ZQS-58183-28187
2 vaccinations
6 coded responses
10 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 279 / NC
- Registered
- 2021-05-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-15
Dose 1 — Moderna
-
2021-05-26
Registered in v-safe
- 2021-05-26
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2021-06-12
Dose 2 — Moderna
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2021-06-15
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend schoolFree text: Legs hurtMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-06-18
Survey response — days 1–6 daily, dose 2MedDRA: Mouth ulceration, Oral herpes, Pain in extremity, Vaccine positive rechallenge — Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness, NauseaFree text: Since Monday I have had a fever blister, which I had with my 1st shot, 3 ulcers in my mouth since Wednesday and my legs still ache, kind of hurtMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-21
Survey response — day 7, dose 2MedDRA: Muscle spasms — Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Severe leg cramls since Thursday nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-21
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-28
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2021-07-06
Survey response — day 21, dose 2MedDRA: Muscle spasms — Feeling: FairFree text: I am still experiencing leg cramps.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-10
Survey response — day 28, dose 2MedDRA: Mouth ulceration, Muscle spasms — Feeling: Fair · Be unable to work or attend schoolFree text: Leg cramps in the tops of my legs, ankther ulcr in my mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-27
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2021-09-11
Survey response — 3 months, dose 2MedDRA: Injection site pruritus, Muscle spasms — Feeling: FairFree text: The injection place on my arm is still there and itches. I can feel that llace with my hand. Also, my legs, toes and feet atill cramp.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-15 | Moderna | |
| 2 | 2021-06-12 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-21 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Legs hurt
Systemic reaction (other): Since Monday I have had a fever blister, which I had with my 1st shot, 3 ulcers in my mouth since Wednesday and my legs still ache, kind of hurt
Release 9 — day 7, dose 2
Systemic reaction (other): Severe leg cramls since Thursday night
Release 9 — day 21, dose 2
Symptoms: I am still experiencing leg cramps.
Release 9 — day 28, dose 2
Symptoms: Leg cramps in the tops of my legs, ankther ulcr in my mouth
Release 9 — 3 months, dose 2
Symptoms: The injection place on my arm is still there and itches. I can feel that llace with my hand. Also, my legs, toes and feet atill cramp.
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 |
|---|---|---|---|---|
| SD | Injection site pruritus | · | · | ✓ |
| SD | Mouth ulceration | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Mouth ulceration | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release