ZE8-16591-48286

2 vaccinations 14 coded responses 18 check-ins 14 free-text entries 1 call case

Sex: Male
Age at first dose: 46-50
ZIP prefix: 328 / FL
Registered: 2021-07-20

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

2021-07-18
Dose 1 — Moderna
2021-07-20
Registered in v-safe
2021-07-20
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling jittery, Muscle spasms — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Muscle spasm. Feeling jittery

MedDRA releases: 2024-11 · check-in free text available
2021-07-21
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Muscle spasms

MedDRA releases: 2024-11 · check-in free text available
2021-07-22
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms, Paraesthesia — Feeling: Fair · Muscle or body aches

Free text: Muscle spasms and tingling all down my left side

MedDRA releases: 2024-11 · check-in free text available
2021-07-23
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms, Paraesthesia — Feeling: Fair

Free text: Tingling on left side. Arm, leg, butt. Some muscle spasms

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-24
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms, Paraesthesia — Feeling: Good

Free text: Mild tingling left arm, butt, leg. Mild muscle spasms

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-25
Survey response — day 7, dose 1
MedDRA: Muscle spasms, Paraesthesia — Feeling: Good

Free text: Tingling of my left butt, arm, and leg. Muscle spasms

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-01
Survey response — day 14, dose 1
MedDRA: Paraesthesia — Feeling: Fair

Free text: Continuing symptoms of tingling on my left side. My shot was in the left shoulder. It's been happening since the day after the shot

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-08
Survey response — day 21, dose 1
MedDRA: Muscle spasms, Paraesthesia — Feeling: Fair

Free text: I still have muscle spasms and tingling. Though it's less than last week

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-15
Dose 2 — Moderna
2021-08-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-08-18
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain

Free text: Muscle spasms on right side. Shot was given in right arm.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Survey response — days 1–6 daily, dose 2
MedDRA: Toothache — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: My teeth ache

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Free text: Muscle spasm

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-08-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-09-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-09-19
Survey response — day 35, dose 2
MedDRA: Muscle twitching — Feeling: Good

Free text: Muscle twitches just like the first few days after receiving the vaccine. I have no history of something like this before the vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-02-13
Survey response — 6 months, dose 2
MedDRA: Axillary pain, Cardiac murmur, Palpitations — Feeling: Fair

Free text: Heart murmur. Pain in my left armpit. And an occasional pounding heartbeat

MedDRA releases: 2024-11 · check-in free text available
2022-08-16
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Office visit, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Painful joints for a day or 2 at a time. Then they tingle for a day or 2 after that. The only time that I've ever felt anything like this was after my first covid vaccine. · Healthcare visit (other): Primary care doctor

MedDRA releases: 2024-11 · check-in free text available
2022-08-16
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

1 call case(s)
2022-08-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-18	Moderna	No
2	2021-08-15	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-08-16	Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-20

Systemic reaction (other): Muscle spasm. Feeling jittery

2021-07-21

Systemic reaction (other): Muscle spasms

2021-07-22

Systemic reaction (other): Muscle spasms and tingling all down my left side

2021-07-23

Systemic reaction (other): Tingling on left side. Arm, leg, butt. Some muscle spasms

2021-07-24

Systemic reaction (other): Mild tingling left arm, butt, leg. Mild muscle spasms

Release 9 — day 7, dose 1

2021-07-25

Systemic reaction (other): Tingling of my left butt, arm, and leg. Muscle spasms

Release 9 — day 14, dose 1

2021-08-01

Symptoms: Continuing symptoms of tingling on my left side. My shot was in the left shoulder. It's been happening since the day after the shot

Release 9 — day 21, dose 1

2021-08-08

Symptoms: I still have muscle spasms and tingling. Though it's less than last week

Release 9 — days 1–6 daily, dose 2

2021-08-18

Systemic reaction (other): Muscle spasms on right side. Shot was given in right arm.

2021-08-19

Systemic reaction (other): My teeth ache

2021-08-20

Systemic reaction (other): Muscle spasm

Release 9 — day 35, dose 2

2021-09-19

Symptoms: Muscle twitches just like the first few days after receiving the vaccine. I have no history of something like this before the vaccine

Release 11 — 6 months, dose 2

2022-02-13

Symptoms: Heart murmur. Pain in my left armpit. And an occasional pounding heartbeat

Release 12 — 12 months, dose 2

2022-08-16

Symptoms: Painful joints for a day or 2 at a time. Then they tingle for a day or 2 after that. The only time that I've ever felt anything like this was after my first covid vaccine.

Healthcare visit (other): Primary care doctor

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	Arthralgia	·	·	✓
SD	Axillary pain	·	·	✓
SD	Cardiac murmur	·	·	✓
SD	Muscle spasms	✓	·	✓
SD	Muscle twitching	·	·	✓
SD	Palpitations	·	·	✓
SD	Paraesthesia	✓	·	✓
SRO	Feeling jittery	·	·	✓
SRO	Muscle spasms	✓	·	✓
SRO	Paraesthesia	✓	·	✓
SRO	Toothache	✓	·	✓

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