ZSG-21003-82401

4 vaccinations 7 coded responses 36 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 020 / MA
Registered: 2021-04-29

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-04-28
Dose 1 — Moderna
2021-04-29
Registered in v-safe
2021-04-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-26
Dose 2 — Moderna
2021-05-26
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-09
Survey response — day 14, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: My ears have been ringing more than usual for the past two weeks or so. My hearing is fine, but my ears will briefly ring a few times per day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-24
Survey response — 6 months, dose 2
MedDRA: Hypoaesthesia, Tinnitus — Feeling: Fair

Free text: Tinnitus in my right ear, and it now seems easier for my feet/hands to fall asleep.

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Dose 3 — Pfizer-BioNTech
2022-05-28
Survey response — 12 months, dose 2
MedDRA: Chills, Fatigue, Pyrexia, Respiratory tract congestion, Tinnitus — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fatigue, congestion, tinnitus, fever and chills

MedDRA releases: 2024-11 · check-in free text available
2022-09-27
Dose 4 — Pfizer-BioNTech
2022-09-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-09-29
Survey response — days 1–6 daily, dose 4
MedDRA: Tinnitus — Feeling: Good · Site: Pain

Free text: Tinnitus

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-04
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-11
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-18
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-25
Survey response — day 28, dose 4
MedDRA: Joint stiffness, Muscle tightness, Nodule — Feeling: Fair

Free text: Tight neck/shoulders and knot in back of left shoulder

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Survey response — day 35, dose 4
MedDRA: Anxiety, Chest pain, Muscle tightness — Feeling: Fair

Free text: I've been more anxious recently, accompanied by tighter shoulders and some minor chest pain

MedDRA releases: 2024-11 · check-in free text available
2022-11-09
Survey response — day 42, dose 4
MedDRA: Axillary pain — Feeling: Good

Free text: Sometimes I have intermittent pain underneath my left armpit

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-28	Moderna
2	2021-05-26	Moderna
3	2021-12-20	Pfizer-BioNTech	No
4	2022-09-27	Pfizer-BioNTech	No

Free text

Release 9 — day 14, dose 2

2021-06-09

Symptoms: My ears have been ringing more than usual for the past two weeks or so. My hearing is fine, but my ears will briefly ring a few times per day.

Release 10 — 6 months, dose 2

2021-11-24

Symptoms: Tinnitus in my right ear, and it now seems easier for my feet/hands to fall asleep.

Release 11 — 12 months, dose 2

2022-05-28

Symptoms: Fatigue, congestion, tinnitus, fever and chills

Release 12 — days 1–6 daily, dose 4

2022-09-29

Systemic reaction (other): Tinnitus

Release 12 — day 28, dose 4

2022-10-25

Symptoms: Tight neck/shoulders and knot in back of left shoulder

Release 12 — day 35, dose 4

2022-11-01

Symptoms: I've been more anxious recently, accompanied by tighter shoulders and some minor chest pain

Release 12 — day 42, dose 4

2022-11-09

Symptoms: Sometimes I have intermittent pain underneath my left armpit

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
SD	Anxiety	·	·	✓
SD	Axillary pain	·	·	✓
SD	Chest pain	·	·	✓
SD	Chills	·	·	✓
SD	Fatigue	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Joint stiffness	·	·	✓
SD	Muscle tightness	·	·	✓
SD	Nodule	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Tinnitus	✓	✓	✓
SRO	Tinnitus	·	·	✓

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