness, Unevaluable event, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Flu like symptoms since Sunday: chills, threw up, and temperature.

MedDRA releases: 2024-11 · check-in free text available
2022-02-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-06
Survey response — 3 months, dose 3
MedDRA: Abdominal discomfort, Brain fog, Diarrhoea, Influenza like illness — Feeling: Fair · Be unable to work or attend school

Free text: I have had upset stomach for about two weeks with two days of running bowels earlier in that time frame. Flu like symptoms. And brain fog.

MedDRA releases: 2024-11 · check-in free text available
2022-07-06
Survey response — 6 months, dose 3
MedDRA: Bronchitis, Ear infection, Feeling abnormal, Influenza, Sinusitis — 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 · Outpatient clinic or urgent care clinic visit

Free text: I had a terrible flu bug. It resulted in a sinus infection and ear infection. Plus Bronchitis. Was miserable for three weeks.

MedDRA releases: 2024-11 · check-in free text available
2022-07-06
Report sent to call center — 6 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-07
Call 1 — Left Voicemail
2023-01-03
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Moderna
2	2021-05-05	Moderna
3	2022-01-03	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-07-06	Unsuccessful

Free text

Release 8 — day 14, dose 2

2021-05-19

Symptoms: Knee joints are still sore.

Release 8 — day 21, dose 2

2021-05-26

Symptoms: Im in menopause but since the 2nd vaccine shot, I have had vaginal discharge as if I was having a light period.

Release 9 — day 35, dose 2

2021-06-09

Symptoms: Knee joints are swollen and sore. Could be weather related or vaccine related.

Release 9 — day 42, dose 2

2021-06-16

Symptoms: I have had problems with breathing. Nose closes up and have buildup of fluid in throat. Allergies are going nuts.

Release 10 — 6 months, dose 2

2021-11-05

Symptoms: Flu like symptoms mid September and high blood pressure.

Release 11 — day 21, dose 3

2022-01-24

Symptoms: Have had spiked in temperature and at night have experienced night sweats.

Release 11 — day 28, dose 3

2022-01-31

Symptoms: Flu like symptoms since Sunday: chills, threw up, and temperature.

Release 11 — 3 months, dose 3

2022-04-06

Symptoms: I have had upset stomach for about two weeks with two days of running bowels earlier in that time frame. Flu like symptoms. And brain fog.

Release 12 — 6 months, dose 3

2022-07-06

Symptoms: I had a terrible flu bug. It resulted in a sinus infection and ear infection. Plus Bronchitis. Was miserable for three weeks.

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	Abdominal discomfort	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Bronchitis	·	·	✓
SD	Chills	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Ear infection	·	·	✓
SD	Feeling abnormal	·	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Hypertension	·	·	✓
SD	Increased upper airway secretion	✓	✓	✓
SD	Influenza	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Menopause	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Night sweats	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Sinusitis	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Vaginal discharge	·	·	✓
SD	Vaginal haemorrhage	✓	✓	○
SD	Vomiting	·	·	✓

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