ZSW-28493-96682

2 vaccinations 11 coded responses 25 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 847 / UT
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
Survey response — day 0, dose 1
MedDRA: Skin burning sensation — Feeling: Good · Site: Itching

Free text: A phantom rash feeing on my abdomen that felt like I had hot coffee poured on me. It never developed a redness or rash.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Same phantom warming on the left side(had vaccine in left deltoid) intermittently since the vaccine was administered on 12/28. No rash. No pain. Just warm feeling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot — Feeling: Good · Site: Pain

Free text: I continue to have intermittent warming on the left side/abdomen that feels like someone is pouring hot liquid on my side. No rash. No redness. No pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot — Feeling: Good · Fatigue or tiredness

Free text: The same warming on my side since the vaccine. It has become less frequent.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot — Feeling: Good

Free text: Same warming sensation on my side/hip but it is not worse. No pain. No redness. No rash.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site warmth — Feeling: Good

Free text: Warming on side of injection. Same for last week. No redness, no rash, no pain but a warming sensation.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Survey response — day 7, dose 1
MedDRA: Feeling hot — Feeling: Good

Free text: Warming on side that is less intense than it has been.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
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
2021-02-01
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-02-02
Dose 2 — Moderna
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain, Redness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — 3 months, dose 2
MedDRA: Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus infection(allergy related)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-02
Survey response — 12 months, dose 2
MedDRA: Respiratory symptom, Sinusitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Sinus infection after about 3 weeks of upper-respiratory symptoms. Covid like.

MedDRA releases: 2024-11 · check-in free text available
2022-02-02
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-02-02	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-05-06	Unsuccessful
2022-02-02	Unsuccessful

Free text

Release 1 — day 0, dose 1

2020-12-28

Systemic reaction (other): A phantom rash feeing on my abdomen that felt like I had hot coffee poured on me. It never developed a redness or rash.

Release 1 — days 1–6 daily, dose 1

2020-12-30

Systemic reaction (other): Same phantom warming on the left side(had vaccine in left deltoid) intermittently since the vaccine was administered on 12/28. No rash. No pain. Just warm feeling.

2020-12-31

Systemic reaction (other): I continue to have intermittent warming on the left side/abdomen that feels like someone is pouring hot liquid on my side. No rash. No redness. No pain.

2021-01-01

Systemic reaction (other): The same warming on my side since the vaccine. It has become less frequent.

2021-01-02

Systemic reaction (other): Same warming sensation on my side/hip but it is not worse. No pain. No redness. No rash.

2021-01-03

Systemic reaction (other): Warming on side of injection. Same for last week. No redness, no rash, no pain but a warming sensation.

Release 1 — day 7, dose 1

2021-01-04

Systemic reaction (other): Warming on side that is less intense than it has been.

Release 3 — days 1–6 daily, dose 2

2021-02-06

Systemic reaction (other): Sore throat

2021-02-07

Systemic reaction (other): Sore throat

Release 8 — 3 months, dose 2

2021-05-06

Symptoms: Sinus infection(allergy related)

Release 11 — 12 months, dose 2

2022-02-02

Symptoms: Sinus infection after about 3 weeks of upper-respiratory symptoms. Covid like.

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	Respiratory symptom	·	·	✓
SD	Sinusitis	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Skin burning sensation	✓	✓	✓

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