ZTD-12300-97857

2 vaccinations 11 coded responses 15 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 852 / AZ
Registered: 2021-01-18

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

2021-01-18
Registered in v-safe
2021-01-18
Dose 1 — Moderna
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-01-25
Survey response — day 7, dose 1
MedDRA: Lymph node pain, Pain in extremity — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pain in my arm pit lymph nodes in the arm I got the injection for 3 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Report sent to call center — day 7, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-02
Survey response — day 14, dose 1
MedDRA: Abnormal faeces, Chills, Diarrhoea, Gastric disorder, Night sweats, Pain — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Stomach problems, small amounts of food seem to fill me completely up, fecal is frothy and the diarrhea has yet to stop. Body aches, chills, night sweats. None of this happened before the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Report sent to call center — day 14, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-08
Survey response — day 21, dose 1
MedDRA: Arthralgia, Headache, Musculoskeletal stiffness, Myalgia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Lots of muscle pains, stiff neck, headaches and sore joints.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Report sent to call center — day 21, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-15
Dose 2 — Moderna
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Gait disturbance, Gait inability — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Extreme dizziness, to the point of being unable to walk

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Vertigo, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Poor · Site: Pain, Redness, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — day 7, dose 2
MedDRA: Vertigo — Feeling: Fair · Site: Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — day 14, dose 2
MedDRA: Rash, Secretion discharge — Feeling: Fair · Be unable to do your normal daily activities

Free text: I am having rashes that come and go on my face and allot of mucus in my throat after eating anything.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — day 21, dose 2
MedDRA: Cough, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continues cough, takes on my face, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Call 1 — Could Not Reach Participant
2021-06-08
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-18	Moderna
2	2021-02-15	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-25	Unsuccessful
2021-02-02	Unsuccessful
2021-02-08	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): Light headed

Release 2 — day 7, dose 1

2021-01-25

Systemic reaction (other): Pain in my arm pit lymph nodes in the arm I got the injection for 3 days

Release 3 — day 14, dose 1

2021-02-02

Symptoms: Stomach problems, small amounts of food seem to fill me completely up, fecal is frothy and the diarrhea has yet to stop. Body aches, chills, night sweats. None of this happened before the vaccine.

Release 3 — day 21, dose 1

2021-02-08

Symptoms: Lots of muscle pains, stiff neck, headaches and sore joints.

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): Extreme dizziness, to the point of being unable to walk

2021-02-17

Systemic reaction (other): Vertigo, dizziness

2021-02-20

Systemic reaction (other): Vertigo

2021-02-21

Systemic reaction (other): Vertigo

Release 4 — day 7, dose 2

2021-02-22

Systemic reaction (other): Vertigo

Release 4 — day 14, dose 2

2021-03-01

Symptoms: I am having rashes that come and go on my face and allot of mucus in my throat after eating anything.

Release 5 — day 21, dose 2

2021-03-08

Symptoms: Continues cough, takes on my face, fatigue

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	Abnormal faeces	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastric disorder	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Night sweats	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Secretion discharge	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Gait disturbance	✓	✓	○
SRO	Gait inability	·	·	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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