Y92-19500-01006

2 vaccinations 9 coded responses 20 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 017 / MA
Registered: 2021-01-21

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

2021-01-21
Registered in v-safe
2021-01-21
Dose 1 — Moderna
2021-01-21
Survey response — day 0, dose 1
MedDRA: Muscle spasms — Feeling: Good · Site: Pain

Free text: Hand neck muscle cramps on injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches

Free text: Cramps hands legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Site: Pain · Headache

Free text: Had headache off and one since shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-18
Dose 2 — Moderna
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains · Be unable to do your normal daily activities

Free text: Cramp in shot atm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-06
Survey response — day 14, dose 2
MedDRA: Asthenia, Fatigue, Malaise — Feeling: Good

Free text: Just completely tired with no energy since shot not feeling myself.

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

Adult check-in
2021-03-20
Survey response — day 28, dose 2
MedDRA: Asthenia, Fatigue, Loss of personal independence in daily activities — Feeling: Fair · Be unable to do your normal daily activities

Free text: Have been extremely tired since shot and feel weak. Unable to do normal activities without frequent rests- go to bed right after work.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-19
Survey response — 6 months, dose 2
MedDRA: Fatigue, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Extremely fatigued all the time- not new since vaccine I see Dr tomorrow · Healthcare visit (other): Doctor appointment

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
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)
2021-08-24
Call 1 — Left Voicemail
2022-02-18
Survey response — 12 months, dose 2
MedDRA: Musculoskeletal stiffness, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Contact foot pain and legs stiffness

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-18	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-08-19	Unsuccessful

Free text

Release 2 — day 0, dose 1

2021-01-21

Systemic reaction (other): Hand neck muscle cramps on injection side

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Cramps hands legs

2021-01-24

Systemic reaction (other): Had headache off and one since shot

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): Cramps

2021-02-21

Systemic reaction (other): Cramp in shot atm

Release 5 — day 14, dose 2

2021-03-06

Symptoms: Just completely tired with no energy since shot not feeling myself.

Release 6 — day 28, dose 2

2021-03-20

Symptoms: Have been extremely tired since shot and feel weak. Unable to do normal activities without frequent rests- go to bed right after work.

Release 9 — 6 months, dose 2

2021-08-19

Symptoms: Extremely fatigued all the time- not new since vaccine I see Dr tomorrow

Healthcare visit (other): Doctor appointment

Release 11 — 12 months, dose 2

2022-02-18

Symptoms: Contact foot pain and legs stiffness

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	Fatigue	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Pain in extremity	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓

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