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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

  1. 2021-05-15
    Dose 1 — Moderna
  2. 2021-05-26
    Registered in v-safe
  3. 2021-05-26
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Itching · Chills
    Adult check-in
  4. 2021-06-12
    Dose 2 — Moderna
  5. 2021-06-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 school
    Free text: Legs hurt
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-06-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  7. 2021-06-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Mouth ulceration, Oral herpes, Pain in extremity, Vaccine positive rechallenge — Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness, Nausea
    Free 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 hurt
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-06-21
    Survey response — day 7, dose 2
    MedDRA: 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 visit
    Free text: Severe leg cramls since Thursday night
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-06-21
    Report sent to call center — day 7, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-06-28
  11. 2021-07-06
    Survey response — day 21, dose 2
    MedDRA: Muscle spasms — Feeling: Fair
    Free text: I am still experiencing leg cramps.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-07-10
    Survey response — day 28, dose 2
    MedDRA: Mouth ulceration, Muscle spasms — Feeling: Fair · Be unable to work or attend school
    Free text: Leg cramps in the tops of my legs, ankther ulcr in my mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-07-27
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-09-11
    Survey response — 3 months, dose 2
    MedDRA: Injection site pruritus, Muscle spasms — Feeling: Fair
    Free 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
  15. 2022-06-14
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-15Moderna
22021-06-12Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-06-21 Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 2

2021-06-15

Systemic reaction (other): Legs hurt

2021-06-18

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

2021-06-21

Systemic reaction (other): Severe leg cramls since Thursday night

Release 9 — day 21, dose 2

2021-07-06

Symptoms: I am still experiencing leg cramps.

Release 9 — day 28, dose 2

2021-07-10

Symptoms: Leg cramps in the tops of my legs, ankther ulcr in my mouth

Release 9 — 3 months, dose 2

2021-09-11

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

FieldPreferred term2021-092023-042024-11
SDInjection site pruritus · · ✓
SDMouth ulceration ✓ ✓ ✓
SDMuscle spasms ✓ ✓ ✓
SROMouth ulceration ✓ ✓ ✓
SROMuscle spasms ✓ ✓ ✓
SROOral herpes ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROVaccine positive rechallenge ✓ ✓ ✓

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