ZYY-26447-04849

2 vaccinations 12 coded responses 21 check-ins 12 free-text entries 12 call cases

Sex: —
Age at first dose: 56-60
ZIP prefix: 076 / NJ
Registered: 2021-01-12

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

2021-01-12
Registered in v-safe
2021-01-12
Dose 1 — Moderna
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema, Flushing — Feeling: Good · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Ears turned red for 2 days after shot. My face became flush.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

2 call case(s)
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Lacrimation increased, Rhinorrhoea — Feeling: Poor · Fever · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have had watery eyes and watery nose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

2 call case(s)
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms, Restless legs syndrome — Feeling: Fair · Site: Redness, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Leg cramps and restless knees when trying to sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

2 call case(s)
2021-01-20
Health check-in — day 7, dose 1
Feeling: Good · Site: Redness · Joint pains

Adult check-in
2021-01-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Survey response — 3 months, dose 1
MedDRA: Arthralgia, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I've been experiencing knee pain. Pains in my knees that I've never experienced before in my life. I don't know whether or not it's from the shot but it seems like my knees and the area around my knees have been very sore for the past 6 weeks. · Healthcare visit (other): Dr visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Report sent to call center — 3 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-10
Call 1 — Left Voicemail
2021-07-13
Survey response — 6 months, dose 1
MedDRA: Arthralgia, Joint stiffness, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Continued joint stiffness, especially in the knees... I also get a sun-burn faster than I did before the Covid Shot. · Healthcare visit (other): Dr. Visit for knee pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Report sent to call center — 6 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-21
Call 1 — Left Voicemail
2022-01-12
Dose 2 — Moderna
2022-01-12
Survey response — day 0, dose 2
MedDRA: Breast swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work or attend school

Free text: left breast swelling

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Survey response — 12 months, dose 1
MedDRA: Asthenia, Chills, Lymph node pain, Lymphadenopathy, Malaise, Medical counselling, Pyrexia — 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

Free text: Symptoms: Graver, swollen lifnoids that are painfully under my are, where I received my booster, in my breast and in my neck. I also had chills & 102 fever 12/24, 12/25, 12/26, 12/27 & 101 fever an 12/28. Low energy. I was extremely I'll after my booster shot · Healthcare visit (other): Over the phone.

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Report sent to call center — 12 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-14
Call 1 — Left Voicemail
2022-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2022-01-16
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Upper back pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-17
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety, Arthralgia, Restlessness — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: The booster shot really took a toll on me. I haven't been ok since I had it. I have restless anxiety & pain in booth my knees at night.

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-19
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2022-02-04
Survey response — day 21, dose 2
MedDRA: Lymphadenopathy, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Swollen lymphnoids. · Healthcare visit (other): Visiting my doctor today at 4:30

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-08
Call 1 — Left Voicemail
2022-02-09
Survey response — day 28, dose 2
MedDRA: Lymphadenopathy, Office visit, Restless legs syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Swollen lymphnoids and restless leg syndrome. · Healthcare visit (other): Visit to my doctor's office. He subscribed immediate blood work to be done.

MedDRA releases: 2024-11 · check-in free text available
2022-02-09
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-11
Call 1 — Left Voicemail
2022-02-16
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2022-04-13
Survey response — 3 months, dose 2
MedDRA: Anaemia, Lymphadenopathy, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I still have swollen lymphnoids in my chest and neck and under my arm, where I received my moderna booster. · Healthcare visit (other): Office visits and blood work. I have been diagnosed with anemia

MedDRA releases: 2024-11 · check-in free text available
2022-04-13
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-19
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Moderna
2	2022-01-12	Moderna	No

Call center

12 call center cases

9 unsuccessful · 3 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): Ears turned red for 2 days after shot. My face became flush.

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): I have had watery eyes and watery nose.

2021-01-18

Systemic reaction (other): Leg cramps and restless knees when trying to sleep

Release 7 — 3 months, dose 1

2021-04-13

Symptoms: I've been experiencing knee pain. Pains in my knees that I've never experienced before in my life. I don't know whether or not it's from the shot but it seems like my knees and the area around my knees have been very sore for the past 6 weeks.

Healthcare visit (other): Dr visit

Release 9 — 6 months, dose 1

2021-07-13

Symptoms: Continued joint stiffness, especially in the knees... I also get a sun-burn faster than I did before the Covid Shot.

Healthcare visit (other): Dr. Visit for knee pain.

Release 10 — 12 months, dose 1

2022-01-12

Symptoms: Graver, swollen lifnoids that are painfully under my are, where I received my booster, in my breast and in my neck. I also had chills & 102 fever 12/24, 12/25, 12/26, 12/27 & 101 fever an 12/28. Low energy. I was extremely I'll after my booster shot cut off by CDC

Healthcare visit (other): Over the phone.

Release 10 — day 0, dose 2

2022-01-12

Systemic reaction (other): left breast swelling

Release 10 — days 1–6 daily, dose 2

2022-01-16

Systemic reaction (other): Upper back pain

2022-01-17

Systemic reaction (other): The booster shot really took a toll on me. I haven't been ok since I had it. I have restless anxiety & pain in booth my knees at night.

Release 11 — day 21, dose 2

2022-02-04

Symptoms: Swollen lymphnoids.

Healthcare visit (other): Visiting my doctor today at 4:30

Release 11 — day 28, dose 2

2022-02-09

Symptoms: Swollen lymphnoids and restless leg syndrome.

Healthcare visit (other): Visit to my doctor's office. He subscribed immediate blood work to be done.

Release 11 — 3 months, dose 2

2022-04-13

Symptoms: I still have swollen lymphnoids in my chest and neck and under my arm, where I received my moderna booster.

Healthcare visit (other): Office visits and blood work. I have been diagnosed with anemia

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	Anaemia	·	·	✓
HCVO	Arthralgia	✓	✓	✓
HCVO	Medical counselling	·	·	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Chills	·	·	✓
SD	Joint stiffness	✓	✓	✓
SD	Lymph node pain	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Malaise	·	·	✓
SD	Pyrexia	·	·	✓
SD	Restless legs syndrome	·	·	✓
SRO	Anxiety	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Back pain	·	·	✓
SRO	Breast swelling	·	·	✓
SRO	Erythema	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Lacrimation increased	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Restless legs syndrome	✓	✓	✓
SRO	Restlessness	·	·	✓
SRO	Rhinorrhoea	✓	✓	✓

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