5UZ-27533-43330

2 vaccinations 9 coded responses 19 check-ins 9 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 068 / CT
Registered: 2020-12-30

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

2020-12-29
Dose 1 — Moderna
2020-12-30
Registered in v-safe
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Immediate post-injection reaction, Lip swelling, Swelling face — Feeling: Good

Free text: From 30 to 90 minutes post shot I had mild nasal selling, center up lip selling and top of swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities

Free text: Left thigh cramp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Good · Muscle or body aches

Free text: I had thigh muscle cramps but stretched them and feel a little better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia — Feeling: Good · Muscle or body aches

Free text: Thigh muscles- mild to moderate pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Good · Muscle or body aches

Free text: Crampy like pain in anterior thighs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Health check-in — day 7, dose 1
Feeling: Good · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-01-07
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-27
Dose 2 — Moderna
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-19
Survey response — day 21, dose 2
MedDRA: Herpes zoster, Pain in extremity, Unevaluable event — 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: Shingles in left thigh where I have been having pain since my COVID vaccine · Healthcare visit (other): Valtrex

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-03
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-12
Survey response — day 42, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Left foot pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — 3 months, dose 2
MedDRA: Headache — 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: Headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
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)
2021-06-07
Call 1 — Left Voicemail
2021-07-29
Survey response — 6 months, dose 2
MedDRA: Foot fracture, Osteoarthritis, Unevaluable event — Feeling: Poor · Be unable to work or attend school, 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: Right 5 metatarsal fracture AcuteLeft hip osteoarthritis · Healthcare visit (other): X-ray s, MRIs, steroid injections, HA injections

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-29
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

1 call case(s)
2021-08-05
Call 1 — Left Voicemail
2021-08-06
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-27	Moderna

Call center

5 call center cases

3 successful · 2 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-30

Systemic reaction (other): From 30 to 90 minutes post shot I had mild nasal selling, center up lip selling and top of swelling

2021-01-01

Systemic reaction (other): Left thigh cramp

2021-01-02

Systemic reaction (other): I had thigh muscle cramps but stretched them and feel a little better

2021-01-03

Systemic reaction (other): Thigh muscles- mild to moderate pain

2021-01-04

Systemic reaction (other): Crampy like pain in anterior thighs

Release 4 — day 21, dose 2

2021-02-19

Symptoms: Shingles in left thigh where I have been having pain since my COVID vaccine

Healthcare visit (other): Valtrex

Release 5 — day 42, dose 2

2021-03-12

Symptoms: Left foot pain

Release 8 — 3 months, dose 2

2021-04-28

Symptoms: Headaches

Release 9 — 6 months, dose 2

2021-07-29

Symptoms: Right 5 metatarsal fracture AcuteLeft hip osteoarthritis

Healthcare visit (other): X-ray s, MRIs, steroid injections, HA injections

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	Unevaluable event	✓	✓	✓
SD	Foot fracture	✓	·	✓
SD	Headache	✓	✓	✓
SD	Herpes zoster	✓	✓	✓
SD	Osteoarthritis	✓	·	✓
SD	Pain in extremity	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Lip swelling	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain in extremity	○	○	○
SRO	Swelling face	✓	✓	✓

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