ZXR-17795-90194

2 vaccinations 7 coded responses 19 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 370 / TN
Registered: 2021-04-12

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

Timeline

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

2021-03-31
Dose 1 — Moderna
2021-04-12
Registered in v-safe
2021-04-12
Survey response — day 7, dose 1
MedDRA: Paraesthesia — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Tingling in calf muscle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 14, dose 1
Feeling: Fair

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

Adult check-in
2021-04-28
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-29
Dose 2 — Moderna
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Loss of appetite ever since vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Vomiting — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, Diarrhea

Free text: Threw up a little

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-05-06
Health check-in — day 7, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Headache

Adult check-in
2021-05-13
Survey response — day 14, dose 2
MedDRA: Dizziness, Nausea, Office visit, Peripheral swelling, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I was nauseated and dizzy four days ago i went to the Dr 2 days ago and tested positive for Covid with the rapid test and my arm is still a little swollen from tge vacvine still.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-20
Survey response — day 21, dose 2
MedDRA: Dizziness, Headache, Nausea, Pyrexia, SARS-CoV-2 test false positive — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Right now my head is killing me. I also found out I had a false positive rapid test the lab test was negative so I don't know why i was having dizzines & nausea i also had a fever on 5/19

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-27
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-03
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-10
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Survey response — 6 months, dose 2
MedDRA: Arthritis, Rotator cuff syndrome — Feeling: Fair · 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: Arthritis in my joints and today a strained rotator cuff and I had no previous injury

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Report sent to call center — 6 months, dose 2
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)
2021-10-29
Call 1 — Left Voicemail
2022-04-29
Survey response — 12 months, dose 2
MedDRA: Asthenia, Rheumatoid arthritis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: I now have rheumatoid arthritis I was fine before the vaccine now I have a crippling disease.

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-05-02
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Moderna
2	2021-04-29	Moderna

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 7 — day 7, dose 1

2021-04-12

Systemic reaction (other): Tingling in calf muscle

Release 8 — days 1–6 daily, dose 2

2021-05-02

Systemic reaction (other): Loss of appetite ever since vaccine

2021-05-03

Systemic reaction (other): Threw up a little

Release 8 — day 14, dose 2

2021-05-13

Symptoms: I was nauseated and dizzy four days ago i went to the Dr 2 days ago and tested positive for Covid with the rapid test and my arm is still a little swollen from tge vacvine still.

Release 8 — day 21, dose 2

2021-05-20

Symptoms: Right now my head is killing me. I also found out I had a false positive rapid test the lab test was negative so I don't know why i was having dizzines & nausea i also had a fever on 5/19

Release 10 — 6 months, dose 2

2021-10-28

Symptoms: Arthritis in my joints and today a strained rotator cuff and I had no previous injury

Release 11 — 12 months, dose 2

2022-04-29

Symptoms: I now have rheumatoid arthritis I was fine before the vaccine now I have a crippling disease.

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	Arthritis	·	·	✓
SD	Asthenia	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rheumatoid arthritis	·	·	✓
SD	Rotator cuff syndrome	·	·	✓
SD	SARS-CoV-2 test false positive	✓	✓	✓
SD	SARS-CoV-2 test positive	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Vomiting	✓	✓	✓

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