YZN-16487-62296

2 vaccinations 9 coded responses 15 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 193 / PA
Registered: 2021-05-05

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

2021-04-07
Dose 1 — Moderna
2021-05-05
Registered in v-safe
2021-05-05
Dose 2 — Moderna
2021-05-05
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lower back pain in kidney area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Cough - a dry cough yesterday and chest congestion today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Neck pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Neck really hurts and not sure if it is related to the ongoing headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 7, dose 2
MedDRA: Neck pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Neck pain. Probably caused by muscle aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 14, dose 2
MedDRA: Arthralgia, Back pain, Hyperaesthesia, Muscle spasms, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Strange unexplained pain in my left hip, lower back and left leg in the thigh area with Skin sensitivity. Neck cramps as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — day 21, dose 2
MedDRA: Axillary pain, Back pain, Feeling abnormal, Headache, Office visit, Pain, Pain in extremity, Pain of skin, Physiotherapy, Pre-existing disease, Self-medication — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Worsening Skin pain on back and abdomen, left leg and under both arms. Increasingly Painful. Headaches continue anx I need tylenol constantly. Back pain is increasing snd I feel very bad but not as bad as bad day following the 2nd dose. · Healthcare visit (other): In person visit with doctor and tests are beung run as well as physical therapist for continuing leg and back pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-02
Survey response — day 28, dose 2
MedDRA: Back pain, Headache, Office visit, Pain of skin, Physiotherapy — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Skin pain has expanded to under arm pits and underside of arms and near lymph nodes at top of legs nearower abdomen. Lower back pain has increased. Headaches are finally gone. · Healthcare visit (other): Doctor visit in person and physical therapy visit with ultrasound

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-09
Survey response — day 35, dose 2
MedDRA: Back pain, Hypoaesthesia, Neuralgia, Office visit, Physiotherapy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Lower back pain, nerve pain and numness in leg · Healthcare visit (other): In office visit to physical therapy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-16
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-09
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-06
Call 1 — Left Voicemail
2021-11-04
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-05-05
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Arthritis, Office visit, Pre-existing disease, Respiratory tract congestion, Skin cancer — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Skin cancer. And continued arthritis and joint pain symptoms since the vaccine and worse asthma / breathing and chest congestion. · Healthcare visit (other): In office dermatology visit

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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-06
Call 1 — Left Voicemail

Vaccinations

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

Call center

Reported	Outcome	VAERS-related outcome
2021-05-26	Unsuccessful
2021-06-02	Unsuccessful
2021-06-09	Unsuccessful
2022-05-05	Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-07

Systemic reaction (other): Lower back pain in kidney area

2021-05-10

Systemic reaction (other): Cough - a dry cough yesterday and chest congestion today

2021-05-11

Systemic reaction (other): Neck really hurts and not sure if it is related to the ongoing headache.

Release 8 — day 7, dose 2

2021-05-12

Systemic reaction (other): Neck pain. Probably caused by muscle aches

Release 8 — day 14, dose 2

2021-05-19

Symptoms: Strange unexplained pain in my left hip, lower back and left leg in the thigh area with Skin sensitivity. Neck cramps as well.

Release 8 — day 21, dose 2

2021-05-26

Symptoms: Worsening Skin pain on back and abdomen, left leg and under both arms. Increasingly Painful. Headaches continue anx I need tylenol constantly. Back pain is increasing snd I feel very bad but not as bad as bad day following the 2nd dose.

Healthcare visit (other): In person visit with doctor and tests are beung run as well as physical therapist for continuing leg and back pain.

Release 8 — day 28, dose 2

2021-06-02

Symptoms: Skin pain has expanded to under arm pits and underside of arms and near lymph nodes at top of legs nearower abdomen. Lower back pain has increased. Headaches are finally gone.

Healthcare visit (other): Doctor visit in person and physical therapy visit with ultrasound

Release 9 — day 35, dose 2

2021-06-09

Symptoms: Lower back pain, nerve pain and numness in leg

Healthcare visit (other): In office visit to physical therapy

Release 11 — 12 months, dose 2

2022-05-05

Symptoms: Skin cancer. And continued arthritis and joint pain symptoms since the vaccine and worse asthma / breathing and chest congestion.

Healthcare visit (other): In office dermatology visit

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	Back pain	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Pain in extremity	✓	✓	✓
HCVO	Physiotherapy	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Arthritis	·	·	✓
SD	Axillary pain	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hyperaesthesia	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Neuralgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pain of skin	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Skin cancer	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Neck pain	✓	✓	✓

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