426-15984-07257

2 vaccinations 8 coded responses 20 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 395 / MS
Registered: 2021-02-09

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
Dose 1 — Moderna
2021-02-09
Registered in v-safe
2021-02-09
Survey response — day 7, dose 1
MedDRA: Headache — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Be unable to do your normal daily activities

Free text: Ive had headaches almost every day since taking the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash, Injection site warmth — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: The rash at the injection site has spread. Its a hot, red, itchy rash. The knot has decreased in size, but its sore at times.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-10
Dose 2 — Moderna
2021-03-10
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Lightheadedness/dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-03-17
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Survey response — day 14, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worsening joint pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 21, dose 2
MedDRA: Arthralgia, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Joint pain · Healthcare visit (other): Doctors office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-21
Survey response — day 42, dose 2
MedDRA: Arthralgia, Office visit, Physiotherapy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Continuing to have severe hip pain which started after first vaccination. Ive begun physical therapy. Pain keeps worsening. · Healthcare visit (other): Doctors office and Physical Therapists office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
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)
2021-06-09
Survey response — 3 months, dose 2
MedDRA: Diarrhoea, Headache, Pyrexia, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: High fever up to 103.2 for five days with diarrhea, vomiting, and headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Call 1 — Left Voicemail
2021-09-08
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Office visit, Physiotherapy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Excruciating, almost debilitating, hip pain since my first shot. · Healthcare visit (other): Office visit to orthopedist and internal med doc as well as PT

MedDRA releases: 2024-11 · check-in free text available
2021-09-08
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-09-09
Call 1 — Left Voicemail
2021-09-15
Call successful
Completed over the phone
2022-03-10
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Moderna
2	2021-03-10	Moderna

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 4

See the call center timeline

Free text

Release 3 — day 7, dose 1

2021-02-09

Systemic reaction (other): Ive had headaches almost every day since taking the shot.

Release 4 — day 14, dose 1

2021-02-15

Symptoms: The rash at the injection site has spread. Its a hot, red, itchy rash. The knot has decreased in size, but its sore at times.

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Lightheadedness/dizziness

Release 6 — day 14, dose 2

2021-03-24

Symptoms: Worsening joint pains

Release 6 — day 21, dose 2

2021-03-31

Symptoms: Joint pain

Healthcare visit (other): Doctors office

Release 7 — day 42, dose 2

2021-04-21

Symptoms: Continuing to have severe hip pain which started after first vaccination. Ive begun physical therapy. Pain keeps worsening.

Healthcare visit (other): Doctors office and Physical Therapists office

Release 9 — 3 months, dose 2

2021-06-09

Symptoms: High fever up to 103.2 for five days with diarrhea, vomiting, and headaches.

Release 9 — 6 months, dose 2

2021-09-08

Symptoms: Excruciating, almost debilitating, hip pain since my first shot.

Healthcare visit (other): Office visit to orthopedist and internal med doc as well as PT

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	✓	✓	✓
HCVO	Physiotherapy	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Physiotherapy	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓

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