3E2-28763-15030

3 vaccinations 7 coded responses 19 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 971 / OR
Registered: 2021-04-14

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

2021-04-01
Dose 1 — Moderna
2021-04-14
Registered in v-safe
2021-04-14
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-04-15
Survey response — day 14, dose 1
MedDRA: Ligament sprain, Paraesthesia — Feeling: Good

Free text: Veins in leg have pin points and my left foot feels sprained.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 21, dose 1
MedDRA: Condition aggravated, Pain in extremity, Pre-existing disease, Stress fracture — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Left foot pain. Foot X-rays showed no arthritis or injury. Appears the vaccine woke up my stress fracture from my teen years which has never bothered me until after the vaccine. Dr Karen Kustritz has reported this also to you

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Dose 2 — Moderna
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Vaccination site vesicles — Feeling: Poor · Site: Redness · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Blister at vaccine site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Injection site vesicles, Muscle swelling — Feeling: Good · Site: Redness, Swelling

Free text: 2 blisters at vaccine site, red swelling on lower part of bicep, not next to vaccine site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Self-medication — Feeling: Good · Site: Redness, Swelling

Free text: I used hydrocodone/Acetaminophen to reduce my joint pain and one pill one time put me back to normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site vesicles — Feeling: Good · Site: Redness, Swelling

Free text: Still have blister where injection was given.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 7, dose 2
MedDRA: Injection site erythema, Injection site vesicles — Feeling: Good · Site: Redness

Free text: Still have blister at injection site, less redness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-18
Dose 3 — Moderna
2022-02-27
Call 1 — Left Voicemail
2022-02-28
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-06-20
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-18
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-04-29	Moderna
3	2021-12-18	Moderna	No

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-15

Symptoms: Veins in leg have pin points and my left foot feels sprained.

Release 7 — day 21, dose 1

2021-04-22

Symptoms: Left foot pain. Foot X-rays showed no arthritis or injury. Appears the vaccine woke up my stress fracture from my teen years which has never bothered me until after the vaccine. Dr Karen Kustritz has reported this also to you

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): Blister at vaccine site

2021-05-02

Systemic reaction (other): 2 blisters at vaccine site, red swelling on lower part of bicep, not next to vaccine site

2021-05-03

Systemic reaction (other): I used hydrocodone/Acetaminophen to reduce my joint pain and one pill one time put me back to normal.

2021-05-05

Systemic reaction (other): Still have blister where injection was given.

Release 8 — day 7, dose 2

2021-05-06

Systemic reaction (other): Still have blister at injection site, less redness.

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	Condition aggravated	✓	✓	✓
SD	Ligament sprain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Stress fracture	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site vesicles	✓	✓	✓
SRO	Muscle swelling	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Vaccination site vesicles	✓	✓	✓

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