3RR-28344-77944

2 vaccinations 7 coded responses 18 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 609 / IL
Registered: 2021-02-11

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-28
Dose 1 — Moderna
2021-02-11
Registered in v-safe
2021-02-11
Survey response — day 14, dose 1
MedDRA: Feeling hot, Headache, Injection site warmth, Pain in extremity, Peripheral swelling, Pyrexia, Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: I had a bad reaction after the vaccine for 4 days. I had Headaches and fever for 5 days, my arm hurt and had a little rash, then it got better. Now after 15 days the rash in my arm and the swelling are back. It does not hurt but it is very hot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 21, dose 1
MedDRA: Pain in extremity, Pruritus — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My arm healed just 1 day ago but still itchy and my muscle in that arm hurts every time I use it. My next vaccine dose is next week and I do not know if I should do it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-25
Dose 2 — Moderna
2021-02-25
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder, Disorientation — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Disoriented and lose equilibrium

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Vision blurred — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Blurred vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Diarrhea · Be unable to work

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Headache

Adult check-in
2021-03-04
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Swelling · Headache

Adult check-in
2021-03-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 28, dose 2
MedDRA: Arthralgia, Arthritis, Dysarthria, Immunisation reaction, Inflammation, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: After I had the COVID arm with my first vaccination my knees and articulations in general got a little inflamed and they hurt. With this second one my articulations really hurt for days but my knees do not seem to recuperate completely.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 35, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain in knees and other articulations still there.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-09
Call 1 — Could Not Reach Participant
2021-08-12
Call successful
Participant prefers to complete VAERS report online
2021-08-26
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-26
Survey response — 12 months, dose 2
MedDRA: Myalgia — Feeling: Good

Free text: Muscle pain on the right arm.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Moderna
2	2021-02-25	Moderna

Call center

1 call center case

1 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-11

Symptoms: I had a bad reaction after the vaccine for 4 days. I had Headaches and fever for 5 days, my arm hurt and had a little rash, then it got better. Now after 15 days the rash in my arm and the swelling are back. It does not hurt but it is very hot.

Release 4 — day 21, dose 1

2021-02-18

Symptoms: My arm healed just 1 day ago but still itchy and my muscle in that arm hurts every time I use it. My next vaccine dose is next week and I do not know if I should do it.

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Disoriented and lose equilibrium

2021-02-28

Systemic reaction (other): Blurred vision

Release 6 — day 28, dose 2

2021-03-25

Symptoms: After I had the COVID arm with my first vaccination my knees and articulations in general got a little inflamed and they hurt. With this second one my articulations really hurt for days but my knees do not seem to recuperate completely.

Release 6 — day 35, dose 2

2021-04-01

Symptoms: Pain in knees and other articulations still there.

Release 11 — 12 months, dose 2

2022-02-26

Symptoms: Muscle pain on the right arm.

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	Arthritis	✓	·	✓
SD	Dysarthria	○	✓	○
SD	Feeling hot	✓	·	✓
SD	Headache	✓	✓	✓
SD	Immunisation reaction	✓	✓	✓
SD	Inflammation	○	✓	○
SD	Injection site warmth	○	✓	○
SD	Myalgia	·	·	✓
SD	Pain	○	✓	○
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Disorientation	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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