Z8G-20097-00706

2 vaccinations 6 coded responses 17 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 945 / CA
Registered: 2021-01-14

Relationship: Self

Timeline

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Health check-in — day 0, dose 1
Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-01-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-12
Dose 2 — Moderna
2021-02-12
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Chest pain, Musculoskeletal pain, Musculoskeletal stiffness, Neck pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Pain and stiffness at the neck, should, shoulder blade and front of the chest, unable to move neck in any direction

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Back pain, Musculoskeletal pain, Neck pain — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Pain on the left side of the neck, shoulder, shoulder blade, back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Back pain, Chest pain, Musculoskeletal pain, Myalgia, Neck pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Still pain at the neck, shoulder, shoulder blades, back and chest, basically all left side muscle pain, vaccine was administered on the left arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · 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: I continue to have pain in my neck, shoulder, chest, shoulder blade, lower back, all the pain is on the left side, still unable to move my neck, the pain is constant

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Report sent to call center — days 1–6 daily, 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)
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Back pain, Neck pain — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Continue to have pain in neck, shoulder, shoulder blades, arm and lower back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Back pain, Musculoskeletal pain, Myalgia, Neck pain — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Neck, shoulder blades, shoulder, lower back muscle pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-19
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-06-01
Call 1 — Could Not Reach Participant
2021-06-04
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-12	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-15	Unsuccessful
2021-02-16	Unsuccessful
2021-02-17	Unsuccessful
2021-02-18	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): Pain and stiffness at the neck, should, shoulder blade and front of the chest, unable to move neck in any direction

2021-02-14

Systemic reaction (other): Pain on the left side of the neck, shoulder, shoulder blade, back

2021-02-15

Systemic reaction (other): Still pain at the neck, shoulder, shoulder blades, back and chest, basically all left side muscle pain, vaccine was administered on the left arm

2021-02-16

Systemic reaction (other): I continue to have pain in my neck, shoulder, chest, shoulder blade, lower back, all the pain is on the left side, still unable to move my neck, the pain is constant

2021-02-17

Systemic reaction (other): Continue to have pain in neck, shoulder, shoulder blades, arm and lower back

2021-02-18

Systemic reaction (other): Neck, shoulder blades, shoulder, lower back muscle pain

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
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Musculoskeletal pain	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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