2L7-29651-30380

4 vaccinations 5 coded responses 28 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 395 / MS
Registered: 2021-03-16

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

2021-02-01
Dose 1 — Moderna
2021-03-01
Dose 2 — Moderna
2021-03-16
Registered in v-safe
2021-03-16
Survey response — day 14, dose 2
MedDRA: Musculoskeletal stiffness, Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very sore painful left arm - stiff very painful elbow joint - stiffness & pain has increased significantly - occasionally affects all the way up to shoulder joint and down to wrist and thumb

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-29
Survey response — day 28, dose 2
MedDRA: Constipation, Faecaloma, Nausea — Feeling: Poor · Be unable to work, 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: Bowel impaction,( first time ever) nausea,Severe constipation ( first time ever )

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Report sent to call center — day 28, 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)
2021-04-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-01
Survey response — 6 months, dose 2
MedDRA: Adrenocortical insufficiency acute, Hospitalisation — 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 · Hospitalization

Free text: Adrenal crisis - hospitalized for 3 days

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
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

1 call case(s)
2021-09-03
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-10-28
Dose 3 — Moderna
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: I had fever 101+ and terrible aches for 24 hours post jab - all gone

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — day 7, dose 3
Feeling: Good · None

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

Adult check-in
2021-11-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-27
Dose 4 — Moderna
2022-04-28
Health check-in — 6 months, dose 3
Feeling: Poor

Adult check-in
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-04-29
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site erythema, Injection site mass — Feeling: Good

Free text: Big red inflamed lump remains around injection

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2022-05-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2022-05-11
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-18
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-25
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-04
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-08
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-01
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-28
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Moderna
2	2021-03-01	Moderna
3	2021-10-28	Moderna	No
4	2022-04-27	Moderna	No

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 5 — day 14, dose 2

2021-03-16

Symptoms: Very sore painful left arm - stiff very painful elbow joint - stiffness & pain has increased significantly - occasionally affects all the way up to shoulder joint and down to wrist and thumb

Release 6 — day 28, dose 2

2021-03-29

Symptoms: Bowel impaction,( first time ever) nausea,Severe constipation ( first time ever )

Release 9 — 6 months, dose 2

2021-09-01

Symptoms: Adrenal crisis - hospitalized for 3 days

Release 10 — days 1–6 daily, dose 3

2021-11-01

Systemic reaction (other): I had fever 101+ and terrible aches for 24 hours post jab - all gone

Release 11 — days 1–6 daily, dose 4

2022-04-29

Systemic reaction (other): Big red inflamed lump remains around injection

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	Adrenocortical insufficiency acute	✓	·	✓
SD	Constipation	✓	✓	✓
SD	Faecaloma	✓	✓	✓
SD	Hospitalisation	✓	·	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Injection site erythema	·	·	✓
SRO	Injection site mass	·	·	✓
SRO	Pain	·	·	✓
SRO	Pyrexia	·	·	✓

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