Z2C-24267-45034

4 vaccinations 11 coded responses 13 check-ins 11 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 068 / CT
Registered: 2021-03-06

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2021-02-03
Dose 1 — Moderna
2021-03-04
Dose 2 — Moderna
2021-03-06
Registered in v-safe
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Gait disturbance, Musculoskeletal stiffness — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Stiff neck difficulty walking

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Chapped lips, Fatigue, Flushing, Gait inability, Head discomfort, Lip erythema, Ocular hyperaemia, Pyrexia, Skin burning sensation, Tension headache — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Intense systemic burning when awakening. Inability to walk head pressure weakness have to cling to walls. Eyes red crusty lips super red strange pressure headache flushed feverish feeling extreme fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Gait disturbance, Headache, Musculoskeletal stiffness, Ocular hyperaemia, Superficial injury of eye — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · 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: Very bad headache worse when bending stiff neck. Red scratchy eyes difficulty ealking

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Blood pressure fluctuation, Gait disturbance, Headache, Hypoaesthesia, Pain in extremity, Tenderness — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Erratically very low or high blood pressure. Pressure headache instability in walking arm is much more painful not just injection site. Tender. Numb

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation, Feeling hot, Gait disturbance, Headache, Hypoaesthesia, Musculoskeletal stiffness, Pyrexia — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Numbness right leg staggering walking due to headache and stiff neck and leg numbness systemic feeling of burning and feel flushed and feverish

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 7, dose 2
MedDRA: Burning sensation, Flushing, Gait disturbance, Heart rate increased, Hypotension, Pain in extremity, Pyrexia, Self-medication — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Severe intense burning flushed fever feeling especially after waking up or taking Tylenol. Difficulty with walking arm soreness increasing blood pressure low. Pulse racing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 14, dose 2
MedDRA: Fatigue, Headache, Insomnia, Myalgia, Office visit, Pain in extremity, Pain of skin, Skin burning sensation, Somnolence — Feeling: Poor · Be unable to work, 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: Muscle pain in left thigh as well as very painful tender left arm and armoit( vaccine in left arm) body burning/headaches/ fatigue/ generalized muscle pain/ difficulty waking/ sleeping. Feel like body is attacking itself · Healthcare visit (other): Also visit to doctors office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 14, 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)
2021-03-26
Survey response — day 21, dose 2
MedDRA: Burning sensation, Fatigue, Headache, Irritability, Myalgia, Office visit, Pain, Sleep disorder, Tenderness — Feeling: Poor · Be unable to work, 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: Burning pain in body and left arm of shit....headaches...fatigue...muscle pain...irritability.....my body is attacking itself....cant sleep without waking up systemic burning. Muscle pain left arm tenderness tourniquet feeling in arm and hand · Healthcare visit (other): Doctors office plus multiple teleheallth. All agree its from vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
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)
2021-04-01
Survey response — day 28, dose 2
MedDRA: Blood pressure fluctuation, Blood pressure increased, Burning sensation, Fatigue, Hypoaesthesia, Inflammation, Injection site pain, Irritability, Myalgia, Pain in extremity, Tenderness, Vaccination site hypoaesthesia, Vaccination site inflammation, Vaccination site pain — Feeling: Poor · Be unable to work, 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: Intense tenderness/inflammation/muscle pain / numbness in left vaccinated arm and right arm. Intense exhaustion/fatigue/blood pressure spikes/ systemic burning / increased irritability

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 28, 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)
2021-04-09
Survey response — day 35, dose 2
MedDRA: Burning sensation, Fatigue, Gait disturbance, Head discomfort, Headache, Irritability, Myalgia — Feeling: Poor · Be unable to work, 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: Extreme exhaustion difficulty walking intense muscle pain both arms especially in COVID arm systemic burning irritability headache pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — day 35, 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)
2021-04-20
Survey response — day 42, dose 2
MedDRA: Abdominal distension, Burning sensation, Fatigue, Muscle spasms, Myalgia, Tenderness — Feeling: Poor · Be unable to work, 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: The fatigue is more intense. Burning in hands as well as feet.. difficulty walking... handling touching objects... immediate intense muscle aches/ tenderness upper arms/ spasms/ bloated hard belly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Report sent to call center — day 42, 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)
2021-06-05
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2021-06-09
Call 1 — Could Not Reach Participant
2021-06-14
Call 2 — Left Voicemail
2021-11-18
Dose 3 — Pfizer-BioNTech
2022-03-10
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-04-20
Dose 4 — Pfizer-BioNTech

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Moderna
2	2021-03-04	Moderna
3	2021-11-18	Pfizer-BioNTech	No
4	2022-04-20	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-08	Unsuccessful
2021-03-18	Unsuccessful
2021-03-26	Unsuccessful
2021-04-01	Unsuccessful
2021-04-09	Unsuccessful
2021-04-20	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Stiff neck difficulty walking

2021-03-07

Systemic reaction (other): Intense systemic burning when awakening. Inability to walk head pressure weakness have to cling to walls. Eyes red crusty lips super red strange pressure headache flushed feverish feeling extreme fatigue

2021-03-08

Systemic reaction (other): Very bad headache worse when bending stiff neck. Red scratchy eyes difficulty ealking

2021-03-09

Systemic reaction (other): Erratically very low or high blood pressure. Pressure headache instability in walking arm is much more painful not just injection site. Tender. Numb

2021-03-10

Systemic reaction (other): Numbness right leg staggering walking due to headache and stiff neck and leg numbness systemic feeling of burning and feel flushed and feverish

Release 5 — day 7, dose 2

2021-03-11

Systemic reaction (other): Severe intense burning flushed fever feeling especially after waking up or taking Tylenol. Difficulty with walking arm soreness increasing blood pressure low. Pulse racing

Release 5 — day 14, dose 2

2021-03-18

Symptoms: Muscle pain in left thigh as well as very painful tender left arm and armoit( vaccine in left arm) body burning/headaches/ fatigue/ generalized muscle pain/ difficulty waking/ sleeping. Feel like body is attacking itself

Healthcare visit (other): Also visit to doctors office

Release 6 — day 21, dose 2

2021-03-26

Symptoms: Burning pain in body and left arm of shit....headaches...fatigue...muscle pain...irritability.....my body is attacking itself....cant sleep without waking up systemic burning. Muscle pain left arm tenderness tourniquet feeling in arm and hand

Healthcare visit (other): Doctors office plus multiple teleheallth. All agree its from vaccine

Release 6 — day 28, dose 2

2021-04-01

Symptoms: Intense tenderness/inflammation/muscle pain / numbness in left vaccinated arm and right arm. Intense exhaustion/fatigue/blood pressure spikes/ systemic burning / increased irritability

Release 7 — day 35, dose 2

2021-04-09

Symptoms: Extreme exhaustion difficulty walking intense muscle pain both arms especially in COVID arm systemic burning irritability headache pressure

Release 7 — day 42, dose 2

2021-04-20

Symptoms: The fatigue is more intense. Burning in hands as well as feet.. difficulty walking... handling touching objects... immediate intense muscle aches/ tenderness upper arms/ spasms/ bloated hard belly

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	Abdominal distension	✓	✓	✓
SD	Blood pressure fluctuation	○	✓	○
SD	Blood pressure increased	✓	·	✓
SD	Burning sensation	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gait disturbance	✓	✓	✓
SD	Head discomfort	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Injection site pain	○	✓	○
SD	Insomnia	✓	✓	✓
SD	Irritability	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pain of skin	✓	✓	✓
SD	Skin burning sensation	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SD	Somnolence	✓	✓	✓
SD	Tenderness	✓	✓	✓
SD	Vaccination site hypoaesthesia	○	✓	○
SD	Vaccination site inflammation	○	✓	○
SD	Vaccination site pain	○	✓	○
SRO	Asthenia	✓	✓	✓
SRO	Blood pressure fluctuation	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Chapped lips	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Gait inability	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Hypotension	✓	✓	✓
SRO	Lip erythema	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Skin burning sensation	✓	✓	✓
SRO	Superficial injury of eye	✓	✓	✓
SRO	Tenderness	✓	✓	✓
SRO	Tension headache	✓	✓	✓

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