ZTR-31718-09387

3 vaccinations 6 coded responses 32 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 207 / MD
Registered: 2021-03-15

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-05
Dose 1 — Moderna
2021-03-15
Registered in v-safe
2021-03-15
Survey response — day 7, dose 1
MedDRA: Injection site discolouration, Injection site pain, Injection site pruritus — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Pain, itching, tenderness, discoloration on the upper arm, a few inches away from injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-02
Dose 2 — Moderna
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Injection site pain, Injection site pruritus — Feeling: Good · Site: Pain

Free text: Mild pain, tenderness, redness, itching 2 inches below the injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema — Feeling: Good

Free text: Slight redness a few inches below the injection site.

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

Free text: Slight redness (reaction) a few inches below injection site. Almost gone..

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

Adult check-in
2021-04-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-10
Call 1 — Left Voicemail
2021-12-26
Dose 3 — Moderna
2021-12-26
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Itching · Chills, Fatigue or tiredness

Adult check-in
2021-12-29
Survey response — days 1–6 daily, dose 3
MedDRA: Hyperhidrosis — Feeling: Good · Site: Pain, Redness, Itching

Free text: Sweating a lot while trying to sleep.

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness · None

Adult check-in
2021-12-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-02
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-16
Survey response — day 21, dose 3
MedDRA: Headache, SARS-CoV-2 test negative — Feeling: Good · 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: Headaches but not covid related since I was tested twice within 3 days of headaches.

MedDRA releases: 2024-11 · check-in free text available
2022-01-16
Report sent to call center — day 21, dose 3
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)
2022-01-18
Call 1 — Left Voicemail
2022-01-23
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-26
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-26
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-02	Moderna
3	2021-12-26	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-15	Unsuccessful
2022-01-16	Unsuccessful

Free text

Release 5 — day 7, dose 1

2021-03-15

Systemic reaction (other): Pain, itching, tenderness, discoloration on the upper arm, a few inches away from injection site.

Release 6 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): Mild pain, tenderness, redness, itching 2 inches below the injection site.

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Slight redness a few inches below the injection site.

2021-04-07

Systemic reaction (other): Slight redness (reaction) a few inches below injection site. Almost gone..

Release 10 — days 1–6 daily, dose 3

2021-12-29

Systemic reaction (other): Sweating a lot while trying to sleep.

Release 10 — day 21, dose 3

2022-01-16

Symptoms: Headaches but not covid related since I was tested twice within 3 days of headaches.

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	Headache	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Injection site discolouration	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site reaction	✓	✓	✓

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