ZNZ-83097-50896

2 vaccinations 10 coded responses 23 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 334 / FL
Registered: 2021-04-08

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-04-08
Registered in v-safe
2021-04-14
Dose 1 — Moderna
2021-04-14
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Dry mouth, Dysgeusia — Feeling: Good · Fatigue or tiredness

Free text: Slight dry mouth and very slight metallic taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 1
MedDRA: Hot flush — Feeling: Fair · Joint pains, Fatigue or tiredness, Nausea

Free text: Prolonged Hot flashes

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

Free text: Mild tingling in head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 7, dose 1
MedDRA: Dizziness — Feeling: Fair · Nausea

Free text: Head felt dizzy at night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 14, dose 1
MedDRA: Chest discomfort, Dizziness, Fatigue, Flushing, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Moderate to extreme fatigue and mild nausea/dizziness days 9-12 post vaccination Fluish feeling, slightly heavy feeling in lungs day 9-10.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-12
Dose 2 — Moderna
2021-05-12
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Tremor — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Extreme shaking during chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Good · Site: Pain, Itching · Muscle or body aches

Free text: Slight occasional mild pain in shin ( lower leg) last 24 hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-16
Survey response — days 1–6 daily, dose 2
MedDRA: Diarrhoea — Feeling: Fair · Site: Itching · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Very slight diarrhea last couple days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-22
Health check-in — day 7, dose 2
Feeling: Fair · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-05-26
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-16
Survey response — day 35, dose 2
MedDRA: Brain fog, Fatigue, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: More tired and head a little foggy, tingly feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-23
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-11
Health check-in — 3 months, dose 2
Feeling: Good

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

Adult check-in
2022-05-13
Survey response — 12 months, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tired

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-14	Moderna
2	2021-05-12	Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-16

Systemic reaction (other): Slight dry mouth and very slight metallic taste

2021-04-17

Systemic reaction (other): Prolonged Hot flashes

2021-04-18

Systemic reaction (other): Mild tingling in head

Release 7 — day 7, dose 1

2021-04-21

Systemic reaction (other): Head felt dizzy at night

Release 8 — day 14, dose 1

2021-04-28

Symptoms: Moderate to extreme fatigue and mild nausea/dizziness days 9-12 post vaccination Fluish feeling, slightly heavy feeling in lungs day 9-10.

Release 8 — days 1–6 daily, dose 2

2021-05-13

Systemic reaction (other): Extreme shaking during chills

2021-05-14

Systemic reaction (other): Slight occasional mild pain in shin ( lower leg) last 24 hours

2021-05-16

Systemic reaction (other): Very slight diarrhea last couple days

Release 9 — day 35, dose 2

2021-06-16

Symptoms: More tired and head a little foggy, tingly feeling

Release 11 — 12 months, dose 2

2022-05-13

Symptoms: Tired

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	Brain fog	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Flushing	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Tremor	✓	✓	✓

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