ZQY-82954-37809

4 vaccinations 9 coded responses 37 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 939 / CA
Registered: 2021-02-17

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

2021-02-14
Dose 1 — Moderna
2021-02-17
Registered in v-safe
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-14
Dose 2 — Moderna
2021-03-14
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Abnormal dreams, Feeling abnormal — Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness

Free text: Life-like dreams, moderate-major brainfog, especially yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, Nausea

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Depression, Feeling abnormal, Rash — Feeling: Fair · Site: Itching · Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Rash probably not related.... like my on again, off again rash but this was back to back to my last rash. Also depression has been an issue and still brain fog.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-03-28
Survey response — day 14, dose 2
MedDRA: Arthralgia, Condition aggravated, Depressed mood, Depression, Fatigue, Joint swelling, Pain in extremity, Peripheral swelling, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: More joint problems than usual in all my limbs including shoulder where injection was. Ankle, arch and foot hurt and swelled up. Swelling down still sore. Wrists, fingers, knee hurt.Still depressed. Related?Still fatigued but somewhat better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-11
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-09-09
Dose 3 — Moderna
2021-09-09
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-09-10
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity, Peripheral swelling — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Painful swollen fingers

MedDRA releases: 2024-11 · check-in free text available
2021-09-11
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Continuing sore throat.

MedDRA releases: 2024-11 · check-in free text available
2021-09-12
Survey response — days 1–6 daily, dose 3
MedDRA: Nausea — Feeling: Good · Site: Pain, Redness, Itching · Nausea · Be unable to do your normal daily activities

Free text: I think nausea could have been from too rich of a breakfast.

MedDRA releases: 2024-11 · check-in free text available
2021-09-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-09-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-09-16
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-24
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-30
Survey response — day 21, dose 3
MedDRA: Condition aggravated, Musculoskeletal pain, Office visit, Pre-existing disease, Ulcer — 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

Free text: Symptoms: Ive had ongoing now worse symptoms of hip pain, worse on and off leg fatigue and a re-curring sore. Also my sitting area hurts after several minutes of sitting. Related????? · Healthcare visit (other): In office visit

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Report sent to call center — day 21, 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 · 1 call case(s)
2021-10-07
Survey response — day 28, dose 3
MedDRA: Fatigue, Muscle fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue especially in thighs and middle back

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-21
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-03
Call 2 — Left Voicemail
2021-12-09
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-10
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-21
Dose 4 — Moderna
2022-05-15
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-27
Survey response — day 35, dose 4
MedDRA: Cardiac disorder, Lung disorder, Unevaluable event — 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: Symptoms: Heart/lung problems · Healthcare visit (other): More appointments scheduled for next week.

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Report sent to call center — day 35, dose 4
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)
2022-06-01
Call 1 — Could Not Reach Participant
2022-06-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-06-06
Call 1 — Left Voicemail
2022-06-06
Call 2 — Left Voicemail
2022-07-23
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-23
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-14	Moderna
2	2021-03-14	Moderna
3	2021-09-09	Moderna	No
4	2022-04-21	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-09-30	Unsuccessful
2022-05-27	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-16

Systemic reaction (other): Life-like dreams, moderate-major brainfog, especially yesterday.

Release 6 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): Rash probably not related.... like my on again, off again rash but this was back to back to my last rash. Also depression has been an issue and still brain fog.

Release 6 — day 14, dose 2

2021-03-28

Symptoms: More joint problems than usual in all my limbs including shoulder where injection was. Ankle, arch and foot hurt and swelled up. Swelling down still sore. Wrists, fingers, knee hurt.Still depressed. Related?Still fatigued but somewhat better.

Release 9 — days 1–6 daily, dose 3

2021-09-10

Systemic reaction (other): Painful swollen fingers

2021-09-11

Systemic reaction (other): Continuing sore throat.

2021-09-12

Systemic reaction (other): I think nausea could have been from too rich of a breakfast.

Release 9 — day 21, dose 3

2021-09-30

Symptoms: Ive had ongoing now worse symptoms of hip pain, worse on and off leg fatigue and a re-curring sore. Also my sitting area hurts after several minutes of sitting. Related?????

Healthcare visit (other): In office visit

Release 10 — day 28, dose 3

2021-10-07

Symptoms: Extreme fatigue especially in thighs and middle back

Release 11 — day 35, dose 4

2022-05-27

Symptoms: Heart/lung problems

Healthcare visit (other): More appointments scheduled for next week.

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	Office visit	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Cardiac disorder	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Depressed mood	·	·	✓
SD	Depression	✓	✓	○
SD	Fatigue	✓	✓	✓
SD	Joint swelling	·	·	✓
SD	Lung disorder	·	·	✓
SD	Muscle fatigue	·	·	✓
SD	Musculoskeletal pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Ulcer	·	·	✓
SRO	Abnormal dreams	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Nausea	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Peripheral swelling	·	·	✓
SRO	Rash	✓	✓	✓

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