274-17700-52473

3 vaccinations 7 coded responses 23 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 980 / WA
Registered: 2021-01-05

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

2021-01-02
Dose 1 — Moderna
2021-01-05
Registered in v-safe
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Site: Pain, Redness, Swelling · Be unable to work

Free text: I was very tired a day after my shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
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, Redness, Swelling · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-28
Dose 2 — Moderna
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Malaise — Feeling: Fair · Site: Pain, Swelling · Be unable to work, Be unable to do your normal daily activities

Free text: Yesterday January 29th, I was really sick experienced most of the symptoms above, Im feeling much better today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-01-30
Survey response — 12 months, dose 2
MedDRA: Pain — Feeling: Poor · 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

Free text: You see, I have these body pain I cannot explain. I started to think it is from all the vaccines I got

MedDRA releases: 2024-11 · check-in free text available
2022-01-30
Report sent to call center — 12 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 · 1 call case(s)
2022-01-31
Call 1 — Left Voicemail
2022-04-04
Call successful
Participant prefers to complete VAERS report online
2022-06-20
Dose 3 — Moderna
2022-06-20
Survey response — day 0, dose 3
MedDRA: Pain — Feeling: Poor · Joint pains, Muscle or body aches · 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

Free text: Yes, severe body pain

MedDRA releases: 2024-11 · check-in free text available
2022-06-20
Report sent to call center — day 0, dose 3
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 · 1 call case(s)
2022-06-21
Call 2 — Requested Callback
2022-06-21
Call 1 — Requested Callback
2022-06-23
Survey response — days 1–6 daily, dose 3
MedDRA: COVID-19, Impaired quality of life, Pain — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Since I received COVID-19, my quality of life is ruined, I have so much pain, I just don't know what to do!

MedDRA releases: 2024-11 · check-in free text available
2022-06-24
Call 3 — Left Voicemail
2022-06-24
Call 2 — Left Voicemail
2022-06-24
Callback requested for
02:30PM ET
2022-06-24
Call successful
Completed over the phone
2022-06-25
Survey response — days 1–6 daily, dose 3
MedDRA: Pain — Feeling: Poor · Joint pains, Muscle or body aches · Be unable to work or attend school, 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

Free text: Since I got my COVID-19 vaccines, my life has changed dramatically. I have been in constant pain none stop!!!!

MedDRA releases: 2024-11 · check-in free text available
2022-06-25
Report sent to call center — days 1–6 daily, 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-27
Call successful
Reported to VAERS during previous contact from GDIT
2023-06-27
Survey response — 12 months, dose 3
MedDRA: Gait inability, Impaired work ability, Loss of personal independence in daily activities, Mobility decreased, Muscular weakness, Myalgia, Office visit, Pain, Physiotherapy — 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 · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-02	Moderna
2	2021-01-28	Moderna
3	2022-06-20	Moderna	No

Call center

4 call center cases

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

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-05

Systemic reaction (other): I was very tired a day after my shot

Release 3 — days 1–6 daily, dose 2

2021-01-30

Systemic reaction (other): Yesterday January 29th, I was really sick experienced most of the symptoms above, Im feeling much better today.

Release 11 — 12 months, dose 2

2022-01-30

Symptoms: You see, I have these body pain I cannot explain. I started to think it is from all the vaccines I got

Release 12 — day 0, dose 3

2022-06-20

Systemic reaction (other): Yes, severe body pain

Release 12 — days 1–6 daily, dose 3

2022-06-23

Systemic reaction (other): Since I received COVID-19, my quality of life is ruined, I have so much pain, I just don't know what to do!

2022-06-25

Systemic reaction (other): Since I got my COVID-19 vaccines, my life has changed dramatically. I have been in constant pain none stop!!!!

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	·	·	✓
HCVO	Physiotherapy	·	·	✓
SD	Gait inability	·	·	✓
SD	Impaired work ability	·	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Myalgia	·	·	✓
SD	Pain	·	·	✓
SRO	COVID-19	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Impaired quality of life	·	·	✓
SRO	Malaise	✓	✓	✓
SRO	Pain	·	·	✓

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