ZYX-18799-90485

3 vaccinations 6 coded responses 30 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 956 / CA
Registered: 2021-02-13

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

2021-02-13
Registered in v-safe
2021-02-13
Dose 1 — Moderna
2021-02-13
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Dyspnoea, Respiratory tract congestion — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cough, congestion, short of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Throat irritation — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Scratchy Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-13
Dose 2 — Moderna
2021-03-13
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · None

Adult check-in
2021-03-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Survey response — day 14, dose 2
MedDRA: Bed rest, Bradykinesia, Fatigue, Impaired quality of life — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue. On Tuesday i was bedridden and just very fatigued the rest of the wek. Move slower, got less done

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-11
Survey response — 6 months, dose 2
MedDRA: Cough, Headache, Malaise, Office visit, Pain, Sinus congestion, Sinusitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I was sick 2 weeks with cough, body ache, headache, congestion in sinuses. Got better for acouple days and then had sinus infection · Healthcare visit (other): In person with primary care

MedDRA releases: 2024-11 · check-in free text available
2021-09-11
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-15
Call 1 — Left Voicemail
2021-10-03
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-26
Survey response — day 21, dose 3
MedDRA: Condition aggravated, Fatigue, Headache, Pain, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: For 5 days after shot i had increase body aches, headaches and fatigue Beginning oct 22 i am having Bronchiecstasis exacerbation

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-14
Survey response — day 42, dose 3
MedDRA: Bronchiectasis, Productive cough, Secretion discharge — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased bronchiecstasis symptoms. Cough due to increased mucus

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-03
Health check-in — 12 months, dose 3
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-13	Moderna
2	2021-03-13	Moderna
3	2021-10-03	Pfizer-BioNTech	Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-14

Systemic reaction (other): Cough, congestion, short of breath

2021-02-15

Systemic reaction (other): Scratchy Sore throat

Release 6 — day 14, dose 2

2021-03-27

Symptoms: Extreme fatigue. On Tuesday i was bedridden and just very fatigued the rest of the wek. Move slower, got less done

Release 9 — 6 months, dose 2

2021-09-11

Symptoms: I was sick 2 weeks with cough, body ache, headache, congestion in sinuses. Got better for acouple days and then had sinus infection

Healthcare visit (other): In person with primary care

Release 10 — day 21, dose 3

2021-10-26

Symptoms: For 5 days after shot i had increase body aches, headaches and fatigue Beginning oct 22 i am having Bronchiecstasis exacerbation

Release 10 — day 42, dose 3

2021-11-14

Symptoms: Increased bronchiecstasis symptoms. Cough due to increased mucus

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	Bed rest	✓	✓	✓
SD	Bradykinesia	✓	✓	✓
SD	Bronchiectasis	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Impaired quality of life	✓	✓	✓
SD	Malaise	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Productive cough	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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