ZSS-25005-29419

5 vaccinations 7 coded responses 41 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 049 / ME
Registered: 2021-03-24

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

2021-03-24
Registered in v-safe
2021-03-24
Dose 1 — Moderna
2021-03-24
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Survey response — day 14, dose 1
MedDRA: Cough, Nasal congestion, Nasopharyngitis, Rhinorrhoea, Sneezing, Upper-airway cough syndrome — Feeling: Fair · Be unable to work

Free text: Spring cold: sneezing, runny/stuffy nose, post nasal drip, cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 21, dose 1
MedDRA: Fatigue, Hypersensitivity, Pre-existing disease, Rhinorrhoea, Sneezing — Feeling: Good

Free text: Bad allergies: sneezing & runny nose.Also periods of extreme fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Dose 2 — Moderna
2021-04-21
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Acne — Feeling: Good

Free text: Acne

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 7, dose 2
MedDRA: Acne — Feeling: Good

Free text: Severe acne

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-22
Survey response — 3 months, dose 2
MedDRA: Acne, Cough, Hypoaesthesia, Increased tendency to bruise, Nasopharyngitis, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extended cold with cough, easy bruising, acne, numbness and tingling in fingers and toes

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-27
Dose 3 — Moderna
2022-04-19
Dose 4 — Moderna
2022-04-21
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-01
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-05
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-19
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-01
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-21
Survey response — 3 months, dose 4
MedDRA: Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: High blood pressure

MedDRA releases: 2024-11 · check-in free text available
2022-07-21
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-07-22
Call 1 — Left Voicemail
2022-09-16
Dose 5 — Pfizer-BioNTech
2022-09-18
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-09-19
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-21
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-09-25
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-02
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-09
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-17
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-29
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-18
Survey response — 3 months, dose 5
MedDRA: Illness, Influenza like illness — Feeling: Poor · Be unable to work or attend school

Free text: Horrible flu-like symptoms for the last 3 weeks. My step son came home with it after more than 50% of his school population were out with similar symptoms. Not covid, not flu. Just sickness.

MedDRA releases: 2024-11 · check-in free text available
2023-03-17
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-21	Moderna
3	2021-10-27	Moderna	No
4	2022-04-19	Moderna	No
5	2022-09-16	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-07-21	Unsuccessful

Free text

Release 7 — day 14, dose 1

2021-04-07

Symptoms: Spring cold: sneezing, runny/stuffy nose, post nasal drip, cough

Release 7 — day 21, dose 1

2021-04-15

Symptoms: Bad allergies: sneezing & runny nose.Also periods of extreme fatigue

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Acne

Release 8 — day 7, dose 2

2021-04-28

Systemic reaction (other): Severe acne

Release 9 — 3 months, dose 2

2021-07-22

Symptoms: Extended cold with cough, easy bruising, acne, numbness and tingling in fingers and toes

Release 12 — 3 months, dose 4

2022-07-21

Symptoms: High blood pressure

Release 12 — 3 months, dose 5

2022-12-18

Symptoms: Horrible flu-like symptoms for the last 3 weeks. My step son came home with it after more than 50% of his school population were out with similar symptoms. Not covid, not flu. Just sickness.

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	Acne	·	·	✓
SD	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Hypertension	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Illness	·	·	✓
SD	Increased tendency to bruise	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Paraesthesia	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SRO	Acne	✓	✓	✓

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