ZVA-20725-69685

2 vaccinations 12 coded responses 19 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 553 / MN
Registered: 2021-03-25

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Moderna
2021-03-25
Survey response — day 0, dose 1
MedDRA: Dizziness, Feeling abnormal — Feeling: Good · Nausea

Free text: Dizzy & kind of spacey

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Crying, Depressed mood, Palpitations, Pre-existing disease — Feeling: Poor · Site: Pain, Redness, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: Messing with my emotions like Covid did when I had it. Crying. Anxious. Heart palpitations & just feeling sad.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema, Flushing, Insomnia, Menstruation delayed, Mood swings — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Mood swings, period late and it never is, insomnia, over stimulated, flushed, skin red all over

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Joint pains, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Mood altered — Feeling: Poor · Site: Itching · Joint pains, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Moodiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Itching · Fever · Headache · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-08
Survey response — day 14, dose 1
MedDRA: Blood glucose increased, Diarrhoea, Fatigue, Headache, Immunisation reaction, Injection site mass, Injection site rash, Oropharyngeal pain, Pruritus, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I got Covid Arm - rash & softball size lump under my injection site. One week & 4 days after my shot. Got diarrhea, headache, fatigue, fever, high blood sugar, sore throat & more. Itchy! Itchy toes too.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
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)
2021-04-17
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-22
Dose 2 — Moderna
2021-04-29
Health check-in — day 7, dose 2
Feeling: Poor · Site: Itching · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-06
Survey response — day 14, dose 2
MedDRA: Chills, Diarrhoea, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Diarrhea, chills, fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 21, dose 2
MedDRA: Diarrhoea, Fatigue, Headache, Injection site mass, Injection site pruritus, Injection site rash, Menstruation delayed, Migraine, Mood altered — Feeling: Poor · Be unable to do your normal daily activities

Free text: Rash, diarrhea, headache, migraine, itchy, lump under injection site, fatigue, moodiness, period late

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — day 28, dose 2
MedDRA: Blood glucose abnormal, Diarrhoea, Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Diarrhea & fatigue & it affected my blood sugars

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — day 35, dose 2
MedDRA: Arthralgia, Diarrhoea, Fatigue, Migraine — Feeling: Poor · Be unable to do your normal daily activities

Free text: Diarrhea, fatigue, joint pain, migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — day 42, dose 2
MedDRA: Blood glucose abnormal, Cough, Fatigue, Inflammation, Oropharyngeal pain, Post-acute COVID-19 syndrome — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fatigue - my doctor is calling me long hauler. Cough. Diabetes sugars goes crazy often. Inflammation in the body. Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-22
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Pre-existing disease, Pyrexia, Rash — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Rashes & fevers & chest cavity flare up

MedDRA releases: 2024-11 · check-in free text available
2021-07-22
Report sent to call center — 3 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)
2021-07-23
Call 1 — Left Voicemail
2021-08-06
Call 2 — Left Voicemail
2021-10-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-24
Survey response — 12 months, dose 2
MedDRA: Cough, Nasal congestion, Ocular hyperaemia, Oropharyngeal pain, Pruritus, Pyrexia, Rhinorrhoea, SARS-CoV-2 test — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Fever, runny nose, stuffed up nose, cough. Wicked sore throat that lasted for days, itchy skin, red eyes · Healthcare visit (other): None - did 3 at home Covid tests

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna
2	2021-04-22	Moderna

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-25

Systemic reaction (other): Dizzy & kind of spacey

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): Messing with my emotions like Covid did when I had it. Crying. Anxious. Heart palpitations & just feeling sad.

2021-03-27

Systemic reaction (other): Mood swings, period late and it never is, insomnia, over stimulated, flushed, skin red all over

2021-03-29

Systemic reaction (other): Moodiness

Release 7 — day 14, dose 1

2021-04-08

Symptoms: I got Covid Arm - rash & softball size lump under my injection site. One week & 4 days after my shot. Got diarrhea, headache, fatigue, fever, high blood sugar, sore throat & more. Itchy! Itchy toes too.

Release 8 — day 14, dose 2

2021-05-06

Symptoms: Diarrhea, chills, fever

Release 8 — day 21, dose 2

2021-05-13

Symptoms: Rash, diarrhea, headache, migraine, itchy, lump under injection site, fatigue, moodiness, period late

Release 8 — day 28, dose 2

2021-05-20

Symptoms: Diarrhea & fatigue & it affected my blood sugars

Release 8 — day 35, dose 2

2021-05-27

Symptoms: Diarrhea, fatigue, joint pain, migraine

Release 8 — day 42, dose 2

2021-06-03

Symptoms: Fatigue - my doctor is calling me long hauler. Cough. Diabetes sugars goes crazy often. Inflammation in the body. Sore throat

Release 9 — 3 months, dose 2

2021-07-22

Symptoms: Rashes & fevers & chest cavity flare up

Release 11 — 12 months, dose 2

2022-04-24

Symptoms: Fever, runny nose, stuffed up nose, cough. Wicked sore throat that lasted for days, itchy skin, red eyes

Healthcare visit (other): None - did 3 at home Covid tests

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	SARS-CoV-2 test	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Blood glucose abnormal	✓	✓	✓
SD	Blood glucose increased	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Immunisation reaction	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Injection site mass	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Menstruation delayed	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Mood altered	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Ocular hyperaemia	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Post-acute COVID-19 syndrome	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Crying	✓	✓	✓
SRO	Depressed mood	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Menstruation delayed	✓	✓	✓
SRO	Mood altered	✓	✓	✓
SRO	Mood swings	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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