ZXP-64448-66984

2 vaccinations 10 coded responses 18 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 604 / IL
Registered: 2021-04-12

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

2021-04-10
Dose 1 — Moderna
2021-04-12
Registered in v-safe
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Pain · Headache

Free text: Itchy for about an hour and a half midday. Then it went away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper, Constipation, Diarrhoea — Feeling: Fair · Fatigue or tiredness, Diarrhea

Free text: Diarrhea last 3 days. Stomach cramps and constipation today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Pregnancy registry survey
Not pregnant at or since vaccination ·
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-17
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-26
Survey response — day 14, dose 1
MedDRA: Rash, Rash erythematous, Retching — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Large square Red patch on arm where I got shot. Rash between breasts. Dry heaves. Woke up this morning with these symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-09
Survey response — day 28, dose 1
MedDRA: Chronic obstructive pulmonary disease, Condition aggravated, Cough, Diarrhoea, Irritable bowel syndrome, Pre-existing disease — Feeling: Good

Free text: More coughing - COPD Smoking and IBS more days of diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Dose 2 — Moderna
2021-05-15
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Fatigue, Myalgia, Nausea, Pain in extremity, Peripheral swelling — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The 11th I had chills and fatigue, swollen arm red and painful. On the 12th I had muscle aches and pain fatigue extreme nausea (both days). I was in bed both days and was miserable.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-20
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-31
Survey response — day 21, dose 2
MedDRA: Pruritus, Urticaria — Feeling: Good

Free text: 2 days very itchy. Chest had small hives breakouts over those days. Arms neck and head were very itchy also.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Call 1 — Left Voicemail
2021-06-07
Survey response — day 28, dose 2
MedDRA: Asthenia — Feeling: Fair · Be unable to work

Free text: Pain weakness in knees and ankles and hips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Survey response — day 35, dose 2
MedDRA: Pruritus, Self-medication, Urticaria — Feeling: Fair

Free text: Itchy all over my body the last 3 days. No rash. Today I had a hive rash on my breasts but it only lasted an hour or so. I took Zyrtec today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Survey response — day 42, dose 2
MedDRA: Furuncle — Feeling: Fair

Free text: Boils. Way worse than anything before.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-05-13
Survey response — 12 months, dose 2
MedDRA: Cough, Office visit, Oropharyngeal pain, Respiratory tract congestion, Sneezing — 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

Free text: Symptoms: Sore throat Sneezing coughing chest congestion · Healthcare visit (other): Dr office visit

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
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

1 call case(s)
2022-05-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-10	Moderna
2	2021-05-10	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-12

Systemic reaction (other): Itchy for about an hour and a half midday. Then it went away.

2021-04-14

Systemic reaction (other): Diarrhea last 3 days. Stomach cramps and constipation today

Release 8 — day 14, dose 1

2021-04-26

Symptoms: Large square Red patch on arm where I got shot. Rash between breasts. Dry heaves. Woke up this morning with these symptoms

Release 8 — day 28, dose 1

2021-05-09

Symptoms: More coughing - COPD Smoking and IBS more days of diarrhea

Release 8 — days 1–6 daily, dose 2

2021-05-15

Systemic reaction (other): The 11th I had chills and fatigue, swollen arm red and painful. On the 12th I had muscle aches and pain fatigue extreme nausea (both days). I was in bed both days and was miserable.

Release 8 — day 21, dose 2

2021-05-31

Symptoms: 2 days very itchy. Chest had small hives breakouts over those days. Arms neck and head were very itchy also.

Release 8 — day 28, dose 2

2021-06-07

Symptoms: Pain weakness in knees and ankles and hips

Release 9 — day 35, dose 2

2021-06-14

Symptoms: Itchy all over my body the last 3 days. No rash. Today I had a hive rash on my breasts but it only lasted an hour or so. I took Zyrtec today.

Release 9 — day 42, dose 2

2021-06-21

Symptoms: Boils. Way worse than anything before.

Release 11 — 12 months, dose 2

2022-05-13

Symptoms: Sore throat Sneezing coughing chest congestion

Healthcare visit (other): Dr office visit

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	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Chronic obstructive pulmonary disease	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Furuncle	✓	✓	✓
SD	Irritable bowel syndrome	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Retching	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Sneezing	·	·	✓
SD	Urticaria	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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