44Z-30982-32301

3 vaccinations 8 coded responses 26 check-ins 8 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 488 / MI
Registered: 2021-03-01

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

2021-02-27
Dose 1 — Moderna
2021-03-01
Registered in v-safe
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema — Feeling: Good · Site: Redness

Free text: Very slight redness

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

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Migraine with aura, Sleep disorder, Vaccination site pain, Vaccination site swelling — 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: On March 7 I experienced a pre migraine aura that lasted about an hour from 6:30 to 7:30pm. Woke up at 1:30 am with a horrible migraine. Never had anything like this in my life. · Healthcare visit (other): Ct scans w contrast which next day affected area of vaccine. Tender, swelling & red.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — day 14, 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)
2021-03-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-27
Dose 2 — Moderna
2021-03-27
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Good · Site: Redness, Swelling, Itching · Headache

Free text: Headache in am - now gone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-26
Survey response — 3 months, dose 2
MedDRA: Nerve compression, Pain in extremity, Physiotherapy — Feeling: Good · 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: Symptoms: Pinched nerve in back/left leg. Painful heel pain in left foot. · Healthcare visit (other): Physical therapy for back/ referral to podiatrist.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
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)
2021-07-05
Call 2 — Left Voicemail
2021-09-25
Survey response — 6 months, dose 2
MedDRA: Exostosis, Nerve compression, Physiotherapy, Plantar fasciitis — Feeling: Good · Be unable to work or attend school, 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: Symptoms: Pinched nerve in my back; had physical therapy to relieve. Developed bone spur in left foot and was diagnosed with plantar fascia. Have new orthotics and doing well now. · Healthcare visit (other): Psychical therapy

MedDRA releases: 2024-11 · check-in free text available
2021-09-25
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-09-29
Call 2 — Left Voicemail
2021-12-01
Dose 3 — Moderna
2022-03-27
Survey response — 12 months, dose 2
MedDRA: Femur fracture, Meniscus injury, Muscle injury, Musculoskeletal disorder, Office visit, Pain, Stress fracture, Swelling — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Insufficiency fracture of left leg femur thigh; hamstring tear; torn meniscus left leg knee. Do not know how it happened. Woke up December 8 ish and could not move my leg. Pain & swelling. Had booster on December 1, 2021 · Healthcare visit (other): Dr. Office

MedDRA releases: 2024-11 · check-in free text available
2022-03-27
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-03-28
Call successful
Participant prefers to complete VAERS report online
2022-06-01
Survey response — 6 months, dose 3
MedDRA: Femur fracture, Stress fracture, Unevaluable event — Feeling: Good · 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: Symptoms: Have been diagnosed with insufficiency fracture of femur left leg · Healthcare visit (other): Ct scan, mri

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Report sent to call center — 6 months, dose 3
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)
2022-06-02
Call 1 — Could Not Reach Participant
2022-06-02
Call 1 — Could Not Reach Participant
2022-06-02
Call 1 — Could Not Reach Participant
2022-06-02
Call 1 — Could Not Reach Participant
2022-06-02
Call 1 — Could Not Reach Participant
2022-06-07
Callback requested for
2022-06-07
Call successful
Does not wish to fill out VAERS report
2022-12-04
Survey response — 12 months, dose 3
MedDRA: Musculoskeletal stiffness, Office visit, Pain in extremity, Physiotherapy — Feeling: Good · 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: Symptoms: Left arm pain/stiffness. Had cortisone shot October 5. Doing physical therapy. · Healthcare visit (other): Dr. Office visits

MedDRA releases: 2024-11 · check-in free text available
2022-12-04
Report sent to call center — 12 months, dose 3
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)
2022-12-05
Call 2 — Requested Callback
2023-01-06
Call 1 — Left Voicemail
2023-01-06
Callback requested for

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Moderna
2	2021-03-27	Moderna
3	2021-12-01	Moderna	No

Call center

6 call center cases

5 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-02

Systemic reaction (other): Very slight redness

Release 5 — day 14, dose 1

2021-03-13

Symptoms: On March 7 I experienced a pre migraine aura that lasted about an hour from 6:30 to 7:30pm. Woke up at 1:30 am with a horrible migraine. Never had anything like this in my life.

Healthcare visit (other): Ct scans w contrast which next day affected area of vaccine. Tender, swelling & red.

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): Headache in am - now gone

Release 9 — 3 months, dose 2

2021-06-26

Symptoms: Pinched nerve in back/left leg. Painful heel pain in left foot.

Healthcare visit (other): Physical therapy for back/ referral to podiatrist.

Release 9 — 6 months, dose 2

2021-09-25

Symptoms: Pinched nerve in my back; had physical therapy to relieve. Developed bone spur in left foot and was diagnosed with plantar fascia. Have new orthotics and doing well now.

Healthcare visit (other): Psychical therapy

Release 11 — 12 months, dose 2

2022-03-27

Symptoms: Insufficiency fracture of left leg femur thigh; hamstring tear; torn meniscus left leg knee. Do not know how it happened. Woke up December 8 ish and could not move my leg. Pain & swelling. Had booster on December 1, 2021

Healthcare visit (other): Dr. Office

Release 11 — 6 months, dose 3

2022-06-01

Symptoms: Have been diagnosed with insufficiency fracture of femur left leg

Healthcare visit (other): Ct scan, mri

Release 12 — 12 months, dose 3

2022-12-04

Symptoms: Left arm pain/stiffness. Had cortisone shot October 5. Doing physical therapy.

Healthcare visit (other): Dr. Office visits

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	Injection site erythema	✓	✓	✓
HCVO	Office visit	·	·	✓
HCVO	Physiotherapy	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
HCVO	Vaccination site pain	✓	✓	✓
HCVO	Vaccination site swelling	✓	✓	✓
SD	Exostosis	·	·	✓
SD	Femur fracture	·	·	✓
SD	Meniscus injury	·	·	✓
SD	Migraine with aura	✓	✓	✓
SD	Muscle injury	·	·	✓
SD	Musculoskeletal disorder	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Nerve compression	✓	✓	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Physiotherapy	·	·	✓
SD	Plantar fasciitis	·	·	✓
SD	Sleep disorder	✓	✓	✓
SD	Stress fracture	·	·	✓
SD	Swelling	·	·	✓
SRO	Erythema	✓	✓	✓
SRO	Headache	✓	✓	✓

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