5WP-33210-79993

2 vaccinations 8 coded responses 24 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 718 / AR
Registered: 2021-03-17

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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Moderna
2021-03-17
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat but that is probably the pollen. Ive started Zyrtec.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-18
Dose 2 — Moderna
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature increased, Headache, Hyperacusis, Pain, Palpitations — Feeling: Good · Site: Pain

Free text: 24 hours after shot, had headache, 99.3 temp, achy, sensitivity to sound, heart raced. Lasted less than 24 hours. Okay now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal pain — Feeling: Good · Muscle or body aches

Free text: Ache behind left shoulder blade.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 21, dose 2
MedDRA: Decreased appetite, Diarrhoea, Gastroenteritis viral — Feeling: Good · Be unable to do your normal daily activities

Free text: Had a stomach bug. Diarrhea and loss of appetite. Could be a virus. Lasted almost a week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-18
Survey response — 3 months, dose 2
MedDRA: Osteoarthritis — Feeling: Good · Be unable to do your normal daily activities

Free text: Severe osteoarthritis in knee. Probably unrelated.

MedDRA releases: 2024-11 · check-in free text available
2021-10-17
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Osteoarthritis — Feeling: Good · Be unable to do your normal daily activities

Free text: Knee pain. Osteoarthritis. Probably nothing to do with vaccine. Having procedure next week.

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Survey response — 12 months, dose 2
MedDRA: Office visit, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I have oseteoarthritis in both knees · Healthcare visit (other): In person doctor visits

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-19
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-18	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): Sore throat but that is probably the pollen. Ive started Zyrtec.

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): 24 hours after shot, had headache, 99.3 temp, achy, sensitivity to sound, heart raced. Lasted less than 24 hours. Okay now

2021-04-22

Systemic reaction (other): Sore throat

2021-04-24

Systemic reaction (other): Ache behind left shoulder blade.

Release 8 — day 21, dose 2

2021-05-11

Symptoms: Had a stomach bug. Diarrhea and loss of appetite. Could be a virus. Lasted almost a week.

Release 9 — 3 months, dose 2

2021-07-18

Symptoms: Severe osteoarthritis in knee. Probably unrelated.

Release 10 — 6 months, dose 2

2021-10-17

Symptoms: Knee pain. Osteoarthritis. Probably nothing to do with vaccine. Having procedure next week.

Release 11 — 12 months, dose 2

2022-04-18

Symptoms: I have oseteoarthritis in both knees

Healthcare visit (other): In person doctor 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	Office visit	·	·	✓
SD	Arthralgia	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Gastroenteritis viral	✓	✓	✓
SD	Osteoarthritis	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hyperacusis	✓	✓	✓
SRO	Musculoskeletal pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Palpitations	✓	✓	✓

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