Z2H-27499-52316

2 vaccinations 9 coded responses 15 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 454 / OH
Registered: 2021-01-15

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Moderna
2021-01-15
Survey response — day 0, dose 1
MedDRA: Myalgia — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Muscle pain up to shoulder/neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperaesthesia, Pain, Pain in extremity — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The muscle pain in my arm has limited the use of my arm. For example, reaching out, and or picking something up there is immediate pain. Theres pain if my shoulder is touched along with that side of the upper arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Free text: I do have muscle aches today. But its most likely due to the sleep position I was in.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-05
Survey response — day 21, dose 1
MedDRA: Pain — Feeling: Fair

Free text: I believe conditions are unrelated to the shot. I have some aches for other reasons.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Dose 2 — Moderna
2021-02-19
Survey response — day 7, dose 2
MedDRA: Arthralgia, Breast cyst, Breast mass, Chills, Fatigue, Impaired work ability, Injection site pain, Insomnia, Mammogram abnormal, Pain, Pain in extremity, Pyrexia, Self-medication, Tenderness — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: This asks about today, 2/19. But on 2/9, I woke at 5:30am with chills and fever of 101.5. By 7am it was 102.5, I had taken acetaminophen at 6am. Through the day I had temps ranging from 100.5 to spiking at 2:00pm to 102.7. Fatigue and the shoulder and arm of the injection was throbbing and aching. Matter of fact I had barely any soreness immediately after the injection. But about 8pm on 2/8, suddenly it felt like someone punched me in my arm, at the injection site, and my arm because sore and then radiated to my shoulder. Ironically, that how I felt initially after my first vaccine. I had to take two days off from work. On 2/10, fever subsided but was fatigued from chills and lack of sleep. My arm and shoulder continued to hurt and sore to touch. The evening of 2/11, I could touch it but it was tender. Finally 2.12 I felt like I was back to 100%. My arm and shoulder were no longer tender to touch. I missed the ability to report this then, so Im doing it now. In addition, I had a routine mammogram on 2/4. It came back showing a mass. The follow up ultrasound on 2/17, but new reports were out saying to wait. Thankfully I just had a cyst. But it did leave me concerned about if I had needed the u/s at all and spoke to my doctors. FYI I prepared for the worst of symptoms, hoped for the best. But the 2nd dose really knocked me down!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — day 14, dose 2
MedDRA: Respiratory tract congestion — Feeling: Fair

Free text: Some congestion for the past 36 hours.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-08
Survey response — day 28, dose 2
MedDRA: Back pain, Neck pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Neck and back pain. However this is a ongoing issue that worsened.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 35, dose 2
MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Pain in the shoulder/neck region,however this is a past issue that worsened. · Healthcare visit (other): Physical therapy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-10
Survey response — 3 months, dose 2
MedDRA: Muscle disorder, Ulnar nerve injury — Feeling: Fair · Be unable to do your normal daily activities

Free text: New issue stems from new issue with ulnar nerve entrapment. Ongoing pain management for existing muscle issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-30
Call 1 — Left Voicemail
2021-08-03
Call successful
Participant prefers to complete VAERS report online
2022-02-08
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-08	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-16	priority 2/3
2021-01-18	priority 2/3
2021-03-17	Successful 2021-08-03	Participant prefers to complete VAERS report online

Free text

Release 2 — day 0, dose 1

2021-01-15

Systemic reaction (other): Muscle pain up to shoulder/neck

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): The muscle pain in my arm has limited the use of my arm. For example, reaching out, and or picking something up there is immediate pain. Theres pain if my shoulder is touched along with that side of the upper arm.

2021-01-19

Systemic reaction (other): I do have muscle aches today. But its most likely due to the sleep position I was in.

Release 3 — day 21, dose 1

2021-02-05

Symptoms: I believe conditions are unrelated to the shot. I have some aches for other reasons.

Release 4 — day 7, dose 2

2021-02-19

Systemic reaction (other): This asks about today, 2/19. But on 2/9, I woke at 5:30am with chills and fever of 101.5. By 7am it was 102.5, I had taken acetaminophen at 6am. Through the day I had temps ranging from 100.5 to spiking at 2:00pm to 102.7. Fatigue and the shoulder and arm of the injection was throbbing and aching. Matter of fact I had barely any soreness immediately after the injection. But about 8pm on 2/8, suddenly it felt like someone punched me in my arm, at the injection site, and my arm because sore and then radiated to my shoulder. Ironically, that how I felt initially after my first vaccine. I had to take two days off from work. On 2/10, fever subsided but was fatigued from chills and lack of sleep. My arm and shoulder continued to hurt and sore to touch. The evening of 2/11, I could touch it but it was tender. Finally 2.12 I felt like I was back to 100%. My arm and shoulder were no longer tender to touch. I missed the ability to report this then, so Im doing it now. In addition, I had a routine mammogram on 2/4. It came back showing a mass. The follow up ultrasound on 2/17, but new reports were out saying to wait. Thankfully I just had a cyst. But it did leave me concerned about if I had needed the u/s at all and spoke to my doctors. FYI I prepared for the worst of symptoms, hoped for the best. But the 2nd dose really knocked me down!

Release 4 — day 14, dose 2

2021-02-22

Symptoms: Some congestion for the past 36 hours.

Release 5 — day 28, dose 2

2021-03-08

Symptoms: Neck and back pain. However this is a ongoing issue that worsened.

Release 5 — day 35, dose 2

2021-03-17

Symptoms: Pain in the shoulder/neck region,however this is a past issue that worsened.

Healthcare visit (other): Physical therapy

Release 8 — 3 months, dose 2

2021-05-10

Symptoms: New issue stems from new issue with ulnar nerve entrapment. Ongoing pain management for existing muscle issues.

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	Back pain	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Muscle disorder	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Ulnar nerve injury	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Breast cyst	✓	✓	✓
SRO	Breast mass	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hyperaesthesia	✓	✓	✓
SRO	Impaired work ability	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Mammogram abnormal	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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