ZPR-20979-08294

3 vaccinations 11 coded responses 32 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 908 / CA
Registered: 2021-03-11

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-09
Dose 1 — Moderna
2021-03-11
Registered in v-safe
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Vomiting, Abdominal pain

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Nausea

Adult check-in
2021-03-16
Health check-in — day 7, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-03-24
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-06
Dose 2 — Moderna
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Rash, Rash pruritic — Feeling: Fair · Site: Redness, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Free text: Bumpy, itchy rash on my R arm and the elbow joint

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Headache, Nausea

Adult check-in
2021-04-20
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-28
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-05
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-11
Survey response — day 35, dose 2
MedDRA: Migraine, Nasal pruritus, Nasopharyngitis, Oropharyngeal pain, Paranasal sinus discomfort, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: I had one of the worst colds of my life! I am on day 6, I gave it to my mom also. Itchy itchy nose, nonstop running, sore throat, migraine, temp & sinus pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — day 42, dose 2
MedDRA: Influenza, Nasopharyngitis, SARS-CoV-2 test negative, Sinusitis — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sinus infection & the worst cold/flu of my life-negative Covid test.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Survey response — 3 months, dose 2
MedDRA: Lymphadenopathy, Migraine, Myalgia, Nasal congestion, Rhinorrhoea — Feeling: Fair

Free text: Swollen glands, constant runny nose, migraine, muscle aches. Stuff nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-13
Dose 3 — Moderna
2021-08-14
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2021-08-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-08-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-08-18
Survey response — days 1–6 daily, dose 3
MedDRA: Flank pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Weird side pain under my left bottom rib? Ever since the 3rd vaccine-my mom does also. (b)(6)??? Idk if its inflammation from the shot or?

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Joint pains, Muscle or body aches, Nausea

Adult check-in
2021-08-20
Survey response — day 7, dose 3
MedDRA: Eyelash discolouration — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Some Eyelashes have gone white!?!

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Survey response — day 14, dose 3
MedDRA: Abdominal pain upper, Body temperature increased, Diarrhoea, Nausea, Renal pain, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Temp 100, runs, nausea, stomach pain, kidney pain, doc ordered a Covid test but they are not available!!!!! Then buy one! Wtf no CA is a mess and no testing! No wonder people dont go · Healthcare visit (other): Asshole he his nurse call me!!!

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-03
Survey response — day 21, dose 3
MedDRA: Body temperature increased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I am still running slow grade temp since the 3rd dose. I run 99-100.2I do not have a uti-Irina and bloodworkbut I cannot get the temp down

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-03
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-09
Call 1 — Could Not Reach Participant
2021-09-12
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-09-17
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-09-26
Survey response — day 42, dose 3
MedDRA: Condition aggravated, Inflammation, Office visit, Pre-existing disease — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I had c5-C7 ADR and had a bad inflammatory response. Also my endocrinologist asked what I did in March-my Addisons disease was going into hypothyroid also. She thinks it was the vaccine inflammatory response

MedDRA releases: 2024-11 · check-in free text available
2021-09-26
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-09-29
Call 1 — Left Voicemail
2021-11-14
Survey response — 3 months, dose 3
MedDRA: Systemic lupus erythematosus — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Lupus diagnosis!!!!! My blood was good for three years on tests till now my third dose! I am concerned that the vax brought this on!!!! And I am not happy

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-16
Call 1 — Left Voicemail
2022-02-15
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-08-14
Survey response — 12 months, dose 3
MedDRA: Hypoglycaemia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Extreme Hypoglycmia

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-06	Moderna
3	2021-08-13	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-08-27	Unsuccessful
2021-09-03	Unsuccessful
2021-09-26	Unsuccessful
2021-11-14	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): Bumpy, itchy rash on my R arm and the elbow joint

Release 8 — day 35, dose 2

2021-05-11

Symptoms: I had one of the worst colds of my life! I am on day 6, I gave it to my mom also. Itchy itchy nose, nonstop running, sore throat, migraine, temp & sinus pain

Release 8 — day 42, dose 2

2021-05-18

Symptoms: Sinus infection & the worst cold/flu of my life-negative Covid test.

Release 9 — 3 months, dose 2

2021-07-06

Symptoms: Swollen glands, constant runny nose, migraine, muscle aches. Stuff nose

Release 9 — days 1–6 daily, dose 3

2021-08-18

Systemic reaction (other): Weird side pain under my left bottom rib? Ever since the 3rd vaccine-my mom does also. (b)(6)??? Idk if its inflammation from the shot or?

redacted (b)(6)

Release 9 — day 7, dose 3

2021-08-20

Systemic reaction (other): Some Eyelashes have gone white!?!

Release 9 — day 14, dose 3

2021-08-27

Symptoms: Temp 100, runs, nausea, stomach pain, kidney pain, doc ordered a Covid test but they are not available!!!!! Then buy one! Wtf no CA is a mess and no testing! No wonder people dont go

Healthcare visit (other): Asshole he his nurse call me!!!

Release 9 — day 21, dose 3

2021-09-03

Symptoms: I am still running slow grade temp since the 3rd dose. I run 99-100.2I do not have a uti-Irina and bloodworkbut I cannot get the temp down

Release 9 — day 42, dose 3

2021-09-26

Symptoms: I had c5-C7 ADR and had a bad inflammatory response. Also my endocrinologist asked what I did in March-my Addisons disease was going into hypothyroid also. She thinks it was the vaccine inflammatory response

Release 10 — 3 months, dose 3

2021-11-14

Symptoms: Lupus diagnosis!!!!! My blood was good for three years on tests till now my third dose! I am concerned that the vax brought this on!!!! And I am not happy

Release 12 — 12 months, dose 3

2022-08-14

Symptoms: Extreme Hypoglycmia

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	Unevaluable event	✓	·	✓
SD	Abdominal pain upper	✓	·	✓
SD	Body temperature increased	✓	·	✓
SD	Condition aggravated	·	·	✓
SD	Diarrhoea	✓	·	✓
SD	Hypoglycaemia	·	·	✓
SD	Inflammation	·	·	✓
SD	Influenza	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasal pruritus	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Nausea	✓	·	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Renal pain	✓	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Systemic lupus erythematosus	·	·	✓
SRO	Eyelash discolouration	✓	·	✓
SRO	Flank pain	✓	·	✓
SRO	Rash	✓	✓	✓
SRO	Rash pruritic	✓	✓	✓

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