Z4C-41037-72231
1 vaccination
4 coded responses
10 check-ins
4 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 454 / OH
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
- 2020-12-30
-
2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Dyskinesia, Medical counselling, Muscle spasms, Muscle twitching — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Nausea, Abdominal pain · 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 consultationFree text: Systemic reaction (other): Im experiencing a really weird interaction please call. Im experiencing extreme muslce spams. Involuntary movement of my arms, fingers, feet, shoulder, and neck. It has got better but about 6 hours after the shot i felt like i was going to lose control of my body i was twitching 5 times a minute · Healthcare visit (other): I spoke to doctor, who then told me to go to urgent care, then recomended i go to the E.R if things worsen. They mentioned it may be neurologicalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-31
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-01
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-01-01
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
-
2021-01-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-01-03
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2021-01-04
- 2021-01-06
- 2021-01-13
-
2021-01-22
Survey response — day 21, dose 1MedDRA: SARS-CoV-2 test negative — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: I feel like i have covid... but ive tested negativeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Call successfulReported to VAERS voluntarily prior to GDIT contact
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2021-01-29
Survey response — day 28, dose 1MedDRA: SARS-CoV-2 test negative — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I feel like i have covid... .but im testing negstive... its not the flu eitherMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Report sent to call center — day 28, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-31
Survey response — 3 months, dose 1MedDRA: Mania — Feeling: GoodFree text: I am feeling .... almost manic..... im the best ive ever felt in my lifeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-31 | Successful 2021-01-25 |
Reported to VAERS voluntarily prior to GDIT contact |
| 2021-01-01 | Successful | Reported to VAERS voluntarily prior to GDIT contact |
| 2021-01-03 | Successful | Reported to VAERS voluntarily prior to GDIT contact |
| 2021-01-29 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Im experiencing a really weird interaction please call. Im experiencing extreme muslce spams. Involuntary movement of my arms, fingers, feet, shoulder, and neck. It has got better but about 6 hours after the shot i felt like i was going to lose control of my body i was twitching 5 times a minute
Healthcare visit (other): I spoke to doctor, who then told me to go to urgent care, then recomended i go to the E.R if things worsen. They mentioned it may be neurological
Release 2 — day 21, dose 1
Symptoms: I feel like i have covid... but ive tested negative
Release 3 — day 28, dose 1
Symptoms: I feel like i have covid... .but im testing negstive... its not the flu either
Release 6 — 3 months, dose 1
Symptoms: I am feeling .... almost manic..... im the best ive ever felt in my life
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 | Medical counselling | ✓ | ✓ | ✓ |
| SD | Mania | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Dyskinesia | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Muscle twitching | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release