ZF9-20825-63596

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 7 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 112 / NY
Registered: 2021-01-16

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

2021-01-14
Dose 1 — Moderna
2021-01-16
Registered in v-safe
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Diarrhoea — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I got shot 1/14. On 1/15, I had diarrhea all day and chills. My family did not have the shot and we all ate the exact same dinner so I am certain it was a side effect.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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
Survey response — day 28, dose 1
MedDRA: Head discomfort, Headache — Feeling: Fair

Free text: Headaches and pressure in back of head as if air was being placed in it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 35, dose 1
MedDRA: Head discomfort, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches in the back of my head with pressure like air was being inflated into head. Never experienced a headache of that kind. It lasted 7 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Dose 2 — Moderna
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Nausea

Adult check-in
2021-03-03
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-03-10
Survey response — day 14, dose 2
MedDRA: Burning sensation, Discomfort, Feeling abnormal, Head discomfort, Injection site pain, Muscle spasms, Pain in extremity, Pain management — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I have had a weird feeling in my head/neck that there is pressure or air being filled inside; Ive had pain return at injection site, in the entire arm and ice spasms and burning in my leg that Ive never felt before. · Healthcare visit (other): Pain management

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-19
Survey response — day 21, dose 2
MedDRA: Inflammation, Medical counselling, Neuralgia, Pain in extremity — Feeling: Fair · 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: Symptoms: 1) Pain In injection arm is so bad sometimes it feels like I got shot yesterday2) miscellaneous nerve pain and inflammation I did not have prior to shot. Thought I was getting shingles and had 2 doctor appointments · Healthcare visit (other): Started with Telehealth, then saw doctor in office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-24
Survey response — day 28, dose 2
MedDRA: Injection site pain, Muscular weakness, Neuralgia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I continue to have significant pain in the injection arm at the injection site. It is intermittent; however, at times I have muscle weakness in that arm when using it. Note- I had the vaccine in my right arm and I am left handed. Nerve pain on left. · Healthcare visit (other): Sonogram al

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-31
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-28
Survey response — 3 months, dose 2
MedDRA: Vitreous floaters — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Floaters

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-15
Call 1 — Left Voicemail
2021-08-27
Survey response — 6 months, dose 2
MedDRA: Injection site pain, Office visit, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Intermittent pain at injection site- which has improved since first two months after second shot More recently a month of sore throat, negative covid test- and various doctor appts to determine cause. · Healthcare visit (other): ENT and Endocrinologist

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-02
Call 1 — Left Voicemail
2022-02-26
Survey response — 12 months, dose 2
MedDRA: Discomfort, Herpes zoster, Pain — Feeling: Fair · 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: Got shingles for first time in life (45 years old) last week and have been in significant pain/discomfort

MedDRA releases: 2024-11 · check-in free text available
2022-02-26
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 · 1 call case(s)
2022-03-02
Call 1 — Could Not Reach Participant
2022-03-07
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-24	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-16	priority 2/3
2021-03-10	Unsuccessful
2021-03-19	Unsuccessful
2021-03-24	Unsuccessful
2021-05-28	Unsuccessful
2021-08-27	Unsuccessful
2022-02-26	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): I got shot 1/14. On 1/15, I had diarrhea all day and chills. My family did not have the shot and we all ate the exact same dinner so I am certain it was a side effect.

Release 4 — day 28, dose 1

2021-02-11

Symptoms: Headaches and pressure in back of head as if air was being placed in it

Release 4 — day 35, dose 1

2021-02-18

Symptoms: Headaches in the back of my head with pressure like air was being inflated into head. Never experienced a headache of that kind. It lasted 7 days.

Release 5 — day 14, dose 2

2021-03-10

Symptoms: I have had a weird feeling in my head/neck that there is pressure or air being filled inside; Ive had pain return at injection site, in the entire arm and ice spasms and burning in my leg that Ive never felt before.

Healthcare visit (other): Pain management

Release 5 — day 21, dose 2

2021-03-19

Symptoms: 1) Pain In injection arm is so bad sometimes it feels like I got shot yesterday2) miscellaneous nerve pain and inflammation I did not have prior to shot. Thought I was getting shingles and had 2 doctor appointments

Healthcare visit (other): Started with Telehealth, then saw doctor in office

Release 6 — day 28, dose 2

2021-03-24

Symptoms: I continue to have significant pain in the injection arm at the injection site. It is intermittent; however, at times I have muscle weakness in that arm when using it. Note- I had the vaccine in my right arm and I am left handed. Nerve pain on left. cut off by CDC

Healthcare visit (other): Sonogram al

Release 8 — 3 months, dose 2

2021-05-28

Symptoms: Floaters

Release 9 — 6 months, dose 2

2021-08-27

Symptoms: Intermittent pain at injection site- which has improved since first two months after second shot More recently a month of sore throat, negative covid test- and various doctor appts to determine cause.

Healthcare visit (other): ENT and Endocrinologist

Release 11 — 12 months, dose 2

2022-02-26

Symptoms: Got shingles for first time in life (45 years old) last week and have been in significant pain/discomfort

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	✓	✓	✓
HCVO	Office visit	✓	·	✓
HCVO	Pain management	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Burning sensation	✓	✓	✓
SD	Discomfort	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Head discomfort	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Herpes zoster	·	·	✓
SD	Inflammation	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Neuralgia	✓	✓	✓
SD	Office visit	✓	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SD	Vitreous floaters	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓

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