ZHG-98430-22788

2 vaccinations 9 coded responses 21 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 945 / CA
Registered: 2021-03-21

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-19
Dose 1 — Moderna
2021-03-21
Registered in v-safe
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Diarrhea

Free text: A cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Diarrhea

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-28
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Diarrhea

Adult check-in
2021-04-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-16
Dose 2 — Moderna
2021-04-16
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Free text: I have asthma and it seems I need my inhaler more today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
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
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-04-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-07
Survey response — day 21, dose 2
MedDRA: Back pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Severe lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
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)
2021-05-14
Survey response — day 28, dose 2
MedDRA: Back pain, Immediate post-injection reaction — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Low back pain that started immediately after the vaccination. I didnt put 2&2 together for sometime.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-23
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-30
Survey response — day 42, dose 2
MedDRA: Back pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-15
Survey response — 6 months, dose 2
MedDRA: Pain, Physiotherapy, Pre-existing disease, Sciatica — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: The 2nd vaccination In April attacked my sciatica. I have been in pain and getting worse by the week. I have had shots, physical therapy and will soon see an ortho for additional treatment.

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-20
Call 1 — Could Not Reach Participant
2021-10-25
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Moderna
2	2021-04-16	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-05-07	Unsuccessful
2021-05-14	Unsuccessful
2021-05-30	Unsuccessful
2021-10-15	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): A cough

2021-03-24

Systemic reaction (other): Cough

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Insomnia

2021-04-20

Systemic reaction (other): I have asthma and it seems I need my inhaler more today

2021-04-22

Systemic reaction (other): Dizzy

Release 8 — day 21, dose 2

2021-05-07

Symptoms: Severe lower back pain

Release 8 — day 28, dose 2

2021-05-14

Symptoms: Low back pain that started immediately after the vaccination. I didnt put 2&2 together for sometime.

Release 8 — day 42, dose 2

2021-05-30

Symptoms: Lower back pain

Release 10 — 6 months, dose 2

2021-10-15

Symptoms: The 2nd vaccination In April attacked my sciatica. I have been in pain and getting worse by the week. I have had shots, physical therapy and will soon see an ortho for additional treatment.

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
SD	Back pain	✓	✓	✓
SD	Immediate post-injection reaction	✓	✓	✓
SD	Pain	·	·	✓
SD	Physiotherapy	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Sciatica	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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