2QD-18636-12846

4 vaccinations 9 coded responses 47 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 065 / CT
Registered: 2021-01-14

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Health check-in — day 0, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-11
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Normal temp range for me us in 96-97 range

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Fever

Free text: Swollen, painful lymph nodes in underarm area of same arm as vaccinated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Joint pains, Abdominal pain

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Joint pains, Abdominal pain

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Survey response — day 35, dose 2
MedDRA: Arthralgia, Joint stiffness, Neuralgia, Office visit, Physiotherapy, Specialist consultation — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: All over joint stiffness and pain. Increased nerve pain in lower back · Healthcare visit (other): Orthopaedic, physical therapy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-13
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Joint pains in shoulders, elbows, knees. Nerve impingement and inflammatiin in spine and hip · Healthcare visit (other): Ortho visits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-12
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Blood pressure increased, Cough, Office visit, Osteoarthritis, Pre-existing disease, Renal impairment — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Increased joint pain, B/P, coughing and steady decline in kidney function. Newly dx with Osteoarthritis of left hip · Healthcare visit (other): Office visits

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-12
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-18
Call 1 — Left Voicemail
2021-08-18
Call successful
Participant prefers to complete VAERS report online
2021-11-05
Dose 3 — Moderna
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-11-12
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-28
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-03
Survey response — day 28, dose 3
MedDRA: Facial pain, Pain, Rhinalgia, Rhinorrhoea — Feeling: Good

Free text: Runny nose, nasal throb, facial ache, similar to sinus infection

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-06
Survey response — 12 months, dose 3
MedDRA: Arthralgia, Bone pain, Myalgia — Feeling: Good · 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: Increased muscle, joint, bone pain in shoulders, and all limbs

MedDRA releases: 2024-11 · check-in free text available
2022-11-06
Report sent to call center — 12 months, dose 3
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)
2022-11-07
Call successful
Participant prefers to complete VAERS report online
2022-11-07
Call successful
Participant prefers to complete VAERS report online
2022-11-07
Call successful
Does not wish to fill out VAERS report
2022-11-09
Dose 4 — Moderna
2022-11-09
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-11-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-11-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-16
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-11-25
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-30
Survey response — day 21, dose 4
MedDRA: Bone pain — Feeling: Good

Free text: Intermittent Bone pain in left leg Tibia and lower right arm started two days ago

MedDRA releases: 2024-11 · check-in free text available
2022-12-07
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-16
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-21
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-09
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-05-13
Survey response — 6 months, dose 4
MedDRA: Diarrhoea, Gastroenteritis viral, Vomiting — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-05-13
Report sent to call center — 6 months, dose 4
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)
2023-05-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna
3	2021-11-05	Moderna	No
4	2022-11-09	Moderna	No

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Normal temp range for me us in 96-97 range

2021-02-13

Systemic reaction (other): Swollen, painful lymph nodes in underarm area of same arm as vaccinated

Release 5 — day 35, dose 2

2021-03-18

Symptoms: All over joint stiffness and pain. Increased nerve pain in lower back

Healthcare visit (other): Orthopaedic, physical therapy

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: Joint pains in shoulders, elbows, knees. Nerve impingement and inflammatiin in spine and hip

Healthcare visit (other): Ortho visits

Release 9 — 6 months, dose 2

2021-08-12

Symptoms: Increased joint pain, B/P, coughing and steady decline in kidney function. Newly dx with Osteoarthritis of left hip

Healthcare visit (other): Office visits

Release 10 — day 28, dose 3

2021-12-03

Symptoms: Runny nose, nasal throb, facial ache, similar to sinus infection

Release 12 — 12 months, dose 3

2022-11-06

Symptoms: Increased muscle, joint, bone pain in shoulders, and all limbs

Release 12 — day 21, dose 4

2022-11-30

Symptoms: Intermittent Bone pain in left leg Tibia and lower right arm started two days ago

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	✓	✓	✓
HCVO	Specialist consultation	✓	✓	○
SD	Arthralgia	✓	✓	✓
SD	Blood pressure increased	✓	·	✓
SD	Bone pain	·	·	✓
SD	Cough	✓	·	✓
SD	Diarrhoea	·	·	✓
SD	Facial pain	·	·	✓
SD	Gastroenteritis viral	·	·	✓
SD	Joint stiffness	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Neuralgia	✓	✓	✓
SD	Osteoarthritis	✓	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Renal impairment	✓	·	✓
SD	Rhinalgia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Vomiting	·	·	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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