ZTY-67146-96486

2 vaccinations 12 coded responses 21 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 370 / TN
Registered: 2021-02-22

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
Registered in v-safe
2021-02-22
Dose 1 — Moderna
2021-02-22
Survey response — day 0, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Upper arm very sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Myalgia, Pre-existing disease — Feeling: Good · Site: Swelling

Free text: I have RA, so i have joint and muscle pains every day. No more now than usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-03-02
Survey response — day 7, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Itching

Free text: Itching all over, mostly upper trunk, arms, and head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — day 14, dose 1
MedDRA: Pruritus — Feeling: Good · 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: On the 4th of March I suffered extreme itching all over my body. Visited a walk in and received a prescription which cleared it up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-15
Survey response — day 21, dose 1
MedDRA: Chest pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Gripping chest pain las evening. Fine this a.m .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Dose 2 — Moderna
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling of body temperature change, Pain, Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore, hot/cold, feverish

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 · Fatigue or tiredness

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling of body temperature change, Nausea — Feeling: Fair · Site: Pain, Swelling · Fever · Nausea · Be unable to do your normal daily activities

Free text: Suddenly felt hot/cold and nauseous when preparing my cereal for breakfast

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Feeding disorder, Nausea — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Yesterday's nausea was thru the day and kept me down and unable to eat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-04-13
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
2021-04-25
Survey response — day 35, dose 2
MedDRA: Eye pruritus, Lacrimation increased — Feeling: Fair

Free text: Itchy and Watery eyes....worse on right eye.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-22
Survey response — 3 months, dose 2
MedDRA: Back pain, Office visit, Pruritus — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Crazy all over Itching one day.Back pain for two days · Healthcare visit (other): Walk in clinic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-25
Call 1 — Left Voicemail
2021-09-19
Survey response — 6 months, dose 2
MedDRA: Chest pain, Fatigue — Feeling: Fair

Free text: Always tired & some chest pain off and on today

MedDRA releases: 2024-11 · check-in free text available
2022-03-21
Survey response — 12 months, dose 2
MedDRA: Lacrimation increased — Feeling: Good

Free text: Right eye is watery at times

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-22	Moderna
2	2021-03-21	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-22

Systemic reaction (other): Upper arm very sore

Release 4 — days 1–6 daily, dose 1

2021-02-25

Systemic reaction (other): I have RA, so i have joint and muscle pains every day. No more now than usual

Release 4 — day 7, dose 1

2021-03-02

Systemic reaction (other): Itching all over, mostly upper trunk, arms, and head

Release 5 — day 14, dose 1

2021-03-08

Symptoms: On the 4th of March I suffered extreme itching all over my body. Visited a walk in and received a prescription which cleared it up.

Release 5 — day 21, dose 1

2021-03-15

Symptoms: Gripping chest pain las evening. Fine this a.m .

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): Sore, hot/cold, feverish

2021-03-24

Systemic reaction (other): Suddenly felt hot/cold and nauseous when preparing my cereal for breakfast

2021-03-25

Systemic reaction (other): Yesterday's nausea was thru the day and kept me down and unable to eat.

Release 7 — day 35, dose 2

2021-04-25

Symptoms: Itchy and Watery eyes....worse on right eye.

Release 9 — 3 months, dose 2

2021-06-22

Symptoms: Crazy all over Itching one day.Back pain for two days

Healthcare visit (other): Walk in clinic

Release 9 — 6 months, dose 2

2021-09-19

Symptoms: Always tired & some chest pain off and on today

Release 11 — 12 months, dose 2

2022-03-21

Symptoms: Right eye is watery at times

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	Back pain	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Eye pruritus	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Lacrimation increased	✓	✓	✓
SD	Pruritus	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Feeding disorder	✓	✓	✓
SRO	Feeling of body temperature change	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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