ZQT-91741-75376

2 vaccinations 6 coded responses 13 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 596 / MT
Registered: 2021-09-25

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

2021-08-26
Dose 1 — Moderna
2021-09-23
Dose 2 — Moderna
2021-09-25
Registered in v-safe
2021-09-25
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: Increase heart rate

MedDRA releases: 2024-11 · check-in free text available
2021-09-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-09-27
Survey response — days 1–6 daily, dose 2
MedDRA: Immunisation reaction, Vaccine positive rechallenge — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Free text: I believe this is "Covid arm" which I had with the first dose

MedDRA releases: 2024-11 · check-in free text available
2021-09-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2021-09-29
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Free text: I still have not been advised if I need to complete VAERS report

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-10-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-10-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-10-28
Survey response — day 35, dose 2
MedDRA: Contusion, Fatigue, Gastrointestinal disorder, Muscular weakness — Feeling: Fair

Free text: GI issues, fatigue, unexplained bruising and muscle weakness in legs.

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-12-23
Survey response — 3 months, dose 2
MedDRA: Asthenia, Coordination abnormal, Dizziness, Fatigue, Iron binding capacity total decreased, Muscle spasms, Muscular weakness, Serum ferritin decreased — 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

Free text: I have rec'd 2 iron transfusions as my Ferritin, TIBC etc are extremely low. I have weakness, fatigue, dizziness, muscle cramps/weakness, coordination issues etc

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Report sent to call center — 3 months, dose 2
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 · 1 call case(s)
2022-01-03
Call 1 — Left Voicemail
2022-03-24
Survey response — 6 months, dose 2
MedDRA: Cholecystectomy, Cholecystitis, Laparoscopic surgery, Lumbar radiculopathy, Medical procedure, Smear cervix abnormal, Surgery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Had to have EGD in Jan 2022. Had to have laparoscopic gallbladder removed for chronic inflammation March 2022. No stones or blockages found. Had abnormal pap March 2022. Had to have Colposcopy and EC(?).Currently struggling with lumbar radiculopathy. · Healthcare visit (other): Outpatient procedure/surgery.

MedDRA releases: 2024-11 · check-in free text available
2022-03-24
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-03-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-26	Moderna	No
2	2021-09-23	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-23	Unsuccessful
2022-03-24	Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 2

2021-09-25

Systemic reaction (other): Increase heart rate

2021-09-27

Systemic reaction (other): I believe this is "Covid arm" which I had with the first dose

2021-09-29

Systemic reaction (other): I still have not been advised if I need to complete VAERS report

Release 10 — day 35, dose 2

2021-10-28

Symptoms: GI issues, fatigue, unexplained bruising and muscle weakness in legs.

Release 10 — 3 months, dose 2

2021-12-23

Symptoms: I have rec'd 2 iron transfusions as my Ferritin, TIBC etc are extremely low. I have weakness, fatigue, dizziness, muscle cramps/weakness, coordination issues etc

Release 11 — 6 months, dose 2

2022-03-24

Symptoms: Had to have EGD in Jan 2022. Had to have laparoscopic gallbladder removed for chronic inflammation March 2022. No stones or blockages found. Had abnormal pap March 2022. Had to have Colposcopy and EC(?).Currently struggling with lumbar radiculopathy. cut off by CDC

Healthcare visit (other): Outpatient procedure/surgery.

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	Medical procedure	·	·	✓
HCVO	Surgery	·	·	✓
SD	Asthenia	·	·	✓
SD	Cholecystectomy	·	·	✓
SD	Cholecystitis	·	·	✓
SD	Contusion	·	·	✓
SD	Coordination abnormal	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Iron binding capacity total decreased	·	·	✓
SD	Laparoscopic surgery	·	·	✓
SD	Lumbar radiculopathy	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Serum ferritin decreased	·	·	✓
SD	Smear cervix abnormal	·	·	✓
SRO	Heart rate increased	·	·	✓
SRO	Immunisation reaction	·	·	✓
SRO	Unevaluable event	·	·	✓
SRO	Vaccine positive rechallenge	·	·	✓

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