ZYR-27372-14516

2 vaccinations 6 coded responses 23 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 838 / ID
Registered: 2021-04-10

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

2021-04-09
Dose 1 — Moderna
2021-04-10
Registered in v-safe
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-23
Survey response — day 14, dose 1
MedDRA: Abdominal discomfort — Feeling: Fair

Free text: Gastrointestinal upset

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-07
Dose 2 — Moderna
2021-05-07
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · 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
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-14
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-21
Survey response — day 14, dose 2
MedDRA: Eye pain, Ocular discomfort — Feeling: Good

Free text: I had eye pressure/ pain on just the left side for a couple of days .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 21, dose 2
MedDRA: Cough, Dyspnoea, Ear discomfort, Fatigue, Myalgia, Nasopharyngitis, Paranasal sinus discomfort — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: I think I have some sort of cold. Sinus and ear pressure, extreme fatigue, cough, difficulty breathing, muscle aches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-11
Survey response — day 35, dose 2
MedDRA: Asthenopia, Contusion, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: I keep getting weird asymmetrical headaches sort of behind my eyes. My eyes feel overly tired and sometimes bruised or feel under pressure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Survey response — day 42, dose 2
MedDRA: Office visit, Vision blurred — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: My vision seems to be frequently blurry. · Healthcare visit (other): GP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-25
Call 2 — Left Voicemail
2021-08-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-09
Survey response — 12 months, dose 2
MedDRA: Dizziness, Dyspnoea exertional, Headache, Malaise, Respiratory rate increased, Sinus tachycardia, Tremor — 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: Got covid like symptoms at the end of March. Since April first I have been in Sinus Tachycardia and unable to even walk around without dizziness, lightheadedness, shaking, increased respiration and headache.

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-05-10
Call 1 — Left Voicemail
2022-05-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Moderna
2	2021-05-07	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-06-18	Unsuccessful
2022-05-09	Unsuccessful

Free text

Release 7 — day 14, dose 1

2021-04-23

Symptoms: Gastrointestinal upset

Release 8 — day 14, dose 2

2021-05-21

Symptoms: I had eye pressure/ pain on just the left side for a couple of days .

Release 8 — day 21, dose 2

2021-05-28

Symptoms: I think I have some sort of cold. Sinus and ear pressure, extreme fatigue, cough, difficulty breathing, muscle aches.

Release 9 — day 35, dose 2

2021-06-11

Symptoms: I keep getting weird asymmetrical headaches sort of behind my eyes. My eyes feel overly tired and sometimes bruised or feel under pressure.

Release 9 — day 42, dose 2

2021-06-18

Symptoms: My vision seems to be frequently blurry.

Healthcare visit (other): GP

Release 11 — 12 months, dose 2

2022-05-09

Symptoms: Got covid like symptoms at the end of March. Since April first I have been in Sinus Tachycardia and unable to even walk around without dizziness, lightheadedness, shaking, increased respiration and headache.

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	Abdominal discomfort	✓	✓	✓
SD	Asthenopia	✓	✓	✓
SD	Contusion	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Dyspnoea exertional	·	·	✓
SD	Ear discomfort	·	·	✓
SD	Eye pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Malaise	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Ocular discomfort	✓	✓	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Respiratory rate increased	·	·	✓
SD	Sinus tachycardia	·	·	✓
SD	Tremor	·	·	✓
SD	Vision blurred	✓	✓	✓

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