3WZ-24780-44413

3 vaccinations 10 coded responses 15 check-ins 10 free-text entries 6 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 905 / CA
Registered: 2021-04-09

Relationship: Self
Race: N/A
Ethnicity: Hispanic or Latino

Timeline

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

2021-04-07
Dose 1 — Moderna
2021-04-09
Registered in v-safe
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain, Pain in jaw, Unevaluable event — Feeling: Poor · Site: Pain, 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, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): NECK PAINS, JAW SORE · Healthcare visit (other): NO ONE SEEMS TO HELP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — days 1–6 daily, dose 1
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)
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Musculoskeletal stiffness, Pain in extremity — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: hands and toes joint stiffness and aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Burning sensation, Musculoskeletal stiffness, Pain — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Stiff hands, toes burn, body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Hard to sleep still

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-21
Survey response — day 14, dose 1
MedDRA: Arthralgia, Back pain, Pain, Pain in extremity — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Continuous leg, knee, ankle and lower back aches, body soreness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-05
Dose 2 — Moderna
2021-05-19
Survey response — day 14, dose 2
MedDRA: Dizziness, Nausea, Pain — 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

Free text: Symptoms: Body aches right side of body still, light headed · Healthcare visit (other): Medication for nausea and pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Report sent to call center — day 14, 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)
2021-05-26
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-02
Survey response — day 28, dose 2
MedDRA: COVID-19, Neuralgia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Nerve pains , same n dr gave me meds, but idk · Healthcare visit (other): Recovery covid at cedars sinai

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-06-18
Survey response — day 42, dose 2
MedDRA: COVID-19 treatment, Medical counselling, Neuralgia, 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: Symptoms: Nerve pains excists still, have seen or communicated with 4 doctors for covid recovery and joined a study, xray, ultra sound, new Rx too · Healthcare visit (other): Referral for PT, xray , ultra sound

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-21
Call successful
Participant prefers to complete VAERS report online
2021-06-21
Call successful
Participant prefers to complete VAERS report online
2021-06-21
Call successful
Participant prefers to complete VAERS report online
2021-06-21
Call successful
Participant prefers to complete VAERS report online
2021-11-19
Dose 3 — Moderna
2022-05-07
Survey response — 12 months, dose 2
MedDRA: Hypoacusis, Joint lock, Joint swelling, Nerve injury, Visual impairment — 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, Outpatient clinic or urgent care clinic visit

Free text: Problems with hearing ate worse, hand joints swollen or locking, eye sight is worse, nerve damage is worse

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Report sent to call center — 12 months, dose 2
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 · 1 call case(s)
2022-05-09
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-20
Survey response — 6 months, dose 3
MedDRA: Condition aggravated, Foot fracture, Pre-existing disease — 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 · Emergency room or emergency department visit

Free text: 5/14/22 broke 5th metatarsal while walking pathway at beach walk area, already had nerve pain now i have more

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
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

Emergency room or emergency department visit · 1 call case(s)
2022-05-24
Call 1 — Left Voicemail
2022-05-24
Call 1 — Left Voicemail
2022-05-24
Call 1 — Left Voicemail
2022-05-24
Call 1 — Left Voicemail
2022-05-24
Call 1 — Left Voicemail
2022-05-24
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Moderna
2	2021-05-05	Moderna
3	2021-11-19	Moderna	No

Call center

6 call center cases

5 successful · 1 unsuccessful

4 waits over 3 months for a first call

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-09

Systemic reaction (other): NECK PAINS, JAW SORE

Healthcare visit (other): NO ONE SEEMS TO HELP

2021-04-10

Systemic reaction (other): hands and toes joint stiffness and aches

2021-04-11

Systemic reaction (other): Stiff hands, toes burn, body aches

2021-04-12

Systemic reaction (other): Hard to sleep still

Release 7 — day 14, dose 1

2021-04-21

Symptoms: Continuous leg, knee, ankle and lower back aches, body soreness

Release 8 — day 14, dose 2

2021-05-19

Symptoms: Body aches right side of body still, light headed

Healthcare visit (other): Medication for nausea and pain

Release 8 — day 28, dose 2

2021-06-02

Symptoms: Nerve pains , same n dr gave me meds, but idk

Healthcare visit (other): Recovery covid at cedars sinai

Release 9 — day 42, dose 2

2021-06-18

Symptoms: Nerve pains excists still, have seen or communicated with 4 doctors for covid recovery and joined a study, xray, ultra sound, new Rx too

Healthcare visit (other): Referral for PT, xray , ultra sound

Release 11 — 12 months, dose 2

2022-05-07

Symptoms: Problems with hearing ate worse, hand joints swollen or locking, eye sight is worse, nerve damage is worse

Release 11 — 6 months, dose 3

2022-05-20

Symptoms: 5/14/22 broke 5th metatarsal while walking pathway at beach walk area, already had nerve pain now i have more

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	COVID-19	✓	✓	✓
HCVO	Nausea	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Pain	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	COVID-19 treatment	✓	✓	○
SD	Dizziness	✓	✓	✓
SD	Foot fracture	·	·	✓
SD	Hypoacusis	·	·	✓
SD	Joint lock	·	·	✓
SD	Joint swelling	·	·	✓
SD	Medical counselling	·	·	✓
SD	Nerve injury	·	·	✓
SD	Neuralgia	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Visual impairment	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓

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