ZRE-91944-73734

5 vaccinations 10 coded responses 31 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 385 / TN
Registered: 2021-03-09

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

2021-03-09
Registered in v-safe
2021-03-09
Dose 1 — Moderna
2021-03-09
Health check-in — day 0, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

Free text: Just overall achy as if i was trying to get sick. Runny nose and slight congestion trying to form

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Good · Headache

Free text: Runny nose and slight congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Good

Free text: Nasal congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-30
Survey response — day 21, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Dose 2 — Moderna
2021-04-05
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Extreme soreness where received injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, 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: Good · Site: Itching · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · Diarrhea

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-04-12
Survey response — day 7, dose 2
MedDRA: Injection site discolouration — Feeling: Good

Free text: Discoloration at injection sight

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-03
Survey response — day 28, dose 2
MedDRA: Cough, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Have a dry cough that continues night and day. I have a appointment with my Dr. Next week · Healthcare visit (other): Office visit next week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-05
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-20
Dose 3 — Moderna
2021-10-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-19
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-20
Survey response — 6 months, dose 3
MedDRA: Atrial fibrillation — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Went into afib pn 2/15

MedDRA releases: 2024-11 · check-in free text available
2022-02-20
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-02-28
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-02
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-31
Dose 4 — Moderna
2022-08-20
Survey response — 12 months, dose 3
MedDRA: COVID-19, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school

Free text: Covid. Mild symptoms tested positive for10 days

MedDRA releases: 2024-11 · check-in free text available
2022-09-06
Dose 5 — Moderna
2022-10-22
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-06
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-03-07
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-05	Moderna
3	2021-08-20	Moderna	No
4	2022-03-31	Moderna	No
5	2022-09-06	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-03	Successful 2022-03-02	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-20	Successful 2022-02-28	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Just overall achy as if i was trying to get sick. Runny nose and slight congestion trying to form

2021-03-13

Systemic reaction (other): Runny nose and slight congestion

2021-03-14

Systemic reaction (other): Congestion

2021-03-15

Systemic reaction (other): Nasal congestion

Release 6 — day 21, dose 1

2021-03-30

Symptoms: Sore throat

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Extreme soreness where received injection

Release 7 — day 7, dose 2

2021-04-12

Systemic reaction (other): Discoloration at injection sight

Release 8 — day 28, dose 2

2021-05-03

Symptoms: Have a dry cough that continues night and day. I have a appointment with my Dr. Next week

Healthcare visit (other): Office visit next week

Release 11 — 6 months, dose 3

2022-02-20

Symptoms: Went into afib pn 2/15

Release 12 — 12 months, dose 3

2022-08-20

Symptoms: Covid. Mild symptoms tested positive for10 days

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	Atrial fibrillation	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Injection site discolouration	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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