ZYL-65298-47646

2 vaccinations 13 coded responses 25 check-ins 13 free-text entries 8 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 691 / NE
Registered: 2021-01-09

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

2021-01-09
Registered in v-safe
2021-01-09
Dose 1 — Moderna
2021-01-09
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-10
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-11
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Night sweats — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Shortness of breath and night sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Survey response — day 7, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Site: Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-23
Survey response — day 14, dose 1
MedDRA: Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: I have bronchitis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — day 21, dose 1
MedDRA: Bronchitis — Feeling: Poor · Be unable to do your normal daily activities

Free text: Continued bronchitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Dose 2 — Moderna
2021-02-06
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, 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

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Night sweats — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shortness of breath and night sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Night sweats — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Night sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-22
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-01
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-06
Survey response — day 28, dose 2
MedDRA: Cough, Oropharyngeal pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat and cough and fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — day 35, dose 2
MedDRA: Fatigue, Oropharyngeal pain, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat fatigue and body adhes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-08
Survey response — 3 months, dose 2
MedDRA: Dyspnoea, Hypertension, Oxygen saturation decreased — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Low blood oxygen and shortness of breath. High blood pressure. But I a,m better now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-07
Survey response — 6 months, dose 2
MedDRA: COVID-19, Dyspnoea, Fatigue, Pyrexia, Vocal cord dysfunction — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Vocal cord dysfunction most likely cause bu COVID and continued sob, fatigue, and intermittent fever.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-07
Report sent to call center — 6 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)
2021-08-16
Call 1 — Left Voicemail
2021-12-12
Call 2 — Left Voicemail
2022-02-06
Survey response — 12 months, dose 2
MedDRA: Cerebrovascular accident — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: This is not related to the vaccine. But in August 2020 I had a heart cath and a small stroke post cath. I am better.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-09	Moderna
2	2021-02-06	Moderna

Call center

8 call center cases

2 unsuccessful · 6 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): Shortness of breath

2021-01-14

Systemic reaction (other): Shortness of breath and night sweats

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Shortness of breath

Release 2 — day 7, dose 1

2021-01-16

Systemic reaction (other): Shortness of breath

Release 2 — day 14, dose 1

2021-01-23

Symptoms: I have bronchitis.

Release 3 — day 21, dose 1

2021-01-30

Symptoms: Continued bronchitis

Release 3 — days 1–6 daily, dose 2

2021-02-08

Systemic reaction (other): Shortness of breath and night sweats

2021-02-09

Systemic reaction (other): Night sweats

Release 5 — day 28, dose 2

2021-03-06

Symptoms: Sore throat and cough and fever

Release 5 — day 35, dose 2

2021-03-13

Symptoms: Sore throat fatigue and body adhes

Release 8 — 3 months, dose 2

2021-05-08

Symptoms: Low blood oxygen and shortness of breath. High blood pressure. But I a,m better now.

Release 9 — 6 months, dose 2

2021-08-07

Symptoms: Vocal cord dysfunction most likely cause bu COVID and continued sob, fatigue, and intermittent fever.

Release 11 — 12 months, dose 2

2022-02-06

Symptoms: This is not related to the vaccine. But in August 2020 I had a heart cath and a small stroke post cath. I am better.

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	Bronchitis	✓	✓	✓
SD	Cerebrovascular accident	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	✓	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Oxygen saturation decreased	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Vocal cord dysfunction	✓	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Night sweats	✓	✓	✓

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