ZK9-19573-12967

2 vaccinations 9 coded responses 15 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 072 / NJ
Registered: 2021-02-12

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

2021-02-10
Dose 1 — Moderna
2021-02-12
Registered in v-safe
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Headache, Oropharyngeal pain, Pain — Feeling: Good · Site: Pain

Free text: My vaccime was 5 days ago. I did have a reaction on the 2nd and 3rd days. Mild headache, achy, sorethroat and tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-03-10
Dose 2 — Moderna
2021-03-10
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Abdominal pain

Free text: Feeling cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold — Feeling: Good · Site: Redness, Swelling · Muscle or body aches

Free text: Feel cold; not chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Good

Free text: I had a brief muscle spasm in my leg. It happened on March 11th, the day after getting my 2nd dose but I forgot to report it. Ot was worse the first time and lasted about 10 minutes. Today it was just a few minutes and not aa bad.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Survey response — day 14, dose 2
MedDRA: Abdominal rigidity, Medical counselling, Muscle spasms, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Feeling of movement or spasm in upper left side of abdomen for the past 3 days intermittently. Also recurrance of cramp in right leg and leg soreness in both legs when lying down at night. · Healthcare visit (other): Phone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-08
Survey response — day 28, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Swollen/sore gland on the left jaw area. I have a history of this on the right side, never the left. Treating myself based on doctors directives in the past. No fever yet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 35, dose 2
MedDRA: Muscle spasms — Feeling: Good

Free text: Occaisonal muscle spasms in my legs. It happened a couple weeks ago but this week is a little more frequent.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 42, dose 2
MedDRA: Lymphadenopathy, Swelling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Swollen glands on left side under ear near jaw. · Healthcare visit (other): Called my ENT. Also I was suposed to have a Mamogra today. The imaging technician said not to come because this swelling could indicate that there is other swelling around my lymph amd the mamogram could reflect that and be abnormal. They said to wait 3 weeks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-10
Survey response — 6 months, dose 2
MedDRA: Contusion, Muscle spasms, Office visit, Tetany — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Unexplained bruises and muslce cramps/spasms inmy legs/feet · Healthcare visit (other): Primary care physocian

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-13
Call 1 — Left Voicemail
2021-10-12
Call successful
Participant prefers to complete VAERS report online
2022-03-15
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-10	Moderna
2	2021-03-10	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-24	Successful	Participant prefers to complete VAERS report online
2021-04-22	Successful	Participant prefers to complete VAERS report online
2021-09-10	Successful 2021-10-12	Participant prefers to complete VAERS report online

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-14

Systemic reaction (other): My vaccime was 5 days ago. I did have a reaction on the 2nd and 3rd days. Mild headache, achy, sorethroat and tired.

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): Feeling cold

2021-03-13

Systemic reaction (other): Feel cold; not chills

2021-03-16

Systemic reaction (other): I had a brief muscle spasm in my leg. It happened on March 11th, the day after getting my 2nd dose but I forgot to report it. Ot was worse the first time and lasted about 10 minutes. Today it was just a few minutes and not aa bad.

Release 6 — day 14, dose 2

2021-03-24

Symptoms: Feeling of movement or spasm in upper left side of abdomen for the past 3 days intermittently. Also recurrance of cramp in right leg and leg soreness in both legs when lying down at night.

Healthcare visit (other): Phone

Release 7 — day 28, dose 2

2021-04-08

Symptoms: Swollen/sore gland on the left jaw area. I have a history of this on the right side, never the left. Treating myself based on doctors directives in the past. No fever yet.

Release 7 — day 35, dose 2

2021-04-16

Symptoms: Occaisonal muscle spasms in my legs. It happened a couple weeks ago but this week is a little more frequent.

Release 7 — day 42, dose 2

2021-04-22

Symptoms: Swollen glands on left side under ear near jaw.

Healthcare visit (other): Called my ENT. Also I was suposed to have a Mamogra today. The imaging technician said not to come because this swelling could indicate that there is other swelling around my lymph amd the mamogram could reflect that and be abnormal. They said to wait 3 weeks.

Release 9 — 6 months, dose 2

2021-09-10

Symptoms: Unexplained bruises and muslce cramps/spasms inmy legs/feet

Healthcare visit (other): Primary care physocian

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	Lymphadenopathy	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Office visit	·	·	✓
HCVO	Swelling	✓	✓	✓
SD	Abdominal rigidity	✓	✓	✓
SD	Contusion	·	·	✓
SD	Lymph node pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Tetany	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓

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