ZHK-23545-36912

2 vaccinations 7 coded responses 11 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 564 / MN
Registered: 2021-04-20

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

2021-03-19
Dose 1 — Moderna
2021-04-16
Dose 2 — Moderna
2021-04-20
Registered in v-safe
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Pain in extremity, Peripheral swelling, Skin warm — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Swollen and red area on upper thigh that is painful and warm to the touch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Emergency care, Erythema, Feeling hot, Pain, Peripheral swelling, Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Raised swollen red warm area on leg is not feeling better, was in the ER Monday and blood test was negative for a bloodclot but it's not going away or any less painful. · Healthcare visit (other): Sending my Dr a message to find out what I should do.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Emergency care, Feeling hot, Pain in extremity, Peripheral swelling — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · 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: Leg pain swelling warm feels bruised or like a cramp been to ER couldn't find a clot. Talked to my dr today and am watching for any changes and she wants to to go in right away if anything changes or gets worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Survey response — day 7, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Getting better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 14, dose 2
MedDRA: Contusion, Incomplete course of vaccination, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Getting random pains and bruises on arms and legs for no reason. I'm never getting another Covid-19 vaccination, and wish I'd never have gotten it in the first place. I'd never get my child vaccinated for this. Not happy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-29
Survey response — day 42, dose 2
MedDRA: Ear pain, Headache, Nasal congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Co worker has covid so had to work from home all week. Have stuffy nose, ears hurt, headache on,and off. Feels like bad allergies. No fever though.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-17
Survey response — 6 months, dose 2
MedDRA: Exposure to SARS-CoV-2, Malaise, Nephrolithiasis, Office visit, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Covid type symptoms and exposure to several co-workers, and a grandchild who had Covid. I got tested at my local clinic on 9/28/21 and it was negative. I also had trouble with a kidney stone for the first time and saw a dr in June for that.

MedDRA releases: 2024-11 · check-in free text available
2021-10-17
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-19
Call 1 — Left Voicemail
2021-10-19
Call successful
Participant prefers to complete VAERS report online
2022-04-16
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

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

Call center

Reported	Outcome	VAERS-related outcome
2021-04-20	Successful	Participant prefers to complete VAERS report online
2021-04-21	Successful	Participant prefers to complete VAERS report online
2021-04-22	Successful	Participant prefers to complete VAERS report online
2021-10-17	Successful 2021-10-19	Participant prefers to complete VAERS report online

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): Swollen and red area on upper thigh that is painful and warm to the touch

2021-04-21

Systemic reaction (other): Raised swollen red warm area on leg is not feeling better, was in the ER Monday and blood test was negative for a bloodclot but it's not going away or any less painful.

Healthcare visit (other): Sending my Dr a message to find out what I should do.

2021-04-22

Systemic reaction (other): Leg pain swelling warm feels bruised or like a cramp been to ER couldn't find a clot. Talked to my dr today and am watching for any changes and she wants to to go in right away if anything changes or gets worse.

Release 7 — day 7, dose 2

2021-04-23

Systemic reaction (other): Getting better

Release 8 — day 14, dose 2

2021-04-30

Symptoms: Getting random pains and bruises on arms and legs for no reason. I'm never getting another Covid-19 vaccination, and wish I'd never have gotten it in the first place. I'd never get my child vaccinated for this. Not happy.

Release 8 — day 42, dose 2

2021-05-29

Symptoms: Co worker has covid so had to work from home all week. Have stuffy nose, ears hurt, headache on,and off. Feels like bad allergies. No fever though.

Release 10 — 6 months, dose 2

2021-10-17

Symptoms: Covid type symptoms and exposure to several co-workers, and a grandchild who had Covid. I got tested at my local clinic on 9/28/21 and it was negative. I also had trouble with a kidney stone for the first time and saw a dr in June for that.

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	Unevaluable event	✓	✓	✓
SD	Contusion	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Headache	✓	✓	✓
SD	Incomplete course of vaccination	✓	✓	✓
SD	Malaise	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Nephrolithiasis	·	·	✓
SD	Office visit	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Skin warm	✓	✓	✓

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