43E-33982-72677

4 vaccinations 13 coded responses 31 check-ins 12 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 300 / GA
Registered: 2021-03-17

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

2021-02-04
Dose 1 — Moderna
2021-03-04
Dose 2 — Moderna
2021-03-17
Registered in v-safe
2021-03-17
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 21, dose 2
MedDRA: Arthralgia, Limb discomfort, Oedema, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Pain in knees and heaviness in legs continues. Knee pain started after dose 1 on feb 4. It has been continuous My pcp doctor examined me and I have an appointment with the clinics orthopedist next Thursday = edema · Healthcare visit (other): In office during annual physical

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-08
Survey response — day 35, dose 2
MedDRA: Arthralgia, Eye pruritus, Limb discomfort, Rhinorrhoea — Feeling: Fair

Free text: Allergy to prolific pollen? Runny nose, itchy eyes, sore throat. My knees do still hurt upon standing. Legs heavy. Orthopedic doctor did X-rays - nothing but minor arthritis - and he did an ultra sound. No blood clots. Just joint pain. Alleve

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 42, dose 2
MedDRA: Abdominal distension, Arthralgia, Dyspepsia, Gastrooesophageal reflux disease, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: GERD or other stomach fullness and burning. I do have a small hiatal hernia per endoscopy last year. My knee joints do still hurt but X-rays showed minor osteo arthritis in both and a bakers cyst behind left knee joint no blood clots per ultrasound · Healthcare visit (other): Physical appointment with orthopedicist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-03
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Arthritis, Office visit, Weight increased — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Gained 20 pounds. Still knees with pain on movement. Assessed by orthopedist. Minor arthritis and excess weight. 121 to 149 in 3 months

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-18
Call 1 — Left Voicemail
2021-06-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-06-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-06-19
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-02
Survey response — 6 months, dose 2
MedDRA: Intervertebral disc degeneration, Joint swelling, Musculoskeletal stiffness, Osteoarthritis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Swelling in joints of knees, feet and ankles. Stiffness in fingers. Orthopedist says osteo arthritis. X-rays also found disk deterioration in lower back

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-03
Call 1 — Left Voicemail
2021-09-03
Call successful
Participant prefers to complete VAERS report online
2021-12-09
Dose 3 — Moderna
2021-12-09
Health check-in — day 0, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-14
Survey response — days 1–6 daily, dose 3
MedDRA: Osteoarthritis — Feeling: Good · Joint pains

Free text: Joints in my feet are osteo arthritis.

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-16
Health check-in — day 7, dose 3
Feeling: Good · Joint pains, Vomiting, Diarrhea

Adult check-in
2021-12-23
Survey response — day 14, dose 3
MedDRA: Dizziness, Joint stiffness — Feeling: Good

Free text: Dizziness. Knee and feet joints stiff.

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Survey response — day 21, dose 3
MedDRA: Condition aggravated, Dyspnoea, Oropharyngeal pain, Pre-existing disease, Vision blurred — Feeling: Fair

Free text: Hard to breathe. Slight sore throat. Hemi facial spasms (long term diagnosed) are more prevalent, causing blurry eye sight.

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Survey response — day 28, dose 3
MedDRA: Fatigue — Feeling: Fair

Free text: Extreme fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Survey response — day 35, dose 3
MedDRA: Arthralgia, Self-medication — Feeling: Fair

Free text: Pain in joints both knees and hands, and especially feet. Exercises increased in order to stretch the muscles. Aspirin twice daily all week.

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-10
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-12
Dose 4 — Moderna
2022-05-20
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-26
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-02
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-09
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-16
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-23
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-11
Survey response — 3 months, dose 4
MedDRA: Arthralgia, Gait disturbance, Gingival pain — Feeling: Good

Free text: Sore gums, knee pain and both feet are hard to walk on

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Survey response — 6 months, dose 4
MedDRA: Cough, Influenza — Feeling: Fair · 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: Flu with cough

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-12
Survey response — 12 months, dose 4
MedDRA: Arthritis, Bacterial infection, Pre-existing disease, Respiratory disorder, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-05-12
Report sent to call center — 12 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-05-15
Call 1 — Could Not Reach Participant
2023-05-18
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-04	Moderna
3	2021-12-09	Moderna	No
4	2022-05-12	Moderna	No

Call center

6 call center cases

5 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — day 21, dose 2

2021-03-25

Symptoms: Pain in knees and heaviness in legs continues. Knee pain started after dose 1 on feb 4. It has been continuous My pcp doctor examined me and I have an appointment with the clinics orthopedist next Thursday = edema

Healthcare visit (other): In office during annual physical

Release 7 — day 35, dose 2

2021-04-08

Symptoms: Allergy to prolific pollen? Runny nose, itchy eyes, sore throat. My knees do still hurt upon standing. Legs heavy. Orthopedic doctor did X-rays - nothing but minor arthritis - and he did an ultra sound. No blood clots. Just joint pain. Alleve

Release 7 — day 42, dose 2

2021-04-15

Symptoms: GERD or other stomach fullness and burning. I do have a small hiatal hernia per endoscopy last year. My knee joints do still hurt but X-rays showed minor osteo arthritis in both and a bakers cyst behind left knee joint no blood clots per ultrasound cut off by CDC

Healthcare visit (other): Physical appointment with orthopedicist

Release 8 — 3 months, dose 2

2021-06-03

Symptoms: Gained 20 pounds. Still knees with pain on movement. Assessed by orthopedist. Minor arthritis and excess weight. 121 to 149 in 3 months

Release 9 — 6 months, dose 2

2021-09-02

Symptoms: Swelling in joints of knees, feet and ankles. Stiffness in fingers. Orthopedist says osteo arthritis. X-rays also found disk deterioration in lower back

Release 10 — days 1–6 daily, dose 3

2021-12-14

Systemic reaction (other): Joints in my feet are osteo arthritis.

Release 10 — day 14, dose 3

2021-12-23

Symptoms: Dizziness. Knee and feet joints stiff.

Release 10 — day 21, dose 3

2021-12-30

Symptoms: Hard to breathe. Slight sore throat. Hemi facial spasms (long term diagnosed) are more prevalent, causing blurry eye sight.

Release 10 — day 28, dose 3

2022-01-06

Symptoms: Extreme fatigue

Release 10 — day 35, dose 3

2022-01-13

Symptoms: Pain in joints both knees and hands, and especially feet. Exercises increased in order to stretch the muscles. Aspirin twice daily all week.

Release 12 — 3 months, dose 4

2022-08-11

Symptoms: Sore gums, knee pain and both feet are hard to walk on

Release 12 — 6 months, dose 4

2022-11-10

Symptoms: Flu with cough

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	Abdominal distension	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Arthritis	✓	✓	✓
SD	Bacterial infection	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspepsia	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Eye pruritus	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Gait disturbance	·	·	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Gingival pain	·	·	✓
SD	Influenza	·	·	✓
SD	Intervertebral disc degeneration	✓	·	✓
SD	Joint stiffness	·	·	✓
SD	Joint swelling	✓	·	✓
SD	Limb discomfort	✓	✓	✓
SD	Musculoskeletal stiffness	✓	·	✓
SD	Oedema	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Osteoarthritis	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory disorder	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Self-medication	·	·	✓
SD	Sinusitis	·	·	✓
SD	Vision blurred	·	·	✓
SD	Weight increased	✓	✓	✓
SRO	Osteoarthritis	·	·	✓

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