ZWB-24641-50921

3 vaccinations 11 coded responses 28 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 986 / WA
Registered: 2021-01-05

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

L23-19181-18681 Child or adolescent in my care · Female · 2022-02-21

Timeline

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

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Moderna
2021-01-05
Survey response — day 0, dose 1
MedDRA: Somnolence, Yawning — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Fatigue or tiredness, Nausea

Free text: Yawning constant, feel like I am going to fall asleep while texting eg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Yawning — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Yawning, tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-01-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-26
Survey response — day 21, dose 1
MedDRA: Dizziness, Muscular weakness — Feeling: Fair

Free text: Dizzy faint spells. Never faint though. Just feel like I might. Muscle weakness in feet and hands. Usually resolves and is short lived. But recurring. Occasionally since first vaccine dose. At first thought it was stress related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-09
Survey response — day 35, dose 1
MedDRA: Muscular weakness, Myalgia — Feeling: Fair · Be unable to work

Free text: Leg weakness and muscles aches in legs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — day 42, dose 1
MedDRA: Asthenia, Balance disorder, Dizziness, Gait disturbance, Office visit, Pain, Restlessness, Tremor — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Moments of dizziness, weakness in lags, achy lags. Balance off, restless legs, shaky, stumble sometimes. · Healthcare visit (other): Chiropractic adjustment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Report sent to call center — day 42, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-21
Dose 2 — Moderna
2021-02-22
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · 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: Dizzyness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Back disorder, Muscular weakness, Reaction to previous exposure to any vaccine — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Weakness in legs. Ongoing post first vaccine. Not sure if due to vaccine or back issues?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Muscular weakness, Myalgia, Neuralgia — Feeling: Good

Free text: Weakness in legs and arms and burning in muscle. Possibly due to back pain and nerve pain but not sure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — day 7, dose 2
MedDRA: Dizziness, Muscular weakness, Pain in extremity — Feeling: Fair · Headache

Free text: Dizzy slightly w weak achy legs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-14
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-21
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-28
Survey response — day 35, dose 2
MedDRA: Dizziness, Limb discomfort, Muscular weakness, Syncope — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Dizzy, periods of muscle weakness in torso legs and arms and hands and feet. Periods of feeling faint with heavy legs. Had many labs performed. Most notable was Low Vit D of 12. Inflammatory markers such as ESR and CRP were normal or not remarkable.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-04
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-23
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-05-28
Call 1 — Left Voicemail
2021-06-01
Call successful
Participant prefers to complete VAERS report online
2021-08-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-09
Dose 3 — Moderna
2022-02-21
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-10
Survey response — 6 months, dose 3
MedDRA: Inflammation, Muscular weakness — Feeling: Good

Free text: Occasional weakness in lower legs, occasional inflammation in hands and feet. Unsure what the cause is or if related.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-21	Moderna
3	2021-11-09	Moderna	No

Call center

3 call center cases

2 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-05

Systemic reaction (other): Yawning constant, feel like I am going to fall asleep while texting eg.

Release 1 — days 1–6 daily, dose 1

2021-01-06

Systemic reaction (other): Yawning, tired

Release 2 — day 21, dose 1

2021-01-26

Symptoms: Dizzy faint spells. Never faint though. Just feel like I might. Muscle weakness in feet and hands. Usually resolves and is short lived. But recurring. Occasionally since first vaccine dose. At first thought it was stress related.

Release 3 — day 35, dose 1

2021-02-09

Symptoms: Leg weakness and muscles aches in legs.

Release 4 — day 42, dose 1

2021-02-20

Symptoms: Moments of dizziness, weakness in lags, achy lags. Balance off, restless legs, shaky, stumble sometimes.

Healthcare visit (other): Chiropractic adjustment

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): Dizzyness

2021-02-24

Systemic reaction (other): Weakness in legs. Ongoing post first vaccine. Not sure if due to vaccine or back issues?

2021-02-27

Systemic reaction (other): Weakness in legs and arms and burning in muscle. Possibly due to back pain and nerve pain but not sure.

Release 4 — day 7, dose 2

2021-02-28

Systemic reaction (other): Dizzy slightly w weak achy legs.

Release 6 — day 35, dose 2

2021-03-28

Symptoms: Dizzy, periods of muscle weakness in torso legs and arms and hands and feet. Periods of feeling faint with heavy legs. Had many labs performed. Most notable was Low Vit D of 12. Inflammatory markers such as ESR and CRP were normal or not remarkable. cut off by CDC

Release 11 — 6 months, dose 3

2022-05-10

Symptoms: Occasional weakness in lower legs, occasional inflammation in hands and feet. Unsure what the cause is or if related.

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	Office visit	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Gait disturbance	✓	✓	✓
SD	Inflammation	·	·	✓
SD	Limb discomfort	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Restlessness	✓	✓	✓
SD	Syncope	✓	✓	✓
SD	Tremor	✓	✓	✓
SRO	Back disorder	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Yawning	✓	✓	✓

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