ZZF-90028-12193

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 468 / IN
Registered: 2021-02-01

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

2021-02-01
Registered in v-safe
2021-02-01
Dose 1 — Moderna
2021-02-01
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Hypersensitivity, Rhinorrhoea — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Allergy type symptoms that I usually have, blowing nose and cough seemed intensified this morning. Have light cough all day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Fatigue or tiredness

Free text: just dont feel like myself, doing ok at home but dont want to leave home

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No, ended up going on errand yesterday afternoon after all plus this morning. Did fine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Survey response — day 7, dose 1
MedDRA: Epistaxis, Respiratory tract congestion — Feeling: Good

Free text: Im starting to wonder if the increased congestion I've had for awhile isnt related to vaccine. I'm blowing my nose and seeing small clots of blood daily . Not terrible but seems more than usual winter symptoms Trying humidifier.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-01
Dose 2 — Moderna
2021-03-01
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Depression, Fatigue, Thinking abnormal — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): I thought yesterday was my turnaround day but Im still tired and depressed today. Just had bldwrk done at regular dr appt though · Healthcare visit (other): Already scheduled. Cab there. Walked home 1 mile. Looked at feet almost whole way without realizing till end. Very tired & left purse on bench, had to return for. Not thinking clearly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, Unevaluable event — Feeling: Good

Free text: feel same normal as I did 3rd day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-08
Survey response — day 7, dose 2
MedDRA: Therapeutic response unexpected — Feeling: Good

Free text: walked close to a mile roundtrip with no problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-22
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-30
Survey response — 6 months, dose 2
MedDRA: Exposure to SARS-CoV-2, Lower urinary tract symptoms, Urinary straining — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: uti type symptoms and lots of pressure but clear urine test so referral to urology. Appt next weekAlso unvaccinated person in my apt bldg is positive for covid & quarantined to apt.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-30
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-31
Call 1 — Could Not Reach Participant
2021-09-03
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Moderna
2	2021-03-01	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-02-01

Systemic reaction (other): No

Release 3 — days 1–6 daily, dose 1

2021-02-02

Systemic reaction (other): Allergy type symptoms that I usually have, blowing nose and cough seemed intensified this morning. Have light cough all day

2021-02-03

Systemic reaction (other): just dont feel like myself, doing ok at home but dont want to leave home

2021-02-04

Systemic reaction (other): No, ended up going on errand yesterday afternoon after all plus this morning. Did fine

Release 3 — day 7, dose 1

2021-02-08

Systemic reaction (other): Im starting to wonder if the increased congestion I've had for awhile isnt related to vaccine. I'm blowing my nose and seeing small clots of blood daily . Not terrible but seems more than usual winter symptoms Trying humidifier.

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): I thought yesterday was my turnaround day but Im still tired and depressed today. Just had bldwrk done at regular dr appt though

Healthcare visit (other): Already scheduled. Cab there. Walked home 1 mile. Looked at feet almost whole way without realizing till end. Very tired & left purse on bench, had to return for. Not thinking clearly

2021-03-06

Systemic reaction (other): feel same normal as I did 3rd day

Release 5 — day 7, dose 2

2021-03-08

Systemic reaction (other): walked close to a mile roundtrip with no problems

Release 9 — 6 months, dose 2

2021-08-30

Symptoms: uti type symptoms and lots of pressure but clear urine test so referral to urology. Appt next weekAlso unvaccinated person in my apt bldg is positive for covid & quarantined to apt.

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	Fatigue	✓	✓	✓
HCVO	Thinking abnormal	✓	✓	✓
SD	Exposure to SARS-CoV-2	✓	·	✓
SD	Lower urinary tract symptoms	✓	·	✓
SD	Urinary straining	✓	·	✓
SRO	Adverse reaction	○	✓	○
SRO	Cough	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Epistaxis	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Therapeutic response unexpected	✓	✓	✓
SRO	Unevaluable event	✓	·	✓

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