68Z-33397-71442

3 vaccinations 10 coded responses 25 check-ins 10 free-text entries 8 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 836 / ID
Registered: 2021-02-28

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

BA4-29877-08938 Child or adolescent in my care · Male · 2021-11-13

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-31
Dose 1 — Moderna
2021-02-28
Registered in v-safe
2021-02-28
Dose 2 — Moderna
2021-02-28
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Pain of skin, Sensitive skin — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Skin hurt or was super sensitive

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Bursitis, Chills, Pyrexia, Tendonitis — Feeling: Fair · Joint pains · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Patella bursitis- started when fever and chills stopped yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Bursitis — Feeling: Fair · Joint pains · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Acute bursitis in my knee unrelated to injury.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Bursitis — Feeling: Fair · Joint pains, Nausea · Be unable to work, 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: Bursitis in my knee- onset day after Covid shot without injury.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Bursitis — Feeling: Fair · Joint pains · Be unable to do your normal daily activities

Free text: Bursitis - knee cap

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Bursitis — Feeling: Fair

Free text: Buritis of my knee cap

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — day 7, dose 2
MedDRA: Bursitis — Feeling: Good · Joint pains · Be unable to do your normal daily activities

Free text: Knee cap bursitis- onset 2 days after vaccine with no known causes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Report sent to call center — day 7, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-03-13
Call 1 — Could Not Reach Participant
2021-03-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-18
Call 2 — Left Voicemail
2021-03-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-23
Call successful
Participant prefers to complete VAERS report online
2021-03-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-20
Pregnancy registry survey
Pregnant at time of vaccination · Yes, I would like someone to contact me
2021-05-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-29
Survey response — 6 months, dose 2
MedDRA: Pre-eclampsia — Feeling: Fair · 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, Hospitalization

Free text: Postpartum preeclampsia

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-29
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)
2021-08-31
Call 1 — Left Voicemail
2021-11-26
Dose 3 — Moderna
2021-11-26
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-27
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, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Diarrhea

Adult check-in
2021-11-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness · Headache

Adult check-in
2021-12-03
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-10
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-17
Survey response — day 21, dose 3
MedDRA: Heavy menstrual bleeding — Feeling: Good

Free text: High amount of menstrual bleeding.

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-25
Survey response — 3 months, dose 3
MedDRA: Office visit, Ventricular extrasystoles — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Frequent Premature Ventricular Contractions · Healthcare visit (other): PCP appointment

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-01
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-31	Moderna
2	2021-02-28	Moderna
3	2021-11-26	Moderna	No

Call center

8 call center cases

6 successful · 2 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-03-01

Systemic reaction (other): Skin hurt or was super sensitive

2021-03-02

Systemic reaction (other): Patella bursitis- started when fever and chills stopped yesterday

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Acute bursitis in my knee unrelated to injury.

2021-03-04

Systemic reaction (other): Bursitis in my knee- onset day after Covid shot without injury.

2021-03-05

Systemic reaction (other): Bursitis - knee cap

2021-03-06

Systemic reaction (other): Buritis of my knee cap

Release 5 — day 7, dose 2

2021-03-07

Systemic reaction (other): Knee cap bursitis- onset 2 days after vaccine with no known causes.

Release 9 — 6 months, dose 2

2021-08-29

Symptoms: Postpartum preeclampsia

Release 10 — day 21, dose 3

2021-12-17

Symptoms: High amount of menstrual bleeding.

Release 11 — 3 months, dose 3

2022-02-25

Symptoms: Frequent Premature Ventricular Contractions

Healthcare visit (other): PCP appointment

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	Heavy menstrual bleeding	·	·	✓
SD	Pre-eclampsia	✓	·	✓
SD	Ventricular extrasystoles	·	·	✓
SRO	Bursitis	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Pain of skin	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Sensitive skin	✓	✓	✓
SRO	Tendonitis	○	✓	○

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