ZNK-13940-73532

2 vaccinations 12 coded responses 25 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 305 / GA
Registered: 2020-12-31

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

2020-12-31
Registered in v-safe
2020-12-31
Dose 1 — Moderna
2020-12-31
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure increased, Chest pain, Pain, Pain in extremity, Wheezing — Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Shooting pains through left arm and left side of chest , mild wheeziness and elevated blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure increased, Chest pain, Injection site pain — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Pain in injection site has subsided.. chest and stem pain has subsided... blood pressure has been elevated ever since the day after the injection...currently 141/79

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure abnormal — Feeling: Fair · Fatigue or tiredness

Free text: Felt rough this morning but feeling very good tonight I think I'm leveling off and BP going back to normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma — Feeling: Good

Free text: Felt like a respiratory infection for a day or two I have asthma so I think the shot triggered my asthma but I am feeling great today finally so about six days not feeling so great I will probably not get the second shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-28
Dose 2 — Moderna
2021-01-28
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Nausea

Free text: Numbness in left thumb

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Insomnia, Pyrexia — Feeling: Poor · Site: Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Fever And chills was Friday and last night was last night I didnt sleep all night but has subsided today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Fatigue, Pain in jaw, Self-medication — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Achy eyes and jaw ... Advil helps a lot ...still very tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Poor · Site: Redness, Swelling · Fever · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Feel feverish but no fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Nausea, Tremor — Feeling: Good · Nausea

Free text: Shaky and nauseous but not bad

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-04
Survey response — day 7, dose 2
MedDRA: Vision blurred — Feeling: Good

Free text: Left eye is blurry Dont know if its related but going to the eye doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-04
Survey response — day 35, dose 2
MedDRA: Immune system disorder, Vision blurred — Feeling: Poor · Be unable to work

Free text: Ive had blurry vision in one eye since six days after the vaccine its been four weeks I am taking Valtrex and Zirgan And its starting to clear up finally but the vaccine has really messed with my immune system

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-04-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-28
Survey response — 12 months, dose 2
MedDRA: COVID-19, Influenza like illness, Nausea — Feeling: Fair · Be unable to work or attend school

Free text: I got Covid again it was bad just like the flu still have no messed up taste and nausea

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna
2	2021-01-28	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-02	priority 2/3
2021-01-03	priority 2/3

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-02

Systemic reaction (other): Shooting pains through left arm and left side of chest , mild wheeziness and elevated blood pressure

2021-01-03

Systemic reaction (other): Pain in injection site has subsided.. chest and stem pain has subsided... blood pressure has been elevated ever since the day after the injection...currently 141/79

2021-01-04

Systemic reaction (other): Felt rough this morning but feeling very good tonight I think I'm leveling off and BP going back to normal

2021-01-06

Systemic reaction (other): Felt like a respiratory infection for a day or two I have asthma so I think the shot triggered my asthma but I am feeling great today finally so about six days not feeling so great I will probably not get the second shot

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Numbness in left thumb

2021-01-30

Systemic reaction (other): Fever And chills was Friday and last night was last night I didnt sleep all night but has subsided today

2021-01-31

Systemic reaction (other): Achy eyes and jaw ... Advil helps a lot ...still very tired

2021-02-01

Systemic reaction (other): Feel feverish but no fever

2021-02-02

Systemic reaction (other): Shaky and nauseous but not bad

Release 3 — day 7, dose 2

2021-02-04

Systemic reaction (other): Left eye is blurry Dont know if its related but going to the eye doctor

Release 5 — day 35, dose 2

2021-03-04

Symptoms: Ive had blurry vision in one eye since six days after the vaccine its been four weeks I am taking Valtrex and Zirgan And its starting to clear up finally but the vaccine has really messed with my immune system

Release 11 — 12 months, dose 2

2022-01-28

Symptoms: I got Covid again it was bad just like the flu still have no messed up taste and nausea

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	COVID-19	·	·	✓
SD	Immune system disorder	✓	✓	✓
SD	Influenza like illness	·	·	✓
SD	Nausea	·	·	✓
SD	Vision blurred	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Blood pressure abnormal	✓	✓	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Self-medication	·	·	✓
SRO	Tremor	✓	✓	✓
SRO	Vision blurred	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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