3UE-30111-13526

3 vaccinations 15 coded responses 35 check-ins 15 free-text entries 6 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 931 / CA
Registered: 2021-02-01

Relationship: Self
Race: Multiracial
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-26
Dose 1 — Moderna
2021-02-01
Registered in v-safe
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Joint swelling, Mobility decreased, Peripheral swelling — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Swelling in joints of fingers, worse in index and pinkybof right hand (unable to make a fist)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — day 7, dose 1
MedDRA: Arthralgia, Inflammation, Joint swelling, Peripheral swelling, Renal pain — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Joint pain and inflammation of fingers, ankles, toes; pain over right kidney (back)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pain, Injection site rash, Injection site warmth, Office visit — 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

Free text: The rash around the injection site has grown, migrating down from the site and into the bicep. It is red, hot to the touch and painful. My MD looked at it today and prescribed a benedryl cream and oral medication.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-16
Survey response — day 21, dose 1
MedDRA: Arthralgia, Injection site rash, Peripheral swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: The rash near the injection site comes back when I stop taking benedryl. The joint pain and swelling in my hands (especially right) persists.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-23
Dose 2 — Moderna
2021-02-23
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Adult check-in
2021-02-24
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Alopecia — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Hair loss (throughout crown)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Alopecia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Hair falling out along top of head and some above my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Alopecia — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Hair fall out along crown and above both ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — day 7, dose 2
MedDRA: Alopecia, Chest pain, Musculoskeletal pain, Neck pain, Pain in extremity — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: 1. Hair loss along the crown and over both ears 2. Chest pain radiating to left scapula, left side of neck, and left arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-23
Survey response — day 28, dose 2
MedDRA: Alopecia, Arthralgia — Feeling: Good

Free text: Joint pain in hands has increased (index fingers, thumbs, pinkies). This joint pain occurred with the vaccines (#1 & #2), and has fluctuated in level of intensity. The hair loss has decreased.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-06
Survey response — day 42, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good

Free text: Joint pain in fingers of hands has flared up again. This pain started aftet the forst vaccine and has persisted, waning and flaring up but never going away completely.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — 3 months, dose 2
MedDRA: Arthritis, Biliary colic, Carditis, Cholecystectomy, Cholecystitis, Gastrointestinal inflammation, Unevaluable event — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Vaccine #1 & # 2 caused inflammation (heart, joints, intestine, gallbladder). I had the gallbladder removed 2 weeks ago due to the inflammation and pain associated with it. No one in my family has had gallbladder issues. · Healthcare visit (other): Ultimately: Surgery

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Report sent to call center — 3 months, 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)
2021-06-14
Call successful
Participant prefers to complete VAERS report online
2021-08-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-30
Dose 3 — Moderna
2021-10-30
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Swollen lymph nodes along my neck, armpits, inner upper arms, groin

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2021-11-06
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2021-11-13
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
2021-11-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-11
Survey response — day 42, dose 3
MedDRA: Fungal infection, Localised infection, Nail operation — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Not related to the vaccine: toe infection following the surgical removal of a toenail. This was followed by a yeast infection after taking 7 days of antibiotics.

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-13
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-31
Survey response — 3 months, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: The occipital lymph nodes and thyroid lymph nodes have not decreased in size since the booster. The lymohnodes in my left armpit and along my left arm are smaller and less painful.

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Survey response — 6 months, dose 3
MedDRA: Back pain, Bowel movement irregularity, Dysmenorrhoea, Dysuria, Heavy menstrual bleeding — Feeling: Poor · Be unable to work or attend school, 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: Health conditions: difficulty urinating, painful prolonged menstruations, back pain, diffuculty having bowel movements

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-05-04
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-30
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-23	Moderna
3	2021-10-30	Moderna	No

Call center

6 call center cases

6 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): Swelling in joints of fingers, worse in index and pinkybof right hand (unable to make a fist)

Release 3 — day 7, dose 1

2021-02-02

Systemic reaction (other): Joint pain and inflammation of fingers, ankles, toes; pain over right kidney (back)

Release 3 — day 14, dose 1

2021-02-09

Symptoms: The rash around the injection site has grown, migrating down from the site and into the bicep. It is red, hot to the touch and painful. My MD looked at it today and prescribed a benedryl cream and oral medication.

Release 4 — day 21, dose 1

2021-02-16

Symptoms: The rash near the injection site comes back when I stop taking benedryl. The joint pain and swelling in my hands (especially right) persists.

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Hair loss (throughout crown)

2021-02-28

Systemic reaction (other): Hair falling out along top of head and some above my ears

2021-03-01

Systemic reaction (other): Hair fall out along crown and above both ears

Release 4 — day 7, dose 2

2021-03-02

Systemic reaction (other): 1. Hair loss along the crown and over both ears 2. Chest pain radiating to left scapula, left side of neck, and left arm

Release 6 — day 28, dose 2

2021-03-23

Symptoms: Joint pain in hands has increased (index fingers, thumbs, pinkies). This joint pain occurred with the vaccines (#1 & #2), and has fluctuated in level of intensity. The hair loss has decreased.

Release 7 — day 42, dose 2

2021-04-06

Symptoms: Joint pain in fingers of hands has flared up again. This pain started aftet the forst vaccine and has persisted, waning and flaring up but never going away completely.

Release 8 — 3 months, dose 2

2021-05-25

Symptoms: Vaccine #1 & # 2 caused inflammation (heart, joints, intestine, gallbladder). I had the gallbladder removed 2 weeks ago due to the inflammation and pain associated with it. No one in my family has had gallbladder issues.

Healthcare visit (other): Ultimately: Surgery

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Swollen lymph nodes along my neck, armpits, inner upper arms, groin

Release 10 — day 42, dose 3

2021-12-11

Symptoms: Not related to the vaccine: toe infection following the surgical removal of a toenail. This was followed by a yeast infection after taking 7 days of antibiotics.

Release 11 — 3 months, dose 3

2022-01-31

Symptoms: The occipital lymph nodes and thyroid lymph nodes have not decreased in size since the booster. The lymohnodes in my left armpit and along my left arm are smaller and less painful.

Release 11 — 6 months, dose 3

2022-05-03

Symptoms: Health conditions: difficulty urinating, painful prolonged menstruations, back pain, diffuculty having bowel movements

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	Unevaluable event	✓	✓	✓
SD	Alopecia	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Arthritis	✓	✓	✓
SD	Back pain	·	·	✓
SD	Biliary colic	✓	✓	✓
SD	Bowel movement irregularity	·	·	✓
SD	Carditis	✓	✓	✓
SD	Cholecystectomy	✓	✓	✓
SD	Cholecystitis	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Dysmenorrhoea	·	·	✓
SD	Dysuria	·	·	✓
SD	Fungal infection	·	·	✓
SD	Gastrointestinal inflammation	✓	✓	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Localised infection	·	·	✓
SD	Lymph node pain	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Nail operation	·	·	✓
SD	Office visit	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Alopecia	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Inflammation	✓	✓	✓
SRO	Joint swelling	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Musculoskeletal pain	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Renal pain	✓	✓	✓

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