3WQ-27394-47346

4 vaccinations 6 coded responses 29 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 014 / MA
Registered: 2021-02-01

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

2021-02-01
Registered in v-safe
2021-02-01
Dose 1 — Moderna
2021-02-01
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No. Just extremely tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-01
Dose 2 — Moderna
2021-03-01
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Gait disturbance, Pain in extremity — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Terrible pain in my left leg. Having a hard time walking. Wondering if it is caused by the interaction of the vaccine with previous steroid injections I have had.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: My left leg is still very painful and I need to use a cane to get around.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Survey response — day 14, dose 2
MedDRA: Gait inability, Muscular weakness, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still having many issues with my left leg with pain and weakness. I am not able to walk without a cane. Am taking 3 tramadol a day for the pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-13
Dose 3 — Pfizer-BioNTech
2022-03-01
Survey response — 12 months, dose 2
MedDRA: Sebaceous carcinoma — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Diagnosed with sebaceous cell cancer in October, 2021.

MedDRA releases: 2024-11 · check-in free text available
2022-03-01
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2022-03-16
Call 1 — Left Voicemail
2022-03-16
Call successful
Participant prefers to complete VAERS report online
2022-04-18
Dose 4 — Pfizer-BioNTech
2022-04-28
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-02
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-09
Survey response — day 21, dose 4
MedDRA: Malaise, Office visit — 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

Free text: I am very sick. Have a lot of Covid symptoms. My PCP not sure if Covid or a very bad flu or virus. Waiting for the results of a PCR test.

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Report sent to call center — day 21, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Moderna
2	2021-03-01	Moderna
3	2021-12-13	Pfizer-BioNTech	No
4	2022-04-18	Pfizer-BioNTech	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-02

Systemic reaction (other): No. Just extremely tired.

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Terrible pain in my left leg. Having a hard time walking. Wondering if it is caused by the interaction of the vaccine with previous steroid injections I have had.

2021-03-05

Systemic reaction (other): My left leg is still very painful and I need to use a cane to get around.

Release 5 — day 14, dose 2

2021-03-15

Symptoms: Still having many issues with my left leg with pain and weakness. I am not able to walk without a cane. Am taking 3 tramadol a day for the pain.

Release 11 — 12 months, dose 2

2022-03-01

Symptoms: Diagnosed with sebaceous cell cancer in October, 2021.

Release 11 — day 21, dose 4

2022-05-09

Symptoms: I am very sick. Have a lot of Covid symptoms. My PCP not sure if Covid or a very bad flu or virus. Waiting for the results of a PCR test.

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	Gait inability	✓	✓	✓
SD	Malaise	·	·	✓
SD	Muscular weakness	✓	✓	✓
SD	Office visit	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Sebaceous carcinoma	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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