ZP8-87324-48609

2 vaccinations 11 coded responses 24 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 442 / OH
Registered: 2020-12-29

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Moderna
2020-12-29
Survey response — day 0, dose 1
MedDRA: Asthenia, Dizziness, Palpitations — Feeling: Fair

Free text: Heart palpations, dizziness, weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Fatigue — Feeling: Fair · Site: Pain, Itching

Free text: A little dizzy and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Dizziness, Motion sickness — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Feels like motion sickness and lightheaded. Have a bit of anxiety feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-05
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-26
Dose 2 — Moderna
2021-01-26
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Poor · Site: Pain · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): Woke up with a rash on entire body · Healthcare visit (other): Gave benadryl and prednisone but rash is coming back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Fair · Site: Pain, Itching · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Rash has not gone away with treatment. I wish someone could tell me somethimg

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: Adverse reaction, Eye swelling, Rash, Self-medication — Feeling: Poor · Site: Swelling, Itching · Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): Rash and rt eye swollen. I am concerned and no one saying this is from moderna shot. I took nyquil and they say could be reaction from that. I am not buying that. What if i loose vision and rash does not go away · Healthcare visit (other): They gave me steroids, zyrtec, and pepsid and sent me home. No concern. Not a good roll out on this vaccine if no n one will help with these life altering symptoms. What will days to come bring? Will it get worse?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Rash, Self-medication — Feeling: Fair · Site: Itching · Rash, not including the immediate area around the injection site

Free text: Rash is clearing from steroids and zyrtec

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: Rash — Feeling: Fair · Site: Itching · Rash, not including the immediate area around the injection site

Free text: Finishing treatment of steroids for all over body rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — day 7, dose 2
MedDRA: Rash — Feeling: Fair · Site: Itching

Free text: Recovering from body rash

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

Adult check-in
2021-02-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-23
Survey response — day 28, dose 2
MedDRA: Arthralgia, Muscle spasms — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Have had bilateral shoulder pain anf mucle cramps sinvr vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-23
Call 1 — Left Voicemail
2021-06-06
Call successful
Participant prefers to complete VAERS report online
2021-07-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-28
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-26	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-28	Unsuccessful
2021-01-30	Successful 2021-06-06	Participant prefers to complete VAERS report online
2021-02-23	Unsuccessful

Free text

Release 1 — day 0, dose 1

2020-12-29

Systemic reaction (other): Heart palpations, dizziness, weakness

Release 1 — days 1–6 daily, dose 1

2020-12-30

Systemic reaction (other): A little dizzy and fatigue

2020-12-31

Systemic reaction (other): Feels like motion sickness and lightheaded. Have a bit of anxiety feeling

Release 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): Dizziness

2021-01-28

Systemic reaction (other): Woke up with a rash on entire body

Healthcare visit (other): Gave benadryl and prednisone but rash is coming back

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Rash has not gone away with treatment. I wish someone could tell me somethimg

2021-01-30

Systemic reaction (other): Rash and rt eye swollen. I am concerned and no one saying this is from moderna shot. I took nyquil and they say could be reaction from that. I am not buying that. What if i loose vision and rash does not go away

Healthcare visit (other): They gave me steroids, zyrtec, and pepsid and sent me home. No concern. Not a good roll out on this vaccine if no n one will help with these life altering symptoms. What will days to come bring? Will it get worse?

2021-01-31

Systemic reaction (other): Rash is clearing from steroids and zyrtec

2021-02-01

Systemic reaction (other): Finishing treatment of steroids for all over body rash

Release 3 — day 7, dose 2

2021-02-02

Systemic reaction (other): Recovering from body rash

Release 4 — day 28, dose 2

2021-02-23

Symptoms: Have had bilateral shoulder pain anf mucle cramps sinvr vaccine

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	Adverse reaction	✓	✓	✓
HCVO	Rash	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Eye swelling	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Motion sickness	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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