4YL-12385-11692
3 vaccinations
4 coded responses
26 check-ins
3 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 211 / MD
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
-
2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-15
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-17
- 2021-01-18
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-18
- 2021-02-25
-
2021-03-06
Survey response — day 21, dose 2MedDRA: Arthralgia, Mobility decreased, Office visit, Self-medication — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I have had increasing pain in my joints on the left side. I have had decreased range of motion Ive had to take medicine to relieve the pain to get through my day. I went to the doctor yesterday I have had a x-ray of my hip. I am taking steroids · Healthcare visit (other): Primary care docMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-11
- 2021-03-18
- 2021-05-15
- 2021-07-30
-
2021-08-02
Call successfulParticipant prefers to complete VAERS report online
- 2021-08-15
-
2022-01-11
Dose 3 — Moderna
-
2022-02-11
Survey response — 12 months, dose 2MedDRA: Axillary mass, Axillary pain, Oedema peripheral, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Lumps and swelling under left arm/armpit after booster shot. VERY PAINFUL · Healthcare visit (other): MammogramMedDRA releases: 2024-11 · check-in free text available
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2022-02-11
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-15
-
2022-02-15
Call successfulCompleted over the phone
- 2022-02-22
- 2022-04-12
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2022-07-12
Survey response — 6 months, dose 3MedDRA: Neck pain, Office visit, Pain in extremity — 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 visitFree text: I was at the doctor yesterday and was given a course of prednisone. I am still having pain in my neck arm an entire left side. This started after I got my COVID-19 vaccinations. It seems to be worseningMedDRA releases: 2024-11 · check-in free text available
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2022-07-12
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-07-13
Call successfulReported to VAERS during previous contact from GDIT
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2023-01-11
Survey response — 12 months, dose 3MedDRA: Glaucoma, Office visit, Osteoarthritis, Surgery, Thyroid disorder — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-01-11
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2023-01-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2022-01-11 | Moderna | No |
Call center
5 call center cases
3 successful · 1 unsuccessful · 1 priority 2/3 (triaged and no follow up)
VAERS report filed, before or during a call: 2
1 wait over 3 months for a first call
Free text
Release 5 — day 21, dose 2
Symptoms: I have had increasing pain in my joints on the left side. I have had decreased range of motion Ive had to take medicine to relieve the pain to get through my day. I went to the doctor yesterday I have had a x-ray of my hip. I am taking steroids
Healthcare visit (other): Primary care doc
Release 11 — 12 months, dose 2
Symptoms: Lumps and swelling under left arm/armpit after booster shot. VERY PAINFUL
Healthcare visit (other): Mammogram
Release 12 — 6 months, dose 3
Symptoms: I was at the doctor yesterday and was given a course of prednisone. I am still having pain in my neck arm an entire left side. This started after I got my COVID-19 vaccinations. It seems to be worsening
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 | Unevaluable event | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Axillary mass | · | · | ✓ |
| SD | Axillary pain | · | · | ✓ |
| SD | Glaucoma | · | · | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Oedema peripheral | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Osteoarthritis | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Surgery | · | · | ✓ |
| SD | Thyroid disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release