ZYC-28734-44808

2 vaccinations 8 coded responses 18 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 782 / TX
Registered: 2021-01-13

Relationship: Self
Race: N/A
Ethnicity: Hispanic or Latino

Timeline

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

2020-12-24
Dose 1 — Moderna
2021-01-13
Registered in v-safe
2021-01-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-14
Survey response — day 21, dose 1
MedDRA: Asthma, Dyspnoea, Hypersensitivity — Feeling: Fair

Free text: SOB . I have asthma. Allergies. Took Claritin albuterol puffer. Resolved.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Dose 2 — Moderna
2021-01-21
Survey response — day 0, dose 2
MedDRA: Hyperaesthesia — Feeling: Fair

Free text: Skin touchy, as if menthol under the skin. Lasted an hour

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Chills, Joint pains, Fatigue or tiredness

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 2
MedDRA: Diarrhoea — Feeling: Good · Site: Pain, Redness, Swelling · Diarrhea · Be unable to do your normal daily activities

Free text: Diarrhea yesterday after questions. None today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Itching · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: In the evening.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 2
MedDRA: Aura, Nervousness, Weight decreased — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Diarrhea · Be unable to work

Free text: Jumpy in my skin. I used to have seizures as a young woman today experienced 3-4 auras. The most I've experienced in years. and today I experienced three to four hours lost for pounds since Thursday lost 4 pounds since Friday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Blister — Feeling: Good · Site: Redness, Swelling, Itching · Diarrhea

Free text: Tiny blisters at hairline. Dried. No auras oday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Diarrhea

Adult check-in
2021-01-28
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Diarrhea

Adult check-in
2021-02-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-25
Survey response — day 35, dose 2
MedDRA: Dyspnoea, Fatigue, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Feet swelling, SOB. Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-04-22
Survey response — 3 months, dose 2
MedDRA: Deafness unilateral, Ear pain, Oropharyngeal pain — Feeling: Good · Be unable to work, 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: After heavy oak.lost hearing left ear.partial right. Major earache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-21
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-08
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-24	Moderna
2	2021-01-21	Moderna

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 2 — day 21, dose 1

2021-01-14

Symptoms: SOB . I have asthma. Allergies. Took Claritin albuterol puffer. Resolved.

Release 2 — day 0, dose 2

2021-01-21

Systemic reaction (other): Skin touchy, as if menthol under the skin. Lasted an hour

Release 2 — days 1–6 daily, dose 2

2021-01-23

Systemic reaction (other): Diarrhea yesterday after questions. None today.

2021-01-24

Systemic reaction (other): In the evening.

2021-01-25

Systemic reaction (other): Jumpy in my skin. I used to have seizures as a young woman today experienced 3-4 auras. The most I've experienced in years. and today I experienced three to four hours lost for pounds since Thursday lost 4 pounds since Friday

2021-01-26

Systemic reaction (other): Tiny blisters at hairline. Dried. No auras oday.

Release 4 — day 35, dose 2

2021-02-25

Symptoms: Feet swelling, SOB. Fatigue

Release 7 — 3 months, dose 2

2021-04-22

Symptoms: After heavy oak.lost hearing left ear.partial right. Major earache.

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
SD	Asthma	✓	✓	✓
SD	Deafness unilateral	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SRO	Aura	✓	✓	✓
SRO	Blister	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Hyperaesthesia	✓	✓	✓
SRO	Nervousness	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Weight decreased	✓	✓	✓

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