ZE7-25774-63279

3 vaccinations 7 coded responses 14 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 021 / MA
Registered: 2021-03-13

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

2021-03-11
Dose 1 — Moderna
2021-03-13
Registered in v-safe
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Sensitive skin — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Skin sensitive to touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-01
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Very tired all the time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-29
Survey response — day 21, dose 2
MedDRA: Asthenia, Furuncle — Feeling: Fair · Be unable to do your normal daily activities

Free text: No energy at all. Dont think it should have anything to do with it but I have a large boil which I dont get

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — day 42, dose 2
MedDRA: Muscular weakness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscles get weaker

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-10
Survey response — 3 months, dose 2
MedDRA: Impaired healing — Feeling: Fair

Free text: Hearing problems. I had covid before I got the shots

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-12-16
Dose 3 — Moderna
2022-04-08
Survey response — 12 months, dose 2
MedDRA: Ageusia, Anxiety, Condition aggravated, Depression, Memory impairment, Muscle twitching, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: All conditions seem to have worsened. Much more anxiety and depression. Forgetting more frequent. Loss of taste much worse. Spinal stenosis has worsened, developed a familiar twitching neck.

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-12
Call 1 — Could Not Reach Participant
2022-04-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-18
Survey response — 6 months, dose 3
MedDRA: Balance disorder, Familial tremor, Fluid retention, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Fluid retention ,very unsteady on feet, familiar tremor · Healthcare visit (other): See a neurologist and primary care dr

MedDRA releases: 2024-11 · check-in free text available
2022-06-18
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)
2022-06-21
Call 1 — Could Not Reach Participant
2022-06-24
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna
3	2021-12-16	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-04-08	Successful 2022-04-15	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-18	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): Skin sensitive to touch

Release 7 — days 1–6 daily, dose 2

2021-04-13

Systemic reaction (other): Very tired all the time

Release 8 — day 21, dose 2

2021-04-29

Symptoms: No energy at all. Dont think it should have anything to do with it but I have a large boil which I dont get

Release 8 — day 42, dose 2

2021-05-20

Symptoms: Muscles get weaker

Release 9 — 3 months, dose 2

2021-07-10

Symptoms: Hearing problems. I had covid before I got the shots

Release 11 — 12 months, dose 2

2022-04-08

Symptoms: All conditions seem to have worsened. Much more anxiety and depression. Forgetting more frequent. Loss of taste much worse. Spinal stenosis has worsened, developed a familiar twitching neck.

Release 12 — 6 months, dose 3

2022-06-18

Symptoms: Fluid retention ,very unsteady on feet, familiar tremor

Healthcare visit (other): See a neurologist and primary care dr

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	Ageusia	·	·	✓
SD	Anxiety	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Balance disorder	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Depression	·	·	✓
SD	Familial tremor	·	·	✓
SD	Fluid retention	·	·	✓
SD	Furuncle	✓	✓	✓
SD	Impaired healing	✓	✓	✓
SD	Memory impairment	·	·	✓
SD	Muscle twitching	·	·	✓
SD	Muscular weakness	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Sensitive skin	✓	✓	✓

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