ZT7-26337-53114

3 vaccinations 13 coded responses 39 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 070 / NJ
Registered: 2021-03-23

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-22
Dose 1 — Moderna
2021-03-23
Registered in v-safe
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-04-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-19
Dose 2 — Moderna
2021-04-19
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Neck pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Back and neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-05-03
Survey response — day 14, dose 2
MedDRA: Back pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: My lower and mid back have been hurting a lot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 21, dose 2
MedDRA: Back pain, Chills, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: The back pain is still there. A lot of chills and tiredness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — day 28, dose 2
MedDRA: Back pain, Injection site pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: My arm still hurts where the vaccine was injected. The pain in the mid back is very strong from time to time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-19
Survey response — 3 months, dose 2
MedDRA: Pain — Feeling: Good

Free text: Once in while I get body sore out of nothing.

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Survey response — 6 months, dose 2
MedDRA: Back pain, Palpitations — Feeling: Fair · Be unable to work or attend school

Free text: Heart Palpitations and Back pain.

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
Dose 3 — Moderna
2022-04-09
Survey response — days 1–6 daily, dose 3
MedDRA: Feeling cold — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very cold

MedDRA releases: 2024-11 · check-in free text available
2022-04-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2022-04-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches

Adult check-in
2022-04-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches

Adult check-in
2022-04-15
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2022-04-22
Survey response — day 14, dose 3
MedDRA: Muscle spasms — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Back Muscle spams

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Survey response — day 21, dose 3
MedDRA: Back pain, Muscle spasms — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Back pain and cramps goes on and off

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Report sent to call center — day 21, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-05-03
Call successful
Participant prefers to complete VAERS report online
2022-05-06
Survey response — day 28, dose 3
MedDRA: Back pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Mid back pain still bothering me a lot.

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Survey response — day 35, dose 3
MedDRA: Back pain, Nasopharyngitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Pretty bad cold. Back pain.

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-07-10
Survey response — 3 months, dose 3
MedDRA: Back pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Back pain since I had my last shot. Pain is on and off.

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-04-08
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Moderna
2	2021-04-19	Moderna
3	2022-04-08	Moderna	No

Call center

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

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): Light headed

2021-04-21

Systemic reaction (other): Back and neck pain

Release 8 — day 14, dose 2

2021-05-03

Symptoms: My lower and mid back have been hurting a lot.

Release 8 — day 21, dose 2

2021-05-10

Symptoms: The back pain is still there. A lot of chills and tiredness.

Release 8 — day 28, dose 2

2021-05-17

Symptoms: My arm still hurts where the vaccine was injected. The pain in the mid back is very strong from time to time.

Release 9 — 3 months, dose 2

2021-07-19

Symptoms: Once in while I get body sore out of nothing.

Release 10 — 6 months, dose 2

2021-10-18

Symptoms: Heart Palpitations and Back pain.

Release 11 — days 1–6 daily, dose 3

2022-04-09

Systemic reaction (other): Very cold

Release 11 — day 14, dose 3

2022-04-22

Symptoms: Back Muscle spams

Release 11 — day 21, dose 3

2022-04-30

Symptoms: Back pain and cramps goes on and off

Release 11 — day 28, dose 3

2022-05-06

Symptoms: Mid back pain still bothering me a lot.

Release 11 — day 35, dose 3

2022-05-13

Symptoms: Pretty bad cold. Back pain.

Release 12 — 3 months, dose 3

2022-07-10

Symptoms: Back pain since I had my last shot. Pain is on and off.

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	Back pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain	·	·	✓
SD	Palpitations	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling cold	·	·	✓
SRO	Neck pain	✓	✓	✓

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