3UV-49295-49816

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 302 / GA
Registered: 2021-02-11

Relationship: Self
Race: Black or African American
Ethnicity: N/A

Timeline

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

2021-02-11
Registered in v-safe
2021-02-11
Dose 1 — Moderna
2021-02-11
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Joint pains · Be unable to do your normal daily activities

Free text: Joint pain behind left knee existed before the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 1
MedDRA: Arthritis, Pre-existing disease — Feeling: Good · Joint pains

Free text: Continuing pain in left leg behind the knee ( arthritis); pain was worse after the vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Somnolence — Feeling: Fair · Joint pains

Free text: Sleeping a lot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Arthritis, Pain in extremity — Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities

Free text: Left leg still painful to walk. Arthritis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-18
Survey response — day 7, dose 1
MedDRA: Arthralgia, Arthritis, Office visit, Pre-existing disease — Feeling: Good · Joint pains · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Left leg arthritis. Pain behind knee and soreness in joint. · Healthcare visit (other): Doctors visit as follow up to MRI and received neuropathic treatment for legs, ankles, and back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-04
Survey response — day 21, dose 1
MedDRA: Gingivitis, Tooth extraction — Feeling: Good · Be unable to do your normal daily activities

Free text: Tooth extraction because of gum infection. Taking antibiotics for the third week. Had injections in spine for docs pain on 3/1.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Dose 2 — Moderna
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Diarrhoea, Pyrexia — Feeling: Good

Free text: Had fever, diarrhea, and chills on the evening of the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Arm is a little sore at shot location.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-12
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Back pain, Neck pain, Office visit, Pre-existing disease — 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: Symptoms: Arthritis is worse. Joint soreness increased in lower back, left shoulder, neck, and knees. I have had an ablation procedure in the lower spine to relieve pain. · Healthcare visit (other): Regular visits ( weekly, bi-weekly, now every other month) and physical therapy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
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)
2021-06-16
Call successful
Does not wish to fill out VAERS report
2021-09-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-11
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Moderna
2	2021-03-11	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-12

Systemic reaction (other): Joint pain behind left knee existed before the vaccine.

2021-02-13

Systemic reaction (other): Continuing pain in left leg behind the knee ( arthritis); pain was worse after the vaccination.

2021-02-14

Systemic reaction (other): Sleeping a lot

2021-02-16

Systemic reaction (other): Left leg still painful to walk. Arthritis.

Release 4 — day 7, dose 1

2021-02-18

Systemic reaction (other): Left leg arthritis. Pain behind knee and soreness in joint.

Healthcare visit (other): Doctors visit as follow up to MRI and received neuropathic treatment for legs, ankles, and back.

Release 5 — day 21, dose 1

2021-03-04

Symptoms: Tooth extraction because of gum infection. Taking antibiotics for the third week. Had injections in spine for docs pain on 3/1.

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): Had fever, diarrhea, and chills on the evening of the shot

2021-03-14

Systemic reaction (other): Arm is a little sore at shot location.

Release 9 — 3 months, dose 2

2021-06-12

Symptoms: Arthritis is worse. Joint soreness increased in lower back, left shoulder, neck, and knees. I have had an ablation procedure in the lower spine to relieve pain.

Healthcare visit (other): Regular visits ( weekly, bi-weekly, now every other month) and physical therapy.

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	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Gingivitis	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Tooth extraction	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Arthritis	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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