4T2-12914-74071

4 vaccinations 11 coded responses 35 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 983 / WA
Registered: 2021-02-06

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
2021-02-06
Registered in v-safe
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Severe muscle spasms in lower back/hip, mid to upper chest and back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — day 7, dose 1
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Muscle spasms. Im taking Flexeril for that.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-22
Survey response — day 21, dose 1
MedDRA: Inflammation, Muscle spasms — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Continued muscle spasms and inflammation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-01
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-03-02
Dose 2 — Moderna
2021-03-02
Health check-in — day 0, dose 2
Feeling: Fair · None

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

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Ophthalmic migraine — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Ocular migraines x 3

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-09
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-16
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-08-16
Call 1 — Left Voicemail
2021-08-16
Call successful
Participant prefers to complete VAERS report online
2021-08-31
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-27
Dose 3 — Moderna
2021-10-27
Health check-in — day 0, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-10
Survey response — day 14, dose 3
MedDRA: Pyrexia — Feeling: Poor

Free text: Fever chills

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Survey response — day 21, dose 3
MedDRA: Arthralgia, Headache, Myalgia, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Ongoing low grade fever Bad headaches Overall muscle and joint pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Survey response — day 28, dose 3
MedDRA: Headache — Feeling: Fair

Free text: Headaches

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-26
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-04
Dose 4 — Moderna
2022-04-14
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-18
Survey response — day 14, dose 4
MedDRA: Arthralgia, Headache, Myalgia, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle and joint pain, headaches continue, low grade fever

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Survey response — day 21, dose 4
MedDRA: Asthenia, Myalgia, Tendon pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Muscle tendon pain and weakness

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Survey response — day 28, dose 4
MedDRA: Arthralgia, Asthenia, Myalgia, Office visit, Pain — Feeling: Poor · 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: Symptoms: More overall body pain. Debilitating body pain and muscle and joint pain. · Healthcare visit (other): Also follow up with my primary

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Report sent to call center — day 28, 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)
2022-05-03
Call 1 — Left Voicemail
2022-05-09
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-16
Survey response — day 42, dose 4
MedDRA: Deep vein thrombosis, Thrombosis — Feeling: Fair · Be unable to do your normal daily activities

Free text: DVT blood clot

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Moderna
2	2021-03-02	Moderna
3	2021-10-27	Moderna	No
4	2022-04-04	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-07

Systemic reaction (other): Severe muscle spasms in lower back/hip, mid to upper chest and back

Release 3 — day 7, dose 1

2021-02-08

Systemic reaction (other): Muscle spasms. Im taking Flexeril for that.

Release 4 — day 21, dose 1

2021-02-22

Symptoms: Continued muscle spasms and inflammation

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Ocular migraines x 3

Release 10 — day 14, dose 3

2021-11-10

Symptoms: Fever chills

Release 10 — day 21, dose 3

2021-11-17

Symptoms: Ongoing low grade fever Bad headaches Overall muscle and joint pain

Release 10 — day 28, dose 3

2021-11-24

Symptoms: Headaches

Release 11 — day 14, dose 4

2022-04-18

Symptoms: Muscle and joint pain, headaches continue, low grade fever

Release 11 — day 21, dose 4

2022-04-25

Symptoms: Muscle tendon pain and weakness

Release 11 — day 28, dose 4

2022-05-02

Symptoms: More overall body pain. Debilitating body pain and muscle and joint pain.

Healthcare visit (other): Also follow up with my primary

Release 11 — day 42, dose 4

2022-05-16

Symptoms: DVT blood clot

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	Arthralgia	·	·	✓
SD	Asthenia	·	·	✓
SD	Deep vein thrombosis	·	·	✓
SD	Headache	·	·	✓
SD	Inflammation	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Tendon pain	·	·	✓
SD	Thrombosis	·	·	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Ophthalmic migraine	✓	✓	✓

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