YGC-46504-43659

2 vaccinations 10 coded responses 13 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 784 / TX
Registered: 2021-08-06

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-08-06
Registered in v-safe
2021-08-06
Dose 1 — Moderna
2021-08-06
Survey response — day 0, dose 1
MedDRA: Injection site pain — Feeling: Fair · Site: Pain, Itching

Free text: Tende, pain extends 3 inches in diameter from injection point

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-08
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Pain, Pain in extremity, Peripheral swelling — Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Free text: Soreness/ about3inches in diameter/ pain on shoulder (front and back), upper arm, and socket. Legg pain and swelling (not sure if from vaccination)

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-09
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good · Site: Pain

Free text: Soreness

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-08-13
Survey response — day 7, dose 1
MedDRA: Muscle spasms — Feeling: Good · Site: Pain

Free text: Severe muscle (charlie horse) cramp on leg calf

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Survey response — day 14, dose 1
MedDRA: Muscle spasms, Muscle tightness, Myalgia — Feeling: Good

Free text: Severe leg cramps and tighned muscle pain at shoulder and arm.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-09-03
Dose 2 — Moderna
2021-09-17
Survey response — day 14, dose 2
MedDRA: Arthralgia, Diarrhoea, Fatigue, Muscle spasms, Pain in extremity — Feeling: Fair · Be unable to work or attend school

Free text: Extreme tiredness. Severe leg cramps. Right arm area and shoulder pain. Diarrhea.

MedDRA releases: 2024-11 · check-in free text available
2021-09-24
Survey response — day 21, dose 2
MedDRA: Productive cough, Respiratory disorder, Sputum discoloured — Feeling: Fair

Free text: Forgot to mention that I am having respiratory breathing problems since 1st covid shot. Still have slight phenomena, phlegms in chest coughing up small amounts of thick green crud every now and then.

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Survey response — day 28, dose 2
MedDRA: Muscle spasms, Oropharyngeal pain, Pharyngeal swelling, Productive cough, Respiratory tract congestion, Unevaluable event, Urticaria — Feeling: Fair · Be unable to do your normal daily activities

Free text: Slight phenomena, chest congestion, coughing up thick green phlegms. Severe leg cramps on both sides legs, on calves and thighs, swollen and sore throat (feels like strep). Now, breaking out in hives/rash on arms and stomach.

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Survey response — day 35, dose 2
MedDRA: Office visit, Productive cough, Rash, Respiratory tract congestion, Sputum discoloured, Urticaria — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional

Free text: Symptoms: Still have chest congestion with thick green phlegms being coughed up. Hives and rash, had to go to doctor · Healthcare visit (other): Doctor's office visit

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Report sent to call center — day 35, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-15
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-12-03
Survey response — 3 months, dose 2
MedDRA: Muscle spasms, Pneumonia, Productive cough, Respiratory tract congestion, Secretion discharge, Sputum discoloured — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still have serious chest congestion with mucus (phnemonia), and coughing up thick green globs. Severe legs cramps haven't stopped.

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Call 1 — Left Voicemail
2021-12-06
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-06	Moderna	No
2	2021-09-03	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-08	Successful 2021-12-06	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 9 — day 0, dose 1

2021-08-06

Systemic reaction (other): Tende, pain extends 3 inches in diameter from injection point

Release 9 — days 1–6 daily, dose 1

2021-08-08

Systemic reaction (other): Soreness/ about3inches in diameter/ pain on shoulder (front and back), upper arm, and socket. Legg pain and swelling (not sure if from vaccination)

2021-08-09

Systemic reaction (other): Soreness

Release 9 — day 7, dose 1

2021-08-13

Systemic reaction (other): Severe muscle (charlie horse) cramp on leg calf

Release 9 — day 14, dose 1

2021-08-20

Symptoms: Severe leg cramps and tighned muscle pain at shoulder and arm.

Release 9 — day 14, dose 2

2021-09-17

Symptoms: Extreme tiredness. Severe leg cramps. Right arm area and shoulder pain. Diarrhea.

Release 9 — day 21, dose 2

2021-09-24

Symptoms: Forgot to mention that I am having respiratory breathing problems since 1st covid shot. Still have slight phenomena, phlegms in chest coughing up small amounts of thick green crud every now and then.

Release 9 — day 28, dose 2

2021-10-01

Symptoms: Slight phenomena, chest congestion, coughing up thick green phlegms. Severe leg cramps on both sides legs, on calves and thighs, swollen and sore throat (feels like strep). Now, breaking out in hives/rash on arms and stomach.

Release 10 — day 35, dose 2

2021-10-08

Symptoms: Still have chest congestion with thick green phlegms being coughed up. Hives and rash, had to go to doctor

Healthcare visit (other): Doctor's office visit

Release 10 — 3 months, dose 2

2021-12-03

Symptoms: Still have serious chest congestion with mucus (phnemonia), and coughing up thick green globs. Severe legs cramps haven't stopped.

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	Arthralgia	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Muscle spasms	✓	·	✓
SD	Muscle tightness	✓	·	✓
SD	Myalgia	✓	·	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pharyngeal swelling	·	·	✓
SD	Pneumonia	·	·	✓
SD	Productive cough	·	·	✓
SD	Rash	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Sputum discoloured	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Urticaria	·	·	✓
SRO	Arthralgia	✓	·	✓
SRO	Injection site pain	✓	·	✓
SRO	Muscle spasms	✓	·	✓
SRO	Pain	✓	·	✓
SRO	Pain in extremity	✓	·	✓
SRO	Peripheral swelling	✓	·	✓

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