ZVX-66846-28899

4 vaccinations 8 coded responses 46 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 327 / FL
Registered: 2021-04-30

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

2021-04-25
Dose 1 — Moderna
2021-04-30
Registered in v-safe
2021-04-30
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: For the first 2 or three days after receiving vaccine I was very lightheaded and very dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness

Free text: One episode of dizziness and lightheadedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-23
Dose 2 — Moderna
2021-05-23
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-05-26
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Injection site pain, Pain in extremity — Feeling: Good · Site: Pain, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Last night (5-25-21) I had the worst pain in my shoulder and around injection site since receiving 2nd shot on 5-23-21. I had to take advil and use an ice to sleep. I am still having pain today but it is better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good · Site: Pain, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I had another bout of severe shouder pain just above ejection site last night 5-27-21. Ice pack seems to help

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-30
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-06-08
Survey response — day 14, dose 2
MedDRA: Chills, Dysphagia, Fatigue, Medical counselling, Oropharyngeal pain, Pain, Pharyngeal swelling, Pyrexia, Retching, Vomiting — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Starting 6-1-21. Severe sore throat, fever, chills, severe body aches, severe fatigue, gaging and vomiting due to inability to swallow from swollen throat. Dr. Advises this is either Strep or Covid. prescribed Z-pack for 5 days · Healthcare visit (other): Spoke with Dr. on phone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-13
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-20
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-27
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-04
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-22
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-19
Call 1 — Could Not Reach Participant
2021-11-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-24
Call 2 — Left Voicemail
2021-11-28
Dose 3 — Moderna
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-05
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-12-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-21
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-26
Survey response — day 28, dose 3
MedDRA: Epistaxis, Oropharyngeal pain — Feeling: Good

Free text: Sore throat amd bloody nose

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Survey response — day 35, dose 3
MedDRA: Arthralgia, Fatigue, Hyperhidrosis, Muscle fatigue, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat, sweats, muscle fatigue all over fatigue, joint pain all through my body

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-29
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-10-04
Dose 4 — Moderna
Co-administered: Flu
2022-10-04
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-10-05
Survey response — days 1–6 daily, dose 4
MedDRA: Axillary pain, Chest pain, Injection site pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Pain at injections sites both arms, armpits, and chest area

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-08
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-10
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-11
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-10-18
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-25
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-01
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-08
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-15
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-01-03
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-04
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-25	Moderna
2	2021-05-23	Moderna
3	2021-11-28	Moderna	No
4	2022-10-04	Moderna	Flu

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-30

Systemic reaction (other): For the first 2 or three days after receiving vaccine I was very lightheaded and very dizzy

2021-05-01

Systemic reaction (other): One episode of dizziness and lightheadedness

Release 8 — days 1–6 daily, dose 2

2021-05-26

Systemic reaction (other): Last night (5-25-21) I had the worst pain in my shoulder and around injection site since receiving 2nd shot on 5-23-21. I had to take advil and use an ice to sleep. I am still having pain today but it is better

2021-05-27

Systemic reaction (other): I had another bout of severe shouder pain just above ejection site last night 5-27-21. Ice pack seems to help

Release 8 — day 14, dose 2

2021-06-08

Symptoms: Starting 6-1-21. Severe sore throat, fever, chills, severe body aches, severe fatigue, gaging and vomiting due to inability to swallow from swollen throat. Dr. Advises this is either Strep or Covid. prescribed Z-pack for 5 days

Healthcare visit (other): Spoke with Dr. on phone

Release 10 — day 28, dose 3

2021-12-26

Symptoms: Sore throat amd bloody nose

Release 10 — day 35, dose 3

2022-01-02

Symptoms: Sore throat, sweats, muscle fatigue all over fatigue, joint pain all through my body

Release 12 — days 1–6 daily, dose 4

2022-10-05

Systemic reaction (other): Pain at injections sites both arms, armpits, and chest area

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	Arthralgia	·	·	✓
SD	Chills	✓	✓	✓
SD	Dysphagia	✓	✓	✓
SD	Epistaxis	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Hyperhidrosis	·	·	✓
SD	Medical counselling	✓	✓	✓
SD	Muscle fatigue	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pharyngeal swelling	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Retching	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Axillary pain	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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