ZVM-28474-89043

2 vaccinations 19 coded responses 21 check-ins 19 free-text entries 5 call cases

Sex: —
Age at first dose: 51-55
ZIP prefix: 180 / PA
Registered: 2021-03-27

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2021-03-27
Registered in v-safe
2021-03-27
Dose 1 — Moderna
2021-03-27
Survey response — day 0, dose 1
MedDRA: Nasal congestion — Feeling: Good · Fever

Free text: Stuffed up nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Had Charlie horse in both legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Lightheaded dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Light headed ,dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — day 7, dose 1
MedDRA: Abnormal sensation in eye — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Nausea

Free text: Eyes feel thick like a coating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-24
Dose 2 — Moderna
2021-04-24
Survey response — day 0, dose 2
MedDRA: Ageusia, Feeling jittery — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Jittery,lost of taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Eye pain, Headache, Heart rate increased, Toothache — Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Ear pain,teeth pain,eye pain,head pain,resting heart lil higher than normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Facial pain, Headache — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work

Free text: Face pain,,headaches,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Office visit, Rash — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Headache in face,rash kind of like a burn on the body · Healthcare visit (other): Dr.s office appt.PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Diarrhoea, Muscle spasms — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Really bad cramping and diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-05-08
Survey response — day 14, dose 2
MedDRA: Neck pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain at the base of my neck when i turn it,never hadt hat before

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — day 21, dose 2
MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dizziness,lightheadedness,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Survey response — day 28, dose 2
MedDRA: Balance disorder, Dizziness, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Dizziness,lightheadedness,balance problems · Healthcare visit (other): Dr.visit,neurologists,cardiologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-29
Survey response — day 35, dose 2
MedDRA: Balance disorder, Dizziness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dizziness,off balance since shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Survey response — day 42, dose 2
MedDRA: Balance disorder, Dizziness, Headache, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Still getting headaches and balance issues,dizziness · Healthcare visit (other): Neurologist,family dr,cardiologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-24
Survey response — 3 months, dose 2
MedDRA: Headache — Feeling: Good

Free text: Headaches

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-23
Survey response — 6 months, dose 2
MedDRA: Headache, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Headaches · Healthcare visit (other): Drs office

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2021-10-25
Call 1 — Left Voicemail
2022-05-01
Survey response — 12 months, dose 2
MedDRA: Balance disorder, Dizziness, Dyspnoea, Office visit, Telemedicine — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Still get dizzyspells,balance problems,out of breath · Healthcare visit (other): Seen in dr.ofgice and video visits

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-03
Call 1 — Could Not Reach Participant
2022-05-06
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Moderna
2	2021-04-24	Moderna

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-27

Systemic reaction (other): Stuffed up nose

Release 6 — days 1–6 daily, dose 1

2021-03-28

Systemic reaction (other): Had Charlie horse in both legs

2021-03-29

Systemic reaction (other): Lightheaded dizziness

2021-04-01

Systemic reaction (other): Light headed ,dizziness

2021-04-02

Systemic reaction (other): Light headed

Release 6 — day 7, dose 1

2021-04-03

Systemic reaction (other): Eyes feel thick like a coating

Release 7 — day 0, dose 2

2021-04-24

Systemic reaction (other): Jittery,lost of taste

Release 7 — days 1–6 daily, dose 2

2021-04-25

Systemic reaction (other): Ear pain,teeth pain,eye pain,head pain,resting heart lil higher than normal

2021-04-26

Systemic reaction (other): Face pain,,headaches,

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Headache in face,rash kind of like a burn on the body

Healthcare visit (other): Dr.s office appt.PCP

2021-04-28

Systemic reaction (other): Really bad cramping and diarrhea

Release 8 — day 14, dose 2

2021-05-08

Symptoms: Pain at the base of my neck when i turn it,never hadt hat before

Release 8 — day 21, dose 2

2021-05-15

Symptoms: Dizziness,lightheadedness,

Release 8 — day 28, dose 2

2021-05-22

Symptoms: Dizziness,lightheadedness,balance problems

Healthcare visit (other): Dr.visit,neurologists,cardiologist

Release 8 — day 35, dose 2

2021-05-29

Symptoms: Dizziness,off balance since shot

Release 8 — day 42, dose 2

2021-06-05

Symptoms: Still getting headaches and balance issues,dizziness

Healthcare visit (other): Neurologist,family dr,cardiologist

Release 9 — 3 months, dose 2

2021-07-24

Symptoms: Headaches

Release 10 — 6 months, dose 2

2021-10-23

Symptoms: Headaches

Healthcare visit (other): Drs office

Release 11 — 12 months, dose 2

2022-05-01

Symptoms: Still get dizzyspells,balance problems,out of breath

Healthcare visit (other): Seen in dr.ofgice and video visits

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	Telemedicine	·	·	✓
SD	Balance disorder	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Headache	✓	✓	✓
SD	Neck pain	✓	✓	✓
SRO	Abnormal sensation in eye	✓	✓	✓
SRO	Ageusia	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Facial pain	✓	✓	✓
SRO	Feeling jittery	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Toothache	✓	✓	✓

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