ZV8-14400-30653

2 vaccinations 8 coded responses 24 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 551 / MN
Registered: 2021-02-11

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

2021-02-11
Registered in v-safe
2021-02-11
Dose 1 — Moderna
2021-02-11
Survey response — day 0, dose 1
MedDRA: Feeling hot — Feeling: Fair · Site: Pain, Swelling · Fever · Headache

Free text: Felt extremely hot for an hour or so. Felt feverish.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-02-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-11
Dose 2 — Moderna
2021-03-11
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Shot site is still feverish

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site induration, Injection site warmth — Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Hardness and warmth at the injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site warmth — Feeling: Good · Site: Pain, Swelling · Diarrhea

Free text: Injection site is still warm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site induration, Injection site swelling — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Diarrhea

Free text: Site is still swollen and hard.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Food poisoning — Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Free text: I may have food poisoning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-25
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-09-09
Survey response — 6 months, dose 2
MedDRA: Blood iron decreased, Epicondylitis, Haematochezia, Office visit, Trigger finger — 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

Free text: Symptoms: Extremely low iron. I have had 2 iron infusions so far. I can't imagine that these next two things could be related, but I have been diagnosed with tennis elbow and a trigger finger at the same time. Blood in my stool. · Healthcare visit (other): Ortho and gastro

MedDRA releases: 2024-11 · check-in free text available
2021-09-09
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

1 call case(s)
2021-09-12
Call 1 — Left Voicemail
2022-03-13
Survey response — 12 months, dose 2
MedDRA: Blood iron decreased, Diarrhoea, Gastrointestinal polyp haemorrhage, Unevaluable event — 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: Symptoms: A very large amount of bleeding polyps in stomach. Very low in iron. Ongoing diahrea. · Healthcare visit (other): Colonoscopy, Endoscopy

MedDRA releases: 2024-11 · check-in free text available
2022-03-13
Report sent to call center — 12 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)
2022-03-15
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Moderna
2	2021-03-11	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-11

Systemic reaction (other): Felt extremely hot for an hour or so. Felt feverish.

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Shot site is still feverish

2021-03-13

Systemic reaction (other): Hardness and warmth at the injection site.

2021-03-14

Systemic reaction (other): Injection site is still warm.

2021-03-15

Systemic reaction (other): Site is still swollen and hard.

2021-03-16

Systemic reaction (other): I may have food poisoning.

Release 9 — 6 months, dose 2

2021-09-09

Symptoms: Extremely low iron. I have had 2 iron infusions so far. I can't imagine that these next two things could be related, but I have been diagnosed with tennis elbow and a trigger finger at the same time. Blood in my stool.

Healthcare visit (other): Ortho and gastro

Release 11 — 12 months, dose 2

2022-03-13

Symptoms: A very large amount of bleeding polyps in stomach. Very low in iron. Ongoing diahrea.

Healthcare visit (other): Colonoscopy, Endoscopy

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	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Blood iron decreased	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Epicondylitis	·	·	✓
SD	Gastrointestinal polyp haemorrhage	·	·	✓
SD	Haematochezia	·	·	✓
SD	Trigger finger	·	·	✓
SRO	Feeling hot	✓	✓	✓
SRO	Food poisoning	✓	✓	✓
SRO	Injection site induration	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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