ZN8-19070-43533

4 vaccinations 11 coded responses 44 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 484 / MI
Registered: 2021-03-15

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

2021-03-13
Dose 1 — Moderna
2021-03-15
Registered in v-safe
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Nausea

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Headache

Free text: A little dizzy at times

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Headache

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — day 7, dose 1
Feeling: Fair · Headache

Adult check-in
2021-03-27
Survey response — day 14, dose 1
MedDRA: Asthenia, Back pain, Insomnia, Malaise, Respiratory tract irritation — Feeling: Poor · Be unable to do your normal daily activities

Free text: Horrible back pain between my shoulders. Lungs feel raw. Very weak feeling. Just feel crappy. Can't sleep.

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

Adult check-in
2021-04-10
Dose 2 — Moderna
2021-04-10
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: To soon ,just had shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Lungs feel raw like if you cough too hard for too long

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Pre-existing disease, Wheezing — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Free text: Wheezing chest still feels raw like when I breathe in deep but it could be just allergies this time of year

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-08
Survey response — day 28, dose 2
MedDRA: Ear discomfort, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My ear was plugged and ringing. No pain. I went to the doctor he looked in my ear and said he didn't see anything and it was clear.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-19
Dose 3 — Moderna
2021-11-19
Survey response — day 0, dose 3
MedDRA: Chest pain — Feeling: Fair · Fever

Free text: Chest pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-28
Survey response — day 7, dose 3
MedDRA: Chest discomfort, Palpitations — Feeling: Good

Free text: My chest feels a little heavy I've had a few palpitations at night

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-18
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-17
Call 1 — Left Voicemail
2022-05-22
Survey response — 6 months, dose 3
MedDRA: Dyspnoea, Headache, Laryngitis, Malaise, Vomiting — 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: Very sick since April 2nd, different symptoms at different times in the beginning headache throw up, in the end chest gasping for air laryngitis. Finally 2 months later I'm feeling better. Took 4or different rounds of antibiotics and prednisone

MedDRA releases: 2024-11 · check-in free text available
2022-05-22
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-23
Call 2 — Left Voicemail
2022-05-23
Call 1 — Left Voicemail
2022-09-12
Dose 4 — Moderna
2022-09-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-09-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-26
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-25
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-12
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-14
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Moderna
2	2021-04-10	Moderna
3	2021-11-19	Moderna	No
4	2022-09-12	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-08	Unsuccessful
2022-05-22	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-15

Systemic reaction (other): Dizzy

2021-03-16

Systemic reaction (other): A little dizzy at times

2021-03-18

Systemic reaction (other): Dizzy

Release 6 — day 14, dose 1

2021-03-27

Symptoms: Horrible back pain between my shoulders. Lungs feel raw. Very weak feeling. Just feel crappy. Can't sleep.

Release 7 — day 0, dose 2

2021-04-10

Systemic reaction (other): To soon ,just had shot

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Lungs feel raw like if you cough too hard for too long

2021-04-13

Systemic reaction (other): Wheezing chest still feels raw like when I breathe in deep but it could be just allergies this time of year

Release 8 — day 28, dose 2

2021-05-08

Symptoms: My ear was plugged and ringing. No pain. I went to the doctor he looked in my ear and said he didn't see anything and it was clear.

Release 10 — day 0, dose 3

2021-11-19

Systemic reaction (other): Chest pain

Release 10 — day 7, dose 3

2021-11-28

Systemic reaction (other): My chest feels a little heavy I've had a few palpitations at night

Release 11 — 6 months, dose 3

2022-05-22

Symptoms: Very sick since April 2nd, different symptoms at different times in the beginning headache throw up, in the end chest gasping for air laryngitis. Finally 2 months later I'm feeling better. Took 4or different rounds of antibiotics and prednisone

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	Asthenia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Ear discomfort	·	·	✓
SD	Headache	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Laryngitis	·	·	✓
SD	Malaise	✓	✓	✓
SD	Respiratory tract irritation	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SD	Vomiting	·	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Palpitations	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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