ZJY-30215-65866

1 vaccination 9 coded responses 11 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 301 / GA
Registered: 2021-02-05

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

2021-02-04
Dose 1 — Moderna
2021-02-05
Registered in v-safe
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Dyskinesia — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Muscle jerking in legs, arms, neck and thumb that kept waking me up last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Good · Site: Pain · Joint pains

Free text: Muscle jerking is improved, but still present.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Good · Diarrhea

Free text: Muscle jerking in legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle twitching — Feeling: Good · Headache

Free text: Body still jerks. Ive never had this before.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 7, dose 1
Feeling: Fair · Site: Redness, Itching · Headache, Joint pains, Nausea

Adult check-in
2021-02-18
Survey response — day 14, dose 1
MedDRA: Dizziness, Feeling abnormal, Headache, Hot flush, Nausea, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I have had a headache, dizziness, brain fog and nausea for the last six days. On Tuesday night I experienced some sort of heat waves that went through my chest, arms and head. This kept me up all Tuesday night. I am awaiting a response from my doctor · Healthcare visit (other): Awaiting a return call from my doctor to see what I need to do

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-25
Survey response — day 21, dose 1
MedDRA: Axillary pain, Office visit, Telemedicine — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Pain under under both arms, but worse under the one where I got the vaccine. I am not understanding why my side effects seem to be lingering and prolonged compared to others, and wonder if its because of immunosuppression. Afraid to get 2nd vacci · Healthcare visit (other): Televisit and visit to urgent care

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-04
Survey response — day 28, dose 1
MedDRA: Dizziness, Headache, Incomplete course of vaccination — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My conditions are not new. I have had a headache and dizziness every day for 20 days in a row! I will NOT be getting a second vaccine. I am in the process of scheduling an appointment with a neurologist.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-11
Survey response — day 35, dose 1
MedDRA: Computerised tomogram, Dizziness, Headache, Nausea, Noninfective encephalitis, Office visit — Feeling: Poor · Be unable to do your normal daily activities

Free text: My headache, dizziness and nausea started 9 days after my first vaccine, and has continued until today. I have visited the doctor twice. A CT scan was ordered yesterday as the doctor thinks I may have inflammation in my brain. Will NOT get2nd vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 42, dose 1
MedDRA: Immunisation reaction, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Had to see a neurologist. Diagnosis-my immune system went into overdrive attacking the products of the vaccine and started attacking my nerves in my head. Given a prescription that I start today. · Healthcare visit (other): Was referred to and saw a neurologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 42, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-09
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-18	Unsuccessful
2021-02-25	Unsuccessful
2021-03-04	Unsuccessful
2021-03-18	Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): Muscle jerking in legs, arms, neck and thumb that kept waking me up last night

2021-02-06

Systemic reaction (other): Muscle jerking is improved, but still present.

2021-02-09

Systemic reaction (other): Muscle jerking in legs

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Body still jerks. Ive never had this before.

Release 4 — day 14, dose 1

2021-02-18

Symptoms: I have had a headache, dizziness, brain fog and nausea for the last six days. On Tuesday night I experienced some sort of heat waves that went through my chest, arms and head. This kept me up all Tuesday night. I am awaiting a response from my doctor cut off by CDC

Healthcare visit (other): Awaiting a return call from my doctor to see what I need to do

Release 4 — day 21, dose 1

2021-02-25

Symptoms: Pain under under both arms, but worse under the one where I got the vaccine. I am not understanding why my side effects seem to be lingering and prolonged compared to others, and wonder if its because of immunosuppression. Afraid to get 2nd vacci

Healthcare visit (other): Televisit and visit to urgent care

Release 5 — day 28, dose 1

2021-03-04

Symptoms: My conditions are not new. I have had a headache and dizziness every day for 20 days in a row! I will NOT be getting a second vaccine. I am in the process of scheduling an appointment with a neurologist.

Release 5 — day 35, dose 1

2021-03-11

Symptoms: My headache, dizziness and nausea started 9 days after my first vaccine, and has continued until today. I have visited the doctor twice. A CT scan was ordered yesterday as the doctor thinks I may have inflammation in my brain. Will NOT get2nd vaccine cut off by CDC

Release 5 — day 42, dose 1

2021-03-18

Symptoms: Had to see a neurologist. Diagnosis-my immune system went into overdrive attacking the products of the vaccine and started attacking my nerves in my head. Given a prescription that I start today.

Healthcare visit (other): Was referred to and saw a neurologist

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	✓	✓	✓
HCVO	Telemedicine	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Axillary pain	✓	✓	✓
SD	Computerised tomogram	○	✓	○
SD	Dizziness	✓	✓	✓
SD	Fear	○	○	○
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hot flush	✓	✓	✓
SD	Immunisation reaction	✓	✓	✓
SD	Incomplete course of vaccination	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Noninfective encephalitis	○	✓	○
SD	Office visit	✓	✓	✓
SRO	Dyskinesia	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Muscle twitching	✓	✓	✓

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