ZPX-31404-39076

3 vaccinations 6 coded responses 15 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 673 / KS
Registered: 2021-08-11

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

2021-07-29
Dose 1 — Moderna
2021-08-11
Registered in v-safe
2021-08-11
Survey response — day 7, dose 1
MedDRA: Chills, Feeling cold — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Strange for me to be cool or have chills since Im usually always hot or very warm blooded

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-12
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-08-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-08-31
Dose 2 — Moderna
2021-09-04
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Feeling abnormal, Vision blurred — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Moderate Fuzzy head feeling, mild blurry eyes and my fatigue is severe

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-06
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Feeling abnormal — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Extreme tiredness and fuzzy head feeling

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-07
Health check-in — day 7, dose 2
Feeling: Good · Abdominal pain

Adult check-in
2021-09-14
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-09-21
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-09-29
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-10-05
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-10-12
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-12-02
Survey response — 3 months, dose 2
MedDRA: Asthenia, Fatigue, Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: More frequent headache and my body usage with little to no energy or strength. Always tired like exhausted

MedDRA releases: 2024-11 · check-in free text available
2022-03-17
Dose 3 — Moderna
2022-06-23
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-09-18
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Blood pressure increased, Condition aggravated, Muscle spasms, Pre-existing disease, Restlessness — Feeling: Fair · Be unable to do your normal daily activities, 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: Increased aches in joints and muscle spasms in lower back and going into front lower abdomen. Never feel rested no matter how my sleep I get& believe me it is nowhere near enough! GERD has intensified greatly and blood pressure has sky rocketed

MedDRA releases: 2024-11 · check-in free text available
2022-09-18
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · 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)
2022-09-20
Call 2 — Could Not Reach Participant
2022-09-23
Call 3 — Could Not Reach Participant
2023-03-19
Survey response — 12 months, dose 3
MedDRA: Anxiety, Arthralgia, Arthropathy, Asthenia, Bladder disorder, COVID-19, Depression, Fatigue, Headache, Joint lock, Renal disorder, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-19
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-20
Call 1 — Left Voicemail
2023-03-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-29	Moderna	No
2	2021-08-31	Moderna	No
3	2022-03-17	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-09-18	Unsuccessful
2023-03-19	Unsuccessful

Free text

Release 9 — day 7, dose 1

2021-08-11

Systemic reaction (other): Strange for me to be cool or have chills since Im usually always hot or very warm blooded

Release 9 — days 1–6 daily, dose 2

2021-09-04

Systemic reaction (other): Moderate Fuzzy head feeling, mild blurry eyes and my fatigue is severe

2021-09-06

Systemic reaction (other): Extreme tiredness and fuzzy head feeling

Release 10 — 3 months, dose 2

2021-12-02

Symptoms: More frequent headache and my body usage with little to no energy or strength. Always tired like exhausted

Release 12 — 6 months, dose 3

2022-09-18

Symptoms: Increased aches in joints and muscle spasms in lower back and going into front lower abdomen. Never feel rested no matter how my sleep I get& believe me it is nowhere near enough! GERD has intensified greatly and blood pressure has sky rocketed

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	Anxiety	·	·	✓
SD	Arthralgia	·	·	✓
SD	Arthropathy	·	·	✓
SD	Asthenia	·	·	✓
SD	Bladder disorder	·	·	✓
SD	Blood pressure increased	·	·	✓
SD	Condition aggravated	·	·	✓
SD	COVID-19	·	·	✓
SD	Depression	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Joint lock	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Renal disorder	·	·	✓
SD	Restlessness	·	·	✓
SRO	Chills	✓	·	✓
SRO	Fatigue	✓	·	✓
SRO	Feeling abnormal	✓	·	✓
SRO	Feeling cold	✓	·	✓
SRO	Vision blurred	✓	·	✓

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