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Z2K-15898-36831

3 vaccinations 6 coded responses 33 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
535 / WI
Registered
2021-04-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-23
    Dose 1 — Moderna
  2. 2021-04-02
    Registered in v-safe
  3. 2021-04-02
    Survey response — day 7, dose 1
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain
    Free text: Very sore arm for 2.5 days after first dose.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-06
    Survey response — day 14, dose 1
    MedDRA: Muscle spasms, Muscle twitching — Feeling: Good
    Free text: Never in my life before have I had muscle spasms/twitches in my eyebrow. Lolol This started after the first vaccine, and is still ongoing today. I had my shot in my left arm, the twitching is with my right eyebrow.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-13
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-04-20
    Dose 2 — Moderna
  7. 2021-04-20
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  8. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Adult check-in
  9. 2021-04-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  10. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  11. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-04-27
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-05-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-11
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-01
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-20
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-10-19
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-04-20
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2022-06-17
    Dose 3 — Moderna
  24. 2022-06-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school
    Adult check-in
  25. 2022-06-19
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Free text: Huge, giant, swollen arm pit lymph node on the same side as injection site
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-06-21
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain, Swelling
    Free text: Still have swollen armpit the size of a baseball but the pain in it is subsiding.
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-06-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Swelling · Muscle or body aches
    Adult check-in
  28. 2022-06-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Swelling · None
    Adult check-in
  29. 2022-06-24
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2022-07-01
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-07-10
    Survey response — day 21, dose 3
    MedDRA: Aphasia, Speech disorder — Feeling: Good
    Free text: For awhile now, but I didn't really think about it - I have a hard time choosing words, stumbling over words, remembering what I'm trying to say. Sometimes words come out in the wrong order. Normally, I'm very articulate. Lol
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-07-15
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-07-22
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-07-31
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-09-18
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-12-16
    Survey response — 6 months, dose 3
    MedDRA: Neuralgia, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Nerve pain in back, not caused by injury . · Healthcare visit (other): Chiropractor
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-12-16
    Report sent to call center — 6 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  38. 2022-12-19
  39. 2023-06-17
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-23Moderna
22021-04-20Moderna
32022-06-17Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-12-16 Unsuccessful

Free text

Release 6 — day 7, dose 1

2021-04-02

Systemic reaction (other): Very sore arm for 2.5 days after first dose.

Release 7 — day 14, dose 1

2021-04-06

Symptoms: Never in my life before have I had muscle spasms/twitches in my eyebrow. Lolol This started after the first vaccine, and is still ongoing today. I had my shot in my left arm, the twitching is with my right eyebrow.

Release 12 — days 1–6 daily, dose 3

2022-06-19

Systemic reaction (other): Huge, giant, swollen arm pit lymph node on the same side as injection site

2022-06-21

Systemic reaction (other): Still have swollen armpit the size of a baseball but the pain in it is subsiding.

Release 12 — day 21, dose 3

2022-07-10

Symptoms: For awhile now, but I didn't really think about it - I have a hard time choosing words, stumbling over words, remembering what I'm trying to say. Sometimes words come out in the wrong order. Normally, I'm very articulate. Lol

Release 12 — 6 months, dose 3

2022-12-16

Symptoms: Nerve pain in back, not caused by injury .
Healthcare visit (other): Chiropractor

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDAphasia · · ✓
SDMuscle spasms ✓ ✓ ✓
SDMuscle twitching ✓ ✓ ✓
SDNeuralgia · · ✓
SDSpeech disorder · · ✓
SROAxillary pain · · ✓
SROLymphadenopathy · · ✓
SROOedema peripheral · · ✓
SROPain in extremity ✓ ✓ ✓

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