ZYP-11050-14525

4 vaccinations 9 coded responses 30 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 331 / FL
Registered: 2021-01-12

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-12
Registered in v-safe
2021-01-12
Dose 1 — Moderna
2021-01-12
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-12
Report sent to call center — day 0, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Tonsillar inflammation — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Sore throat and inflammation of one of the tonsils

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Survey response — day 21, dose 1
MedDRA: Asthenia, Fatigue — Feeling: Fair

Free text: Extremely tired, since after having lunch. No energy. All afternoon. I had to drink lots of coffee and tea, and take multivitamins and supplements to be able to work.

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

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion, Secretion discharge — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Congested nose, a little of nose secretion like when with a cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Survey response — day 14, dose 2
MedDRA: Pharyngeal pustule, Tonsillar hypertrophy — Feeling: Fair

Free text: Swollen right tonsil; with some pus.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-11
Survey response — 3 months, dose 2
MedDRA: Back pain, Cough, Dysphonia, Eye irritation, Fatigue, Headache, Nasal congestion, Office visit, Oropharyngeal pain, Tonsillitis — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Ocassional cough, constant sore throat, hoarse voice and congested nose, tonsillitis, irritated eyes, frequent headache, tiredness, pain in lower back right hand side. · Healthcare visit (other): Doctors office

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

1 call case(s)
2021-06-16
Call successful
Does not wish to fill out VAERS report
2021-08-10
Survey response — 6 months, dose 2
MedDRA: Diarrhoea, Headache, Muscle tightness, Oropharyngeal pain, Pre-existing disease — Feeling: Good

Free text: Muscles in neck sometimes seem to entangle when suddenly movin the neck (did not happen before); headaches, sore throat and diarrhea from time to time; suffer from allergies more often.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-17
Dose 3 — Moderna
2022-02-09
Survey response — 12 months, dose 2
MedDRA: Cough, Fatigue, Nasal pruritus, Oropharyngeal pain, Rash — Feeling: Fair

Free text: Itchy nose, sore throat and tiredness most of the day Monday and Tuesday; coughing from time to time. Rash in several parts of the body in the afternoons (back, shoulder, behind one ear, leg).

MedDRA releases: 2024-11 · check-in free text available
2022-03-21
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-06-17
Survey response — 6 months, dose 3
MedDRA: Fatigue — Feeling: Poor

Free text: Tiredness

MedDRA releases: 2024-11 · check-in free text available
2022-07-22
Dose 4 — Moderna
2022-12-17
Health check-in — 12 months, dose 3
Feeling: Poor

Adult check-in
2023-01-20
Survey response — 6 months, dose 4
MedDRA: Fatigue, Pain — Feeling: Poor

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Moderna
2	2021-02-09	Moderna
3	2021-12-17	Moderna	No
4	2022-07-22	Moderna	No

Call center

2 call center cases

1 successful · 1 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): Sore throat and inflammation of one of the tonsils

Release 3 — day 21, dose 1

2021-02-04

Symptoms: Extremely tired, since after having lunch. No energy. All afternoon. I had to drink lots of coffee and tea, and take multivitamins and supplements to be able to work.

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Congested nose, a little of nose secretion like when with a cold

Release 4 — day 14, dose 2

2021-02-23

Symptoms: Swollen right tonsil; with some pus.

Release 8 — 3 months, dose 2

2021-05-11

Symptoms: Ocassional cough, constant sore throat, hoarse voice and congested nose, tonsillitis, irritated eyes, frequent headache, tiredness, pain in lower back right hand side.

Healthcare visit (other): Doctors office

Release 9 — 6 months, dose 2

2021-08-10

Symptoms: Muscles in neck sometimes seem to entangle when suddenly movin the neck (did not happen before); headaches, sore throat and diarrhea from time to time; suffer from allergies more often.

Release 11 — 12 months, dose 2

2022-02-09

Symptoms: Itchy nose, sore throat and tiredness most of the day Monday and Tuesday; coughing from time to time. Rash in several parts of the body in the afternoons (back, shoulder, behind one ear, leg).

Release 12 — 6 months, dose 3

2022-06-17

Symptoms: Tiredness

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	Back pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	·	✓
SD	Dysphonia	✓	✓	✓
SD	Eye irritation	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Muscle tightness	✓	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasal pruritus	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Pharyngeal pustule	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Rash	·	·	✓
SD	Tonsillar hypertrophy	✓	✓	✓
SD	Tonsillitis	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Secretion discharge	✓	✓	✓
SRO	Tonsillar inflammation	✓	✓	✓

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