ZNR-15943-61329

5 vaccinations 11 coded responses 43 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 856 / AZ
Registered: 2021-01-22

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-20
Dose 1 — Moderna
2021-01-22
Registered in v-safe
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Itching · Muscle or body aches

Adult check-in
2021-01-27
Health check-in — day 7, dose 1
Feeling: Good · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-17
Dose 2 — Moderna
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Fatigue, Feeling of body temperature change, Malaise, Myalgia — Feeling: Good · Site: Redness, Itching · Muscle or body aches, Fatigue or tiredness

Free text: I was quite ill the night of injection. Running 100 temp and severe chills. 3rd day i felt great except for muscle pain and tiredness. 4th day still tired but I seem to not have anymore problems.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Redness, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — day 7, dose 2
MedDRA: No adverse event — Feeling: Good · Headache, Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 35, dose 2
Feeling: Good

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

Adult check-in
2021-05-19
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Contusion — Feeling: Good

Free text: Bruises on right arm where no trama has occured. Right shoulder also hurts.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-20
Survey response — 6 months, dose 2
MedDRA: Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: I am having pain i. .h body but it is possible arthritisRwally tired ut that could be somthing else.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-20
Dose 3 — Moderna
2022-02-19
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-10
Dose 4 — Moderna
2022-06-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-12
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness

Adult check-in
2022-06-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2022-06-14
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Fair · Site: Redness, Itching · Headache, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-06-15
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good · Site: Itching · Fatigue or tiredness

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-06-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-17
Survey response — day 7, dose 4
MedDRA: No adverse event — Feeling: Good · Headache

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-06-24
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-08
Survey response — day 28, dose 4
MedDRA: Musculoskeletal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sudden pain in right buttocks not respoding to pain meds.

MedDRA releases: 2024-11 · check-in free text available
2022-07-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-22
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-09-09
Survey response — 3 months, dose 4
MedDRA: Fatigue, Office visit, Pain — Feeling: Fair · 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: Symptoms: Crazy bld wk . Really tired all time. Getting scan of thyroid. Bad body aches · Healthcare visit (other): New endo dr referred by pop.

MedDRA releases: 2024-11 · check-in free text available
2022-09-09
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-12
Call 2 — Left Voicemail
2022-10-17
Dose 5 — Moderna
Co-administered: Flu
2022-10-17
Health check-in — day 0, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-18
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache

Adult check-in
2022-10-19
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Itching · Headache

Adult check-in
2022-10-20
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Itching · Headache

Adult check-in
2022-10-21
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Itching · None

Adult check-in
2022-10-22
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Itching · None

Adult check-in
2022-10-23
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-24
Health check-in — day 7, dose 5
Feeling: Good · Site: Itching · None

Adult check-in
2022-10-31
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-07
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-14
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-21
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-28
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-16
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-17
Survey response — 6 months, dose 5
MedDRA: Arthritis, Chromaturia, Fatigue, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-17
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-18
Call 1 — Requested Callback
2023-04-19
Call 1 — Could Not Reach Participant
2023-04-19
Call 2 — Could Not Reach Participant
2023-04-19
Callback requested for
11:00AM ET

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-17	Moderna
3	2021-12-20	Moderna	No
4	2022-06-10	Moderna	No
5	2022-10-17	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-09-09	Unsuccessful
2023-04-17	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): I was quite ill the night of injection. Running 100 temp and severe chills. 3rd day i felt great except for muscle pain and tiredness. 4th day still tired but I seem to not have anymore problems.

2021-02-22

Systemic reaction (other): No

Release 4 — day 7, dose 2

2021-02-24

Systemic reaction (other): No

Release 8 — 3 months, dose 2

2021-05-19

Symptoms: Bruises on right arm where no trama has occured. Right shoulder also hurts.

Release 9 — 6 months, dose 2

2021-08-20

Symptoms: I am having pain i. .h body but it is possible arthritisRwally tired ut that could be somthing else.

Release 12 — days 1–6 daily, dose 4

2022-06-14

Systemic reaction (other): No

2022-06-15

Systemic reaction (other): No

Release 12 — day 7, dose 4

2022-06-17

Systemic reaction (other): No

Release 12 — day 28, dose 4

2022-07-08

Symptoms: Sudden pain in right buttocks not respoding to pain meds.

Release 12 — 3 months, dose 4

2022-09-09

Symptoms: Crazy bld wk . Really tired all time. Getting scan of thyroid. Bad body aches

Healthcare visit (other): New endo dr referred by pop.

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	Arthritis	·	·	✓
SD	Chromaturia	·	·	✓
SD	Contusion	✓	✓	✓
SD	Fatigue	✓	·	✓
SD	Musculoskeletal pain	·	·	✓
SD	Pain	✓	·	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling of body temperature change	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	No adverse event	✓	✓	✓

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