366-26631-22577

2 vaccinations 6 coded responses 11 check-ins 6 free-text entries 7 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 770 / TX
Registered: 2021-01-06

Relationship: Self
Race: N/A
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-06
Registered in v-safe
2021-01-06
Dose 1 — Moderna
2021-01-06
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-15
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-01-15
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

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

Adult check-in
2021-01-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-02
Dose 2 — Moderna
2021-02-22
Survey response — day 14, dose 2
MedDRA: Arthralgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Pain at left side joint hip.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-24
Survey response — day 21, dose 2
MedDRA: Arthralgia, Medical counselling — Feeling: Fair · 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: Still I have left sid hep pain I called my Dr. and he gave me MethyLPREDNISolone tablet 4 mg & Diclofenac sodium gel 1% but still I have pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-02
Survey response — day 28, dose 2
MedDRA: Condition aggravated, Pre-existing disease — 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, Emergency room or emergency department visit

Free text: Still i had the same problem left hip pain agyer i hot my first vacvine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-11
Survey response — day 35, dose 2
MedDRA: Arthralgia — Feeling: Fair · 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: Still i have sftrt fist vaccine pain in my lrft side hip +++

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
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)
2021-03-16
Survey response — day 42, dose 2
MedDRA: Arthralgia — 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: After my first shot i still have the same pain at my left hip side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-05
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Office visit, Self-medication — Feeling: Poor · 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: Left sid hip in pain since first dose and I saw my Dr. He described some medication and today i have MRI for my left sid hip and i am using patches too.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
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)
2021-06-02
Call 1 — Requested Callback
2021-06-04
Call 2 — Left Voicemail
2021-06-04
Callback requested for
1:30PM ET
2021-11-13
Call 3 — Left Voicemail
2021-12-01
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-02	Moderna

Call center

7 call center cases

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

See the call center timeline

Free text

Release 4 — day 14, dose 2

2021-02-22

Symptoms: Pain at left side joint hip.

Release 4 — day 21, dose 2

2021-02-24

Symptoms: Still I have left sid hep pain I called my Dr. and he gave me MethyLPREDNISolone tablet 4 mg & Diclofenac sodium gel 1% but still I have pain.

Release 4 — day 28, dose 2

2021-03-02

Symptoms: Still i had the same problem left hip pain agyer i hot my first vacvine.

Release 5 — day 35, dose 2

2021-03-11

Symptoms: Still i have sftrt fist vaccine pain in my lrft side hip +++

Release 5 — day 42, dose 2

2021-03-16

Symptoms: After my first shot i still have the same pain at my left hip side.

Release 8 — 3 months, dose 2

2021-05-05

Symptoms: Left sid hip in pain since first dose and I saw my Dr. He described some medication and today i have MRI for my left sid hip and i am using patches too.

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	Arthralgia	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Self-medication	✓	✓	✓

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