ZSS-39221-60699

2 vaccinations 10 coded responses 24 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 996 / AK
Registered: 2021-01-16

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

2021-01-15
Dose 1 — Moderna
2021-01-16
Registered in v-safe
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Abdominal pain

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Abdominal pain

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Abdominal pain

Adult check-in
2021-01-20
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain, Back pain, Pruritus — Feeling: Fair · Muscle or body aches, Abdominal pain

Free text: I have mild to moderate shifting abdominal and back pain and a sense of internal itchiness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Abdominal pain

Free text: Some itching inside my abdominal area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches

Adult check-in
2021-01-29
Survey response — day 14, dose 1
MedDRA: Blood pressure increased, Gastritis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Gastritis and my blood pressure went up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-05
Survey response — day 21, dose 1
MedDRA: Blood pressure increased, Gastritis, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I had mild gastritis and also went to see the doctor and my blood pressure was up a bit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-12
Dose 2 — Moderna
2021-02-12
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Nausea, Abdominal pain

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Abdominal pain

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Abdominal pain

Adult check-in
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event, Self-medication — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: I took Pepcid for my stomach so I dont have any symptoms today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Abdominal pain

Adult check-in
2021-02-19
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-26
Survey response — day 14, dose 2
MedDRA: Abdominal discomfort — Feeling: Fair

Free text: Upset stomach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 21, dose 2
MedDRA: Gastric disorder — Feeling: Fair

Free text: Its ongoing stomach problems. Which seem to come on after the first vaccine. Though Ive had gastritis before. I cant see his worsening but its not getting better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 28, dose 2
MedDRA: Abdominal pain upper — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Upper abdominal pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-19
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-26
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-05-28
Call successful
Participant prefers to complete VAERS report online
2021-08-13
Survey response — 6 months, dose 2
MedDRA: Headache, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Small headache sore throat

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-12
Survey response — 12 months, dose 2
MedDRA: Nausea — Feeling: Fair

Free text: Currently I feel a little nauseous. Maybe I have a small stomach flu. But no Covid.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-12	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-29	Successful	Participant prefers to complete VAERS report online
2021-02-05	Successful	Participant prefers to complete VAERS report online
2021-03-12	Successful 2021-05-28	Participant prefers to complete VAERS report online

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-20

Systemic reaction (other): I have mild to moderate shifting abdominal and back pain and a sense of internal itchiness.

2021-01-21

Systemic reaction (other): Some itching inside my abdominal area

Release 3 — day 14, dose 1

2021-01-29

Symptoms: Gastritis and my blood pressure went up

Release 3 — day 21, dose 1

2021-02-05

Symptoms: I had mild gastritis and also went to see the doctor and my blood pressure was up a bit

Release 4 — days 1–6 daily, dose 2

2021-02-17

Systemic reaction (other): I took Pepcid for my stomach so I dont have any symptoms today.

Release 4 — day 14, dose 2

2021-02-26

Symptoms: Upset stomach

Release 5 — day 21, dose 2

2021-03-05

Symptoms: Its ongoing stomach problems. Which seem to come on after the first vaccine. Though Ive had gastritis before. I cant see his worsening but its not getting better.

Release 5 — day 28, dose 2

2021-03-12

Symptoms: Upper abdominal pain.

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: Small headache sore throat

Release 11 — 12 months, dose 2

2022-02-12

Symptoms: Currently I feel a little nauseous. Maybe I have a small stomach flu. But no Covid.

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	Abdominal discomfort	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Blood pressure increased	✓	✓	✓
SD	Gastric disorder	✓	✓	✓
SD	Gastritis	✓	✓	✓
SD	Headache	✓	·	✓
SD	Medical counselling	✓	✓	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	✓	·	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	No adverse event	✓	✓	○
SRO	Pruritus	✓	✓	✓
SRO	Self-medication	·	·	✓

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