ZT2-29117-98880

4 vaccinations 10 coded responses 40 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 378 / TN
Registered: 2021-02-23

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

2021-02-22
Dose 1 — Moderna
2021-02-23
Registered in v-safe
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising, Injection site erythema — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Redness has and is more of green and purple bruising at site area since getting the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site discolouration — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Still green and purple at site but better than yesterday,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Skin discolouration, Unevaluable event — Feeling: Good · Site: Pain, Swelling

Free text: Site continues to be purple and green but better than yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site discolouration — Feeling: Good · Site: Pain

Free text: Still green and purple at site but getting better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — day 7, dose 1
MedDRA: Injection site bruising — Feeling: Good

Free text: Still green/purple at injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-22
Dose 2 — Moderna
2021-03-22
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia, Rash — Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Think had fever but it broke last night. Rash on back. Had with first vaccine but thought it was my eczema.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Good · Site: Pain · Muscle or body aches, Rash, not including the immediate area around the injection site

Free text: Rash on back is better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-29
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-20
Survey response — 6 months, dose 2
MedDRA: Breast mass, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Nodule on breast. · Healthcare visit (other): Regular Dr. Visit

MedDRA releases: 2024-11 · check-in free text available
2021-09-20
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-22
Call 1 — Left Voicemail
2022-01-21
Dose 3 — Moderna
2022-03-22
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-27
Dose 4 — Moderna
2022-05-27
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Headache

Adult check-in
2022-05-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2022-05-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2022-05-31
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2022-06-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2022-06-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-06-03
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-06-10
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-17
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-24
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-08
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-11-25
Survey response — 6 months, dose 4
MedDRA: Cough, Nasopharyngitis, Rhinorrhoea — Feeling: Fair

Free text: Cold, nasal drainage, and slight cough

MedDRA releases: 2024-11 · check-in free text available
2023-05-28
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-22	Moderna
2	2021-03-22	Moderna
3	2022-01-21	Moderna	No
4	2022-05-27	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-09-20	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-25

Systemic reaction (other): Redness has and is more of green and purple bruising at site area since getting the vaccine.

2021-02-26

Systemic reaction (other): Still green and purple at site but better than yesterday,

2021-02-27

Systemic reaction (other): Site continues to be purple and green but better than yesterday.

2021-02-28

Systemic reaction (other): Still green and purple at site but getting better.

Release 4 — day 7, dose 1

2021-03-01

Systemic reaction (other): Still green/purple at injection site.

Release 6 — day 0, dose 2

2021-03-22

Systemic reaction (other): None

Release 6 — days 1–6 daily, dose 2

2021-03-24

Systemic reaction (other): Think had fever but it broke last night. Rash on back. Had with first vaccine but thought it was my eczema.

2021-03-27

Systemic reaction (other): Rash on back is better.

Release 9 — 6 months, dose 2

2021-09-20

Symptoms: Nodule on breast.

Healthcare visit (other): Regular Dr. Visit

Release 12 — 6 months, dose 4

2022-11-25

Symptoms: Cold, nasal drainage, and slight cough

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	Office visit	·	·	✓
SD	Breast mass	·	·	✓
SD	Cough	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site discolouration	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Skin discolouration	✓	·	✓
SRO	Unevaluable event	○	✓	○

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