ZHV-86854-43547

3 vaccinations 12 coded responses 15 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 900 / CA
Registered: 2021-04-30

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

2021-03-18
Dose 1 — Moderna
2021-04-29
Dose 2 — Moderna
2021-04-30
Registered in v-safe
2021-11-10
Dose 3 — Moderna
2021-11-10
Health check-in — day 0, dose 3
Feeling: Poor · Site: Redness, Swelling · Fever · Headache, Joint pains, 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
2021-11-11
Survey response — days 1–6 daily, dose 3
MedDRA: Pruritus — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Itching

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Survey response — days 1–6 daily, dose 3
MedDRA: Migraine — Feeling: Good · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Headache was a Migraine and responded to my Zomig nose spray medication.

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Survey response — days 1–6 daily, dose 3
MedDRA: Ear pain — Feeling: Fair · Site: Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Left Earache, which I remembered I had the afternoon of the injection and the next day, but not again until today.

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Mild congestion in chest and head

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Survey response — days 1–6 daily, dose 3
MedDRA: Joint swelling, Urticaria — Feeling: Fair · Site: Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Hives continue and swollen joints (ankles)

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Survey response — day 7, dose 3
MedDRA: Bradyphrenia, Joint swelling, Peripheral swelling, Rheumatoid arthritis, Sluggishness — Feeling: Fair · Site: Redness · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Rheumatoid Arthritis swelling of ankles and hands and moving & thinking much more slowly than usual

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Survey response — day 14, dose 3
MedDRA: Arthralgia, Back pain, Fatigue — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fatigue and pain in hips and back, though have been cooking a bit to bring food to TH at my sister's house.

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-08
Survey response — day 28, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Survey response — day 35, dose 3
MedDRA: Arthralgia, Neck pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Joint pain in knees and elbows and neck pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-09
Survey response — 3 months, dose 3
MedDRA: Asthenia, Grip strength decreased, Hypoaesthesia, Muscular weakness, Office visit, Pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Reaction to 3rd Dose of Moderna received 11/10/21, first noticed on or about 1/9/22. Numbness and pain in collarbone on right side, loss of strength in both hands-Dropping mugs of coffee/tea without notice/unable to open jars that hadn't been an issu · Healthcare visit (other): In person visit in March

MedDRA releases: 2024-11 · check-in free text available
2022-02-09
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-02-15
Call 1 — Left Voicemail
2022-05-11
Survey response — 6 months, dose 3
MedDRA: Fall, Fibula fracture, Hypoaesthesia, Neurological symptom, Pain in extremity, Skin graft, Wound — Feeling: Fair · Be unable to work or attend school, 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: Symptoms: I've had a neurological reaction to the Moderna vaccines and third dose I received that results in pain and numbness down my arms into my hands and legs into feet, with the left side being worse & where I got 1st dose as a "righty." · Healthcare visit (other): I tripped and fell on granite steps in August 2021, due I believe to the numbness and sustained a fractured right fibula at the neck of the bone and 2 gashes that have required weekly biologic skin grafts over the past 8 months, beginning 9-30-21.

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-12
Call 2 — Left Voicemail
2022-05-12
Call 1 — Left Voicemail
2022-11-12
Survey response — 12 months, dose 3
MedDRA: Local anaesthesia, Nail operation, Onychomycosis, Surgery — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Fungal growth under thumb nail requiring nail to be removed under local anesthesia · Healthcare visit (other): Outpatient surgery

MedDRA releases: 2024-11 · check-in free text available
2022-11-12
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-11-14
Call 3 — Left Voicemail
2022-11-14
Call 2 — Left Voicemail
2022-11-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Moderna	No
2	2021-04-29	Moderna	No
3	2021-11-10	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-02-09	Unsuccessful
2022-05-11	Unsuccessful
2022-11-12	Unsuccessful

Free text

Release 10 — days 1–6 daily, dose 3

2021-11-11

Systemic reaction (other): Itching

2021-11-12

Systemic reaction (other): Headache was a Migraine and responded to my Zomig nose spray medication.

2021-11-13

Systemic reaction (other): Left Earache, which I remembered I had the afternoon of the injection and the next day, but not again until today.

2021-11-14

Systemic reaction (other): Mild congestion in chest and head

2021-11-16

Systemic reaction (other): Hives continue and swollen joints (ankles)

Release 10 — day 7, dose 3

2021-11-17

Systemic reaction (other): Rheumatoid Arthritis swelling of ankles and hands and moving & thinking much more slowly than usual

Release 10 — day 14, dose 3

2021-11-25

Symptoms: Fatigue and pain in hips and back, though have been cooking a bit to bring food to TH at my sister's house.

Release 10 — day 28, dose 3

2021-12-08

Symptoms: Fatigue

Release 10 — day 35, dose 3

2021-12-15

Symptoms: Joint pain in knees and elbows and neck pain

Release 11 — 3 months, dose 3

2022-02-09

Symptoms: Reaction to 3rd Dose of Moderna received 11/10/21, first noticed on or about 1/9/22. Numbness and pain in collarbone on right side, loss of strength in both hands-Dropping mugs of coffee/tea without notice/unable to open jars that hadn't been an issu cut off by CDC

Healthcare visit (other): In person visit in March

Release 11 — 6 months, dose 3

2022-05-11

Symptoms: I've had a neurological reaction to the Moderna vaccines and third dose I received that results in pain and numbness down my arms into my hands and legs into feet, with the left side being worse & where I got 1st dose as a "righty."

Healthcare visit (other): I tripped and fell on granite steps in August 2021, due I believe to the numbness and sustained a fractured right fibula at the neck of the bone and 2 gashes that have required weekly biologic skin grafts over the past 8 months, beginning 9-30-21.

Release 12 — 12 months, dose 3

2022-11-12

Symptoms: Fungal growth under thumb nail requiring nail to be removed under local anesthesia

Healthcare visit (other): Outpatient surgery

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	Fall	·	·	✓
HCVO	Fibula fracture	·	·	✓
HCVO	Hypoaesthesia	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Skin graft	·	·	✓
HCVO	Surgery	·	·	✓
HCVO	Wound	·	·	✓
SD	Arthralgia	·	·	✓
SD	Asthenia	·	·	✓
SD	Back pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Grip strength decreased	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Local anaesthesia	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Nail operation	·	·	✓
SD	Neck pain	·	·	✓
SD	Neurological symptom	·	·	✓
SD	Onychomycosis	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SRO	Bradyphrenia	·	·	✓
SRO	Ear pain	·	·	✓
SRO	Joint swelling	·	·	✓
SRO	Migraine	·	·	✓
SRO	Peripheral swelling	·	·	✓
SRO	Pruritus	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Rheumatoid arthritis	·	·	✓
SRO	Sluggishness	·	·	✓
SRO	Urticaria	·	·	✓

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