ZWL-21183-09241

2 vaccinations 7 coded responses 19 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 191 / PA
Registered: 2021-03-16

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-25
Dose 1 — Moderna
2021-03-16
Registered in v-safe
2021-03-16
Survey response — day 14, dose 1
MedDRA: Fatigue, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle aches arms and legs. Feeling tired more so than usual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 28, dose 1
MedDRA: Feeling abnormal, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle pain in upper right leg and upper arms. Feels like stabs when moving or reaching certain ways.Haven't felt good since having Covid-19 in Nov. 2020

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Dose 2 — Moderna
2021-03-26
Health check-in — day 0, dose 2
Feeling: Fair · Muscle or body aches

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-16
Survey response — day 21, dose 2
MedDRA: Dizziness, Fatigue, Hordeolum — Feeling: Fair

Free text: Dizziness. Have a stye on both upper eyelids. Feel tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — day 28, dose 2
MedDRA: Dizziness, Malaise, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle pain all over. Dizziness when changing positions. Just a feeling of malaise.

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

Adult check-in
2021-05-11
Survey response — day 42, dose 2
MedDRA: Headache, Myalgia, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities

Free text: Muscle aches and pain in one leg and both upper arms. Headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Survey response — 3 months, dose 2
MedDRA: Alopecia, Dry skin, Myalgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Extreme muscle pain in thigh and upper arm (right side). Hair seems to be getting thin. Skin is drier.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-30
Call successful
Participant prefers to complete VAERS report online
2021-09-24
Survey response — 6 months, dose 2
MedDRA: Gastrointestinal disorder, Myalgia — 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Digestive issues. Painful muscle pain in right upper leg.

MedDRA releases: 2024-11 · check-in free text available
2021-09-24
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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-10-04
Call successful
Participant prefers to complete VAERS report online
2022-03-28
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Moderna
2	2021-03-26	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-16

Symptoms: Muscle aches arms and legs. Feeling tired more so than usual.

Release 6 — day 28, dose 1

2021-03-25

Symptoms: Muscle pain in upper right leg and upper arms. Feels like stabs when moving or reaching certain ways.Haven't felt good since having Covid-19 in Nov. 2020

Release 7 — day 21, dose 2

2021-04-16

Symptoms: Dizziness. Have a stye on both upper eyelids. Feel tired.

Release 7 — day 28, dose 2

2021-04-25

Symptoms: Muscle pain all over. Dizziness when changing positions. Just a feeling of malaise.

Release 8 — day 42, dose 2

2021-05-11

Symptoms: Muscle aches and pain in one leg and both upper arms. Headaches.

Release 9 — 3 months, dose 2

2021-06-25

Symptoms: Extreme muscle pain in thigh and upper arm (right side). Hair seems to be getting thin. Skin is drier.

Release 9 — 6 months, dose 2

2021-09-24

Symptoms: Digestive issues. Painful muscle pain in right upper leg.

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	Alopecia	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dry skin	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	✓	✓	✓
SD	Hordeolum	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓

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