ZSV-12311-40108

4 vaccinations 8 coded responses 37 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 894 / NV
Registered: 2020-12-28

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

2020-12-28
Registered in v-safe
2020-12-28
Dose 1 — Moderna
2020-12-28
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2020-12-29
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Pyrexia, Self-medication — Feeling: Good · Site: Pain · Fever · Be unable to do your normal daily activities

Free text: Fever actually developed last night at 8pm (after I had done daily check-in). I took 600mg of ibuprofen, and fever broke at 11pm and did not return.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Adult check-in
2020-12-31
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-01-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-25
Dose 2 — Moderna
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle tightness, Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Free text: Muscle tension and stiffness in neck and upper back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache · Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-01
Survey response — day 7, dose 2
MedDRA: Back pain — Feeling: Fair · Muscle or body aches

Free text: Lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-22
Survey response — day 28, dose 2
MedDRA: Hypoaesthesia — Feeling: Good

Free text: Intermittent numbness at base of left thumb.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-28
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Menstruation irregular, Pre-existing disease, Tendon pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Arthritis has worsened...joint pain, tendon pain. Menstrual irregularities (skipped period).

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-10
Dose 3 — Moderna
2021-11-18
Survey response — day 7, dose 3
MedDRA: Headache, Injection site pain, Pyrexia — Feeling: Good

Free text: Injection site pain, headache and fever the day after vaccination.

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-15
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-22
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-09
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-11
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-09
Dose 4 — Moderna
2022-09-26
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-09-30
Survey response — day 21, dose 4
MedDRA: Migraine, Sinus headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sinus and migraine headaches.

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-21
Survey response — day 42, dose 4
MedDRA: Menstruation irregular — Feeling: Good

Free text: Menstrual irregularities

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-12
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-25	Moderna
3	2021-11-10	Moderna	No
4	2022-09-09	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2020-12-29	priority 2/3
2020-12-30	priority 2/3
2020-12-31	priority 2/3

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-30

Systemic reaction (other): Fever actually developed last night at 8pm (after I had done daily check-in). I took 600mg of ibuprofen, and fever broke at 11pm and did not return.

Release 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): Muscle tension and stiffness in neck and upper back

Release 3 — day 7, dose 2

2021-02-01

Systemic reaction (other): Lower back pain

Release 4 — day 28, dose 2

2021-02-22

Symptoms: Intermittent numbness at base of left thumb.

Release 9 — 6 months, dose 2

2021-07-28

Symptoms: Arthritis has worsened...joint pain, tendon pain. Menstrual irregularities (skipped period).

Release 10 — day 7, dose 3

2021-11-18

Systemic reaction (other): Injection site pain, headache and fever the day after vaccination.

Release 12 — day 21, dose 4

2022-09-30

Symptoms: Sinus and migraine headaches.

Release 12 — day 42, dose 4

2022-10-21

Symptoms: Menstrual irregularities

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	Arthralgia	✓	·	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Menstruation irregular	✓	·	✓
SD	Migraine	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Sinus headache	·	·	✓
SD	Tendon pain	✓	·	✓
SRO	Back pain	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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