2HW-34645-60548

1 vaccination 6 coded responses 11 check-ins 6 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 201 / VA
Registered: 2021-01-09

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

2021-01-07
Dose 1 — Moderna
2021-01-09
Registered in v-safe
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling, Itching · Chills

Adult check-in
2021-01-14
Survey response — day 7, dose 1
MedDRA: Cellulitis, Laboratory test — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches · 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: Systemic reaction (other): I have cellulitis. On Keflex cause by covid shot · Healthcare visit (other): Dc cellulitis on Keflex

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-21
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-28
Survey response — day 21, dose 1
MedDRA: Nodule, Office visit, Pain, Rash — 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, Emergency room or emergency department visit

Free text: Symptoms: I continue to have pain , slight rash, and a lump. I have been on two courses of prednisone and on my 4 dr appt . Today it is with an allergist · Healthcare visit (other): Primary and allergist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-06
Survey response — day 28, dose 1
MedDRA: Asthma, Muscle mass, Pain, Pre-existing disease, Pruritus, Swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Asthma attack,itching swelling and lump muscleContinue to be sore achey after 4 weeks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — day 35, dose 1
MedDRA: Asthenia, Mass, Myalgia, Pain in extremity, Peripheral swelling, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: My left arm still is swollen, pain , muscle pain and lump and weaker · Healthcare visit (other): I will be seeing a orthopedist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Report sent to call center — day 35, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-18
Survey response — day 42, dose 1
MedDRA: Myositis, Office visit, Post polio syndrome — 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, Emergency room or emergency department visit

Free text: Symptoms: I have myositis in the Moderna injection site · Healthcare visit (other): Went to my physical medicine dr because I have post polio syndrome

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — day 42, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-10
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-06-07
Call 1 — Could Not Reach Participant
2021-06-10
Call 2 — Left Voicemail
2021-06-10
Call successful
Completed over the phone
2021-07-08
Survey response — 6 months, dose 1
MedDRA: Office visit, Physiotherapy, Sjogren's syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sjorgens. Syndrome started on Melthotraxate · Healthcare visit (other): physical medicine dr and PT

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Report sent to call center — 6 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-13
Call successful
Reported to VAERS during previous contact from GDIT
2022-01-09
Health check-in — 12 months, dose 1
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna

Call center

5 call center cases

5 successful

VAERS report filed, before or during a call: 5

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — day 7, dose 1

2021-01-14

Systemic reaction (other): I have cellulitis. On Keflex cause by covid shot

Healthcare visit (other): Dc cellulitis on Keflex

Release 3 — day 21, dose 1

2021-01-28

Symptoms: I continue to have pain , slight rash, and a lump. I have been on two courses of prednisone and on my 4 dr appt . Today it is with an allergist

Healthcare visit (other): Primary and allergist

Release 3 — day 28, dose 1

2021-02-06

Symptoms: Asthma attack,itching swelling and lump muscleContinue to be sore achey after 4 weeks.

Release 4 — day 35, dose 1

2021-02-13

Symptoms: My left arm still is swollen, pain , muscle pain and lump and weaker

Healthcare visit (other): I will be seeing a orthopedist

Release 4 — day 42, dose 1

2021-02-18

Symptoms: I have myositis in the Moderna injection site

Healthcare visit (other): Went to my physical medicine dr because I have post polio syndrome

Release 9 — 6 months, dose 1

2021-07-08

Symptoms: Sjorgens. Syndrome started on Melthotraxate

Healthcare visit (other): physical medicine dr and PT

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	Cellulitis	✓	✓	✓
HCVO	Laboratory test	○	✓	○
HCVO	Office visit	✓	✓	✓
HCVO	Physiotherapy	✓	✓	✓
HCVO	Post polio syndrome	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Asthma	✓	✓	✓
SD	Mass	✓	✓	✓
SD	Muscle mass	✓	✓	✓
SD	Muscular weakness	○	○	○
SD	Myalgia	✓	✓	✓
SD	Myositis	✓	✓	✓
SD	Nodule	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Sjogren's syndrome	✓	✓	✓
SD	Swelling	✓	✓	✓
SRO	Cellulitis	✓	✓	✓

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