2G4-24174-21799

4 vaccinations 10 coded responses 44 check-ins 9 free-text entries 9 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 894 / NV
Registered: 2021-03-10

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-10
Registered in v-safe
2021-03-10
Dose 1 — Moderna
2021-03-10
Health check-in — day 0, dose 1
Feeling: Good · Site: Redness · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Moderna
2021-04-07
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 42, dose 2
Feeling: Good

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

Adult check-in
2021-10-25
Dose 3 — Moderna
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-01
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-15
Survey response — day 21, dose 3
MedDRA: Mobility decreased, Pain in extremity, Sleep disorder, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: My arm still hurts bad, I have limited motion, I can't sleep on that right side and I can't lift or do much with my right dominant arm · Healthcare visit (other): I made an appointment with my regular doctor

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Report sent to call center — day 21, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-17
Call X — Left Voicemail
2021-11-22
Survey response — day 28, dose 3
MedDRA: Joint range of motion decreased, Muscular weakness, Office visit, Pain in extremity, Sleep disorder — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: My arm is still really hurting, I can't sleep on it, lift anything, & my area of motion is limited. It's my right dominant arm. · Healthcare visit (other): Saw my regular Dr who prescribed Tylenol

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Report sent to call center — day 28, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-24
Call successful
Participant prefers to complete VAERS report online
2021-11-24
Call successful
Participant prefers to complete VAERS report online
2021-11-29
Survey response — day 35, dose 3
MedDRA: Mobility decreased, Office visit, Pain in extremity, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I can't use my right arm, lift anything, can't sleep in it, limited motion, and I have lots of pain · Healthcare visit (other): Saw my regular Dr

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Report sent to call center — day 35, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-06
Survey response — day 42, dose 3
MedDRA: Mobility decreased, Office visit, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: My right arm is still sore since day after getting my booster. I can't sleep on it, can't carry anything with it, have limited motion. · Healthcare visit (other): Saw my regular Dr

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-07
Call X — Left Voicemail
2022-01-24
Survey response — 3 months, dose 3
MedDRA: Cough, Headache, Pyrexia, Respiratory tract congestion, Unevaluable event — 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

Free text: I still have my problems with my arm since my booster but I also have gotten fever, congestion, cough, headache

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Report sent to call center — 3 months, 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 · 1 call case(s)
2022-01-25
Call 1 — Left Voicemail
2022-04-18
Dose 4 — Moderna
2022-04-25
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-05-14
Survey response — day 21, dose 4
MedDRA: Injected limb mobility decreased, Pain in extremity — Feeling: Fair · 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: My right arm is still in pain since I had my vaccine shot on 10/25/21. I have limited motion & cannot lift many things with that arm

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Report sent to call center — day 21, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-16
Call 1 — Left Voicemail
2022-05-16
Call 2 — Left Voicemail
2022-05-16
Call 2 — Left Voicemail
2022-05-16
Call 3 — Left Voicemail
2022-05-16
Call 2 — Left Voicemail
2022-05-18
Survey response — day 28, dose 4
MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Constant pain in my right arm after getting my booster shot on 10/25/2021

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Survey response — day 35, dose 4
MedDRA: Injected limb mobility decreased, Injection site pain, Office visit, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I have daily pain in my right arm where I received my booster shot on 10/25/2021. I can't sleep on it, have limited motion, & can't lift anything with it now. · Healthcare visit (other): Reg dr visit

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Report sent to call center — day 35, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-26
Call 2 — Left Voicemail
2022-05-26
Call 1 — Left Voicemail
2022-05-26
Call 3 — Left Voicemail
2022-05-26
Call 3 — Left Voicemail
2022-05-26
Call 3 — Left Voicemail
2022-05-26
Call 2 — Left Voicemail
2022-06-01
Survey response — day 42, dose 4
MedDRA: Mobility decreased, Muscular weakness, Pain in extremity, Sleep disorder — Feeling: Fair · 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: My right arm continues to be painful and I cannot lie on it at night, cannot pick anything up with it, and have limited motion.

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Report sent to call center — day 42, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-02
Call 3 — Left Voicemail
2022-06-02
Call 2 — Left Voicemail
2022-06-02
Call X — Left Voicemail
2022-06-02
Call X — Left Voicemail
2022-06-02
Call X — Left Voicemail
2022-06-02
Call 3 — Left Voicemail
2022-06-02
Call 2 — Left Voicemail
2022-07-21
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-04-18
Survey response — 12 months, dose 4
MedDRA: Injected limb mobility decreased — Feeling: Fair · 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
2023-04-18
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-19
Call 1 — Left Voicemail
2023-04-19
Call 1 — Left Voicemail
2023-04-19
Call 2 — Left Voicemail
2023-04-19
Call 1 — Left Voicemail
2023-04-19
Call 1 — Left Voicemail
2023-04-19
Call 1 — Left Voicemail
2023-04-19
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-07	Moderna
3	2021-10-25	Moderna	No
4	2022-04-18	Moderna	No

Call center

9 call center cases

2 successful · 7 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 10 — day 21, dose 3

2021-11-15

Symptoms: My arm still hurts bad, I have limited motion, I can't sleep on that right side and I can't lift or do much with my right dominant arm

Healthcare visit (other): I made an appointment with my regular doctor

Release 10 — day 28, dose 3

2021-11-22

Symptoms: My arm is still really hurting, I can't sleep on it, lift anything, & my area of motion is limited. It's my right dominant arm.

Healthcare visit (other): Saw my regular Dr who prescribed Tylenol

Release 10 — day 35, dose 3

2021-11-29

Symptoms: I can't use my right arm, lift anything, can't sleep in it, limited motion, and I have lots of pain

Healthcare visit (other): Saw my regular Dr

Release 10 — day 42, dose 3

2021-12-06

Symptoms: My right arm is still sore since day after getting my booster. I can't sleep on it, can't carry anything with it, have limited motion.

Healthcare visit (other): Saw my regular Dr

Release 11 — 3 months, dose 3

2022-01-24

Symptoms: I still have my problems with my arm since my booster but I also have gotten fever, congestion, cough, headache

Release 11 — day 21, dose 4

2022-05-14

Symptoms: My right arm is still in pain since I had my vaccine shot on 10/25/21. I have limited motion & cannot lift many things with that arm

Release 11 — day 28, dose 4

2022-05-18

Symptoms: Constant pain in my right arm after getting my booster shot on 10/25/2021

Release 11 — day 35, dose 4

2022-05-25

Symptoms: I have daily pain in my right arm where I received my booster shot on 10/25/2021. I can't sleep on it, have limited motion, & can't lift anything with it now.

Healthcare visit (other): Reg dr visit

Release 11 — day 42, dose 4

2022-06-01

Symptoms: My right arm continues to be painful and I cannot lie on it at night, cannot pick anything up with it, and have limited motion.

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	Unevaluable event	·	·	✓
SD	Cough	·	·	✓
SD	Headache	·	·	✓
SD	Injected limb mobility decreased	·	·	✓
SD	Injection site pain	·	·	✓
SD	Joint range of motion decreased	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sleep disorder	·	·	✓
SD	Unevaluable event	·	·	✓

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