ZSH-19085-27505

2 vaccinations 11 coded responses 14 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 549 / WI
Registered: 2021-04-11

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

2021-04-09
Dose 1 — Moderna
2021-04-11
Registered in v-safe
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Sore Throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Lightheaded/Dizzy, Brain Fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Feeling abnormal, Muscle spasms, Vision blurred — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lightedheaded/Dizzy, Blurred Vision, Brain Fog, Back Spasms, Sore Throat, Metallic Taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Feeling abnormal, Muscle spasms, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Lightheaded/Dizzy, Brain Fog, Back Spasms, Sore Throat, Runny Nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog, Dizziness, Muscle spasms, Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Lightheaded/Dizzy, Brain Fog, Back Spasms, Sore Throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 7, dose 1
MedDRA: Brain fog, Dizziness, Muscle spasms, Oropharyngeal pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Lightheaded/Dizzy, Brain Fog, Back Spasms, Sore Throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-30
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-07
Dose 2 — Moderna
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Decreased appetite, Dizziness, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: light-headed & dizzy, chest discomfort, sore throat, runny nose, loss of appetite,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Chest discomfort, Decreased appetite, Dizziness, Oropharyngeal pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Light-headed & dizzy, weak, chest discomfort, sore throat, no appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Chest discomfort, Cough, Decreased appetite, Dizziness, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Light-headed & dizzy, weak, chest discomfort (heaviness), strong cough (feels like theres stuff in my chest I cant get out), sore throat, no appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Brain fog, Chest discomfort, Cough, Decreased appetite, Dizziness, Malaise, Office visit, SARS-CoV-2 test negative — Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Brain fog, lightheaded & dizzy, weak, chest discomfort (heaviness), cough, no appetite · Healthcare visit (other): Went into Urgent Care Monday evening. Tested for CoVid, which came back next day as negative. Still currently sick.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-23
Survey response — day 14, dose 2
MedDRA: Chest discomfort, Chest pain, Dizziness, Dyspnoea, Fatigue, Headache, Lethargy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Lightheadedness, fatigue, lethargy, pain/pressure in chest, and shortness of breathe have all worsened. Still have severe headaches almost daily.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-28
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2022-03-25
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Moderna
2	2021-05-07	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-05-13	Successful	Participant prefers to complete VAERS report online
2021-05-23	Successful 2022-03-25	Participant prefers to complete VAERS report online

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-11

Systemic reaction (other): Sore Throat

2021-04-12

Systemic reaction (other): Lightheaded/Dizzy, Brain Fog

2021-04-13

Systemic reaction (other): Lightedheaded/Dizzy, Blurred Vision, Brain Fog, Back Spasms, Sore Throat, Metallic Taste

2021-04-14

Systemic reaction (other): Lightheaded/Dizzy, Brain Fog, Back Spasms, Sore Throat, Runny Nose

2021-04-15

Systemic reaction (other): Lightheaded/Dizzy, Brain Fog, Back Spasms, Sore Throat

Release 7 — day 7, dose 1

2021-04-17

Systemic reaction (other): Lightheaded/Dizzy, Brain Fog, Back Spasms, Sore Throat

Release 8 — days 1–6 daily, dose 2

2021-05-08

Systemic reaction (other): light-headed & dizzy, chest discomfort, sore throat, runny nose, loss of appetite,

2021-05-09

Systemic reaction (other): Light-headed & dizzy, weak, chest discomfort, sore throat, no appetite

2021-05-10

Systemic reaction (other): Light-headed & dizzy, weak, chest discomfort (heaviness), strong cough (feels like theres stuff in my chest I cant get out), sore throat, no appetite

2021-05-13

Systemic reaction (other): Brain fog, lightheaded & dizzy, weak, chest discomfort (heaviness), cough, no appetite

Healthcare visit (other): Went into Urgent Care Monday evening. Tested for CoVid, which came back next day as negative. Still currently sick.

Release 8 — day 14, dose 2

2021-05-23

Symptoms: Lightheadedness, fatigue, lethargy, pain/pressure in chest, and shortness of breathe have all worsened. Still have severe headaches almost daily.

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	Malaise	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	SARS-CoV-2 test negative	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Lethargy	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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