ZNL-21786-97143

2 vaccinations 11 coded responses 19 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 769 / TX
Registered: 2021-02-21

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

2021-02-12
Dose 1 — Moderna
2021-02-21
Registered in v-safe
2021-02-21
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-02-26
Survey response — day 14, dose 1
MedDRA: Hypersensitivity, Office visit, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I have been experiencing allergy attacks that are difficult to get under control · Healthcare visit (other): I e be going to the clinic tomorrow to see if they can help me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-12
Dose 2 — Moderna
2021-03-12
Survey response — day 0, dose 2
MedDRA: Pre-existing disease — Feeling: Poor · Site: Pain, Redness · Headache, Fatigue or tiredness

Free text: Allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Hypersensitivity — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Allergies are bad, coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Fair · Site: Swelling, Itching · Headache, Fatigue or tiredness

Free text: Allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Hypersensitivity — Feeling: Good · Site: Swelling, Itching · Headache, Fatigue or tiredness

Free text: Allergies are still bad, a cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Pre-existing disease — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Free text: Cough, allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 7, dose 2
MedDRA: Cough, Vomiting — Feeling: Poor · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Vomiting · Be unable to work

Free text: Vomiting due to coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-09
Survey response — day 28, dose 2
MedDRA: Fatigue, Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Continuous headache and tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-05
Call 1 — Left Voicemail
2021-09-10
Survey response — 6 months, dose 2
MedDRA: Dizziness — Feeling: Fair

Free text: Getting occasional dizzy spells

MedDRA releases: 2024-11 · check-in free text available
2021-09-20
Call 2 — Requested Callback
2021-09-20
Callback requested for
05:00PM ET
2021-09-20
Call successful
Participant prefers to complete VAERS report online
2022-03-12
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Joint swelling — Feeling: Good · Be unable to do your normal daily activities

Free text: My knees started to hurt and swell. I had not done anything out of the ordinary. After about three weeks the pain is almost gone

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-12	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-26	Successful 2021-09-20	Participant prefers to complete VAERS report online

Free text

Release 4 — day 14, dose 1

2021-02-26

Symptoms: I have been experiencing allergy attacks that are difficult to get under control

Healthcare visit (other): I e be going to the clinic tomorrow to see if they can help me.

Release 5 — day 0, dose 2

2021-03-12

Systemic reaction (other): Allergies

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): Allergies are bad, coughing

2021-03-15

Systemic reaction (other): Allergies

2021-03-16

Systemic reaction (other): Allergies are still bad, a cough

2021-03-17

Systemic reaction (other): Cough, allergies

2021-03-18

Systemic reaction (other): Cough

Release 5 — day 7, dose 2

2021-03-19

Systemic reaction (other): Vomiting due to coughing

Release 7 — day 28, dose 2

2021-04-09

Symptoms: Continuous headache and tiredness

Release 9 — 6 months, dose 2

2021-09-10

Symptoms: Getting occasional dizzy spells

Release 11 — 12 months, dose 2

2022-03-12

Symptoms: My knees started to hurt and swell. I had not done anything out of the ordinary. After about three weeks the pain is almost gone

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	✓	✓	○
HCVO	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Joint swelling	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Vomiting	✓	✓	✓

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