ZLY-32037-52095

2 vaccinations 13 coded responses 22 check-ins 13 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 458 / OH
Registered: 2021-08-24

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

2021-08-24
Registered in v-safe
2021-08-24
Dose 1 — Moderna
2021-08-24
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-08-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-08-26
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Super tired. Just not normal for me

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Diarrhea

Free text: Light headed

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-28
Survey response — days 1–6 daily, dose 1
MedDRA: Malaise — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Didnt feel well when I got up this morning. It finally passed

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Diarrhea

Adult check-in
2021-08-30
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Dizziness — Feeling: Fair · Joint pains, Muscle or body aches

Free text: Lower back pain. Dizziness

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
Survey response — day 7, dose 1
MedDRA: Back disorder — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Free text: Lower back issue. Started last week and getting worse the longer I am on my feer

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-09-14
Survey response — day 21, dose 1
MedDRA: Paraesthesia, Skin warm — Feeling: Fair · Be unable to do your normal daily activities

Free text: My legs just below the knees down through my feet have a tingling sometimes hot feeling. Worse in the morning. Better as day goes on. Not sure where that came from

MedDRA releases: 2024-11 · check-in free text available
2021-09-21
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-09-29
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-09-30
Dose 2 — Moderna
2021-10-05
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Medical counselling — Feeling: Fair · Site: Swelling · Headache · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): On going headache. Have had a headache since Friday. Not normal for me. I assume this will haunt me forevershould not have gotten this vaccine. · Healthcare visit (other): Pharmacist

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-06
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Feeling abnormal, Headache, Nausea — Feeling: Good

Free text: I have had my first day of no severe head ache today. Ahead a he and chills and nausea set in on Oct 1 the day after my second covid vaccine. I had a headache and felt awful for 5 days. PeopleNeed to know this can happen. I hope that headache is

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Survey response — day 7, dose 2
MedDRA: Headache — Feeling: Fair · Headache

Free text: Head ache starting again.this not normal for me. It starts in lower right side of my head. Has to be a side effect of that darn vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-10-21
Survey response — day 21, dose 2
MedDRA: Headache, Neck pain, Reaction to previous exposure to any vaccine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain I had after my second vaccine in right neck and up left side of skull has returned. I am not happy!

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Survey response — day 28, dose 2
MedDRA: Headache, Neck pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: That same headache up left side of skull. Neck pain as well

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-11-22
Call 1 — Left Voicemail
2021-12-30
Survey response — 3 months, dose 2
MedDRA: Headache, Myalgia, Pain — Feeling: Fair · 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: Continuing muscle pain shoulder area the radiates into right skull area. This started after my second covid vaccine. Will someone please contact me

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-04
Call 1 — Left Voicemail
2022-03-31
Survey response — 6 months, dose 2
MedDRA: Headache, Myalgia, Physiotherapy — Feeling: Fair · 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: Symptoms: I reported this after my second vaccine in Sept. the day after my second vaccine is started having muscle pain in my right shoulder blade area. It progressives into the lower part of the right side of my skull and I had what I call a headache in th · Healthcare visit (other): Physical therapy and have to continue that as the muscle is still in distress. I assume the second vaccine caused this issue

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-04
Call 1 — Could Not Reach Participant
2022-04-04
Call successful
Participant prefers to complete VAERS report online
2022-10-02
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-24	Moderna	No
2	2021-09-30	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-05	Successful	Participant prefers to complete VAERS report online
2021-12-30	Successful	Participant prefers to complete VAERS report online
2022-03-31	Successful 2022-04-04	Participant prefers to complete VAERS report online

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-26

Systemic reaction (other): Super tired. Just not normal for me

2021-08-27

Systemic reaction (other): Light headed

2021-08-28

Systemic reaction (other): Didnt feel well when I got up this morning. It finally passed

2021-08-30

Systemic reaction (other): Lower back pain. Dizziness

Release 9 — day 7, dose 1

2021-08-31

Systemic reaction (other): Lower back issue. Started last week and getting worse the longer I am on my feer

Release 9 — day 21, dose 1

2021-09-14

Symptoms: My legs just below the knees down through my feet have a tingling sometimes hot feeling. Worse in the morning. Better as day goes on. Not sure where that came from

Release 10 — days 1–6 daily, dose 2

2021-10-05

Systemic reaction (other): On going headache. Have had a headache since Friday. Not normal for me. I assume this will haunt me forevershould not have gotten this vaccine.

Healthcare visit (other): Pharmacist

2021-10-06

Systemic reaction (other): I have had my first day of no severe head ache today. Ahead a he and chills and nausea set in on Oct 1 the day after my second covid vaccine. I had a headache and felt awful for 5 days. PeopleNeed to know this can happen. I hope that headache is

Release 10 — day 7, dose 2

2021-10-07

Systemic reaction (other): Head ache starting again.this not normal for me. It starts in lower right side of my head. Has to be a side effect of that darn vaccine.

Release 10 — day 21, dose 2

2021-10-21

Symptoms: Pain I had after my second vaccine in right neck and up left side of skull has returned. I am not happy!

Release 10 — day 28, dose 2

2021-10-28

Symptoms: That same headache up left side of skull. Neck pain as well

Release 10 — 3 months, dose 2

2021-12-30

Symptoms: Continuing muscle pain shoulder area the radiates into right skull area. This started after my second covid vaccine. Will someone please contact me

Release 11 — 6 months, dose 2

2022-03-31

Symptoms: I reported this after my second vaccine in Sept. the day after my second vaccine is started having muscle pain in my right shoulder blade area. It progressives into the lower part of the right side of my skull and I had what I call a headache in th cut off by CDC

Healthcare visit (other): Physical therapy and have to continue that as the muscle is still in distress. I assume the second vaccine caused this issue

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	Medical counselling	·	·	✓
HCVO	Myalgia	·	·	✓
HCVO	Physiotherapy	·	·	✓
SD	Headache	·	·	✓
SD	Myalgia	·	·	✓
SD	Neck pain	·	·	✓
SD	Pain	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Skin warm	·	·	✓
SRO	Back disorder	✓	·	✓
SRO	Back pain	✓	·	✓
SRO	Chills	·	·	✓
SRO	Dizziness	✓	·	✓
SRO	Fatigue	✓	·	✓
SRO	Feeling abnormal	·	·	✓
SRO	Headache	·	·	✓
SRO	Malaise	✓	·	✓
SRO	Nausea	·	·	✓

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