ZTN-16766-27010

2 vaccinations 7 coded responses 24 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 042 / ME
Registered: 2021-03-12

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-12
Registered in v-safe
2021-03-17
Dose 1 — Moderna
2021-03-17
Survey response — day 0, dose 1
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good

Free text: Numbness, tingling, like antihistimines are in my body on the side I had the shot (head, down arm into pinky and ring finger) for the first 30-40 min.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 7, dose 1
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Moderna
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Palpitations — Feeling: Fair · Site: Redness, Itching

Free text: Dizziness and palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Hypotension, Palpitations — Feeling: Fair · Site: Itching · Be unable to do your normal daily activities

Free text: Dizziness and palpitations, low blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Itching

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — day 21, dose 2
MedDRA: Dizziness, Feeling abnormal, Palpitations — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: More dizziness and palpitations as well as brain fog.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — day 21, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-13
Survey response — day 28, dose 2
MedDRA: Dizziness, Nausea — Feeling: Fair · 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: Dizziness and nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-14
Survey response — 6 months, dose 2
MedDRA: Dizziness, Fatigue, Headache, Heart rate increased, Postural orthostatic tachycardia syndrome, Pre-existing disease — 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 · Outpatient clinic or urgent care clinic visit

Free text: Extreme tiredness, prolonged headaches and different types than my usual, as well as continued symptoms of PoTs (dizziness, fast heart beat despite not exercising and plenty of hydration).

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Report sent to call center — 6 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-20
Call 1 — Requested Callback
2021-10-20
Call successful
Participant prefers to complete VAERS report online
2022-04-17
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-15	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-05-06	Successful	Participant prefers to complete VAERS report online
2021-05-13	Successful	Participant prefers to complete VAERS report online
2021-10-14	Successful 2021-10-20	Participant prefers to complete VAERS report online

Free text

Release 5 — day 0, dose 1

2021-03-17

Systemic reaction (other): Numbness, tingling, like antihistimines are in my body on the side I had the shot (head, down arm into pinky and ring finger) for the first 30-40 min.

Release 7 — days 1–6 daily, dose 2

2021-04-19

Systemic reaction (other): Dizziness and palpitations

2021-04-20

Systemic reaction (other): Dizziness and palpitations, low blood pressure

2021-04-21

Systemic reaction (other): Dizziness

Release 8 — day 21, dose 2

2021-05-06

Symptoms: More dizziness and palpitations as well as brain fog.

Release 8 — day 28, dose 2

2021-05-13

Symptoms: Dizziness and nausea

Release 10 — 6 months, dose 2

2021-10-14

Symptoms: Extreme tiredness, prolonged headaches and different types than my usual, as well as continued symptoms of PoTs (dizziness, fast heart beat despite not exercising and plenty of hydration).

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	Dizziness	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Nausea	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Postural orthostatic tachycardia syndrome	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Hypotension	·	·	✓
SRO	Palpitations	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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