ZNM-12388-76099

4 vaccinations 12 coded responses 46 check-ins 12 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 531 / WI
Registered: 2021-02-01

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

2021-02-01
Registered in v-safe
2021-02-01
Dose 1 — Moderna
2021-02-01
Health check-in — day 0, dose 1
Feeling: Good · None

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

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-04
Dose 2 — Moderna
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit, Sinusitis — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): sinus infection · Healthcare visit (other): dr. visit last Friday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-08
Survey response — day 35, dose 2
MedDRA: Arthritis — Feeling: Good

Free text: Arthritis is acting up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 42, dose 2
MedDRA: Arthritis, Pre-existing disease — Feeling: Good

Free text: Arthritis is acting up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — 3 months, dose 2
MedDRA: Arthritis, Office visit, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Arthritis in knees has acted up. · Healthcare visit (other): office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-18
Call 1 — Left Voicemail
2021-09-02
Survey response — 6 months, dose 2
MedDRA: Lymphadenopathy, Pre-existing disease, Sneezing — Feeling: Good

Free text: Swollen glands and sneezing due to seasonal allergies.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-28
Dose 3 — Moderna
2021-10-28
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Ear pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: earache

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Chills, Headache

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-04
Health check-in — day 7, dose 3
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-11-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-18
Survey response — day 21, dose 3
MedDRA: Dizziness, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Dizzy thought it was an ear infection. Sinus infection.

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-19
Call 1 — Left Voicemail
2021-11-25
Survey response — day 28, dose 3
MedDRA: Asthma, Pre-existing disease, Sinusitis — Feeling: Fair · 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: Asthma has acted up. Doctor has me on prednisone for it. Started with sinus infection

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-13
Call 1 — Could Not Reach Participant
2022-01-18
Call 2 — Could Not Reach Participant
2022-01-27
Survey response — 3 months, dose 3
MedDRA: Asthma, Cough, Gastroenteritis viral, Pre-existing disease, Viral infection — Feeling: Good · Be unable to do your normal daily activities

Free text: Had a virus and stomach flu.the virus ascerbated my asthma. Lasted about 10 weeks with the cough. Stomach flu lasted 12 hours.

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Survey response — 6 months, dose 3
MedDRA: Influenza like illness, Sinus disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus and some flulike symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-29
Call 1 — Left Voicemail
2022-05-06
Dose 4 — Moderna
2022-05-18
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-20
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-27
Survey response — day 21, dose 4
MedDRA: Diarrhoea — Feeling: Good

Free text: Well ive got loose poops

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-10
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-19
Survey response — day 42, dose 4
MedDRA: Asthma, Hypersensitivity, Pre-existing disease — Feeling: Good

Free text: My asthma related to allergies, has kicked in.

MedDRA releases: 2024-11 · check-in free text available
2022-08-05
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-04
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-06
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Moderna
2	2021-03-04	Moderna
3	2021-10-28	Moderna	No
4	2022-05-06	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-09	Unsuccessful
2021-06-03	Unsuccessful
2021-11-18	Unsuccessful
2021-11-25	Unsuccessful
2022-04-28	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-09

Systemic reaction (other): sinus infection

Healthcare visit (other): dr. visit last Friday

Release 7 — day 35, dose 2

2021-04-08

Symptoms: Arthritis is acting up

Release 7 — day 42, dose 2

2021-04-15

Symptoms: Arthritis is acting up

Release 8 — 3 months, dose 2

2021-06-03

Symptoms: Arthritis in knees has acted up.

Healthcare visit (other): office visit

Release 9 — 6 months, dose 2

2021-09-02

Symptoms: Swollen glands and sneezing due to seasonal allergies.

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): earache

Release 10 — day 21, dose 3

2021-11-18

Symptoms: Dizzy thought it was an ear infection. Sinus infection.

Release 10 — day 28, dose 3

2021-11-25

Symptoms: Asthma has acted up. Doctor has me on prednisone for it. Started with sinus infection

Release 11 — 3 months, dose 3

2022-01-27

Symptoms: Had a virus and stomach flu.the virus ascerbated my asthma. Lasted about 10 weeks with the cough. Stomach flu lasted 12 hours.

Release 11 — 6 months, dose 3

2022-04-28

Symptoms: Sinus and some flulike symptoms

Release 11 — day 21, dose 4

2022-05-27

Symptoms: Well ive got loose poops

Release 12 — day 42, dose 4

2022-06-19

Symptoms: My asthma related to allergies, has kicked in.

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	Arthritis	✓	✓	✓
SD	Asthma	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Gastroenteritis viral	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Lymphadenopathy	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sinus disorder	·	·	✓
SD	Sinusitis	·	·	✓
SD	Sneezing	✓	·	✓
SD	Viral infection	·	·	✓
SRO	Ear pain	·	·	✓
SRO	Sinusitis	✓	✓	✓

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