ZUP-20576-83115

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 912 / CA
Registered: 2021-01-29

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

2021-01-29
Registered in v-safe
2021-01-29
Dose 1 — Moderna
2021-01-29
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-12
Survey response — day 14, dose 1
MedDRA: Migraine, Pre-existing disease — Feeling: Fair

Free text: Had a migraine today. Ive had them on & off for years so dont think its vaccine related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-02-26
Health check-in — day 0, dose 2
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Chills, Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Gingival pain, Oral pain — Feeling: Good · Chills, Fatigue or tiredness

Free text: Not sure if related but some portions of gums & roof of mouth sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills

Adult check-in
2021-03-05
Survey response — day 7, dose 2
MedDRA: Gingival pain, Oral pain — Feeling: Good

Free text: Not sure if related but roof of mouth & gums sore since vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-19
Survey response — day 21, dose 2
MedDRA: Abdominal pain lower, Back pain, Diarrhoea, Nephrolithiasis, Pre-existing disease, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Diarrhea, Pain in lower back & abdomen. Being treated for UTI & kidney stones.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-26
Survey response — day 28, dose 2
MedDRA: Medical counselling, Nephrolithiasis — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Diagnosed with kidney stones · Healthcare visit (other): Urologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-09
Survey response — day 42, dose 2
MedDRA: Nephrolithiasis — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Kidney stones

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-28
Survey response — 3 months, dose 2
MedDRA: Renal disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Kidney dtined

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-27
Survey response — 6 months, dose 2
MedDRA: Nephrolithiasis — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Kidney stones

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-30
Call 1 — Left Voicemail
2022-02-26
Survey response — 12 months, dose 2
MedDRA: Fatigue, Muscular weakness — Feeling: Good

Free text: Very tired during the day and legs are tired.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-02-26	Moderna

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-12

Symptoms: Had a migraine today. Ive had them on & off for years so dont think its vaccine related.

Release 4 — days 1–6 daily, dose 2

2021-03-02

Systemic reaction (other): Not sure if related but some portions of gums & roof of mouth sore

Release 5 — day 7, dose 2

2021-03-05

Systemic reaction (other): Not sure if related but roof of mouth & gums sore since vaccination.

Release 5 — day 21, dose 2

2021-03-19

Symptoms: Diarrhea, Pain in lower back & abdomen. Being treated for UTI & kidney stones.

Release 6 — day 28, dose 2

2021-03-26

Symptoms: Diagnosed with kidney stones

Healthcare visit (other): Urologist

Release 7 — day 42, dose 2

2021-04-09

Symptoms: Kidney stones

Release 8 — 3 months, dose 2

2021-05-28

Symptoms: Kidney dtined

Release 9 — 6 months, dose 2

2021-08-27

Symptoms: Kidney stones

Release 11 — 12 months, dose 2

2022-02-26

Symptoms: Very tired during the day and legs are tired.

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	Medical counselling	✓	✓	✓
SD	Abdominal pain lower	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Migraine	✓	✓	✓
SD	Muscular weakness	·	·	✓
SD	Nephrolithiasis	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Renal disorder	✓	✓	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Gingival pain	✓	✓	✓
SRO	Oral pain	✓	✓	✓

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