5RK-16156-53513

2 vaccinations 8 coded responses 18 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 277 / NC
Registered: 2021-03-20

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

2021-03-19
Dose 1 — Moderna
2021-03-20
Registered in v-safe
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Lip pain, Lip swelling — Feeling: Fair · Site: Pain · Headache, Joint pains

Free text: Swelling/sensitivity of lower lip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Hypersensitivity, Lip swelling — Feeling: Fair · Site: Pain · Headache

Free text: Heightened sensitivity and some swelling inside lower and upper lip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-02
Survey response — day 14, dose 1
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Left shoulder where I received the vaccine has been very sore including joint pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 21, dose 1
MedDRA: Arthralgia, Mobility decreased, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Limited motion w/my left arm (shoulder pain and restriction)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 28, dose 1
MedDRA: Arthralgia, Joint range of motion decreased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continued pain in left shoulder including joint pain and decreased range of motion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Dose 2 — Moderna
2021-04-30
Survey response — day 7, dose 2
MedDRA: Injected limb mobility decreased, Limb discomfort — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Left arm where 1st vaccine given is still compromised

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-22
Survey response — day 28, dose 2
MedDRA: Arthralgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Left shoulder (where first vaccine given high in arm close to shoulder) increasing again in pain including joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-30
Survey response — day 35, dose 2
MedDRA: Arthralgia, Asthenia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lingering pain in left shoulder and some weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-09
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Moderna
2	2021-04-23	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): Swelling/sensitivity of lower lip

2021-03-24

Systemic reaction (other): Heightened sensitivity and some swelling inside lower and upper lip

Release 6 — day 14, dose 1

2021-04-02

Symptoms: Left shoulder where I received the vaccine has been very sore including joint pain.

Release 7 — day 21, dose 1

2021-04-09

Symptoms: Limited motion w/my left arm (shoulder pain and restriction)

Release 7 — day 28, dose 1

2021-04-16

Symptoms: Continued pain in left shoulder including joint pain and decreased range of motion

Release 8 — day 7, dose 2

2021-04-30

Systemic reaction (other): Left arm where 1st vaccine given is still compromised

Release 8 — day 28, dose 2

2021-05-22

Symptoms: Left shoulder (where first vaccine given high in arm close to shoulder) increasing again in pain including joint pain

Release 8 — day 35, dose 2

2021-05-30

Symptoms: Lingering pain in left shoulder and some weakness

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
SD	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Joint range of motion decreased	✓	✓	✓
SD	Mobility decreased	·	·	✓
SD	Pain	✓	✓	○
SRO	Hypersensitivity	✓	✓	✓
SRO	Injected limb mobility decreased	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Lip pain	✓	✓	✓
SRO	Lip swelling	✓	✓	✓

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