6KR-46284-51931

4 vaccinations 5 coded responses 20 check-ins 4 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 493 / MI
Registered: 2021-03-11

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

2021-02-12
Dose 1 — Moderna
2021-03-11
Registered in v-safe
2021-03-12
Dose 2 — Moderna
2021-03-12
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Chills

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-03-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-10
Survey response — 6 months, dose 2
MedDRA: Muscle disorder, Physiotherapy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Problems with my hip flexors · Healthcare visit (other): 12 sessions of physical therapy

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-15
Call 1 — Left Voicemail
2021-10-27
Dose 3 — Moderna
2022-03-12
Survey response — 12 months, dose 2
MedDRA: Arthritis, Pre-existing disease, Vaccine positive rechallenge, Visual impairment — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: My arthritis has flared considerably w/every vaccination. Also coordinating w/the vaccines is increased problems w/my vision. So much so that I doubt I will get any additional shots as I won't have much of a life left w/o use of my hands & am blind.

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Survey response — 6 months, dose 3
MedDRA: Unevaluable event, Visual impairment — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Worsening vision · Healthcare visit (other): Have an upcoming Dr appt

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-03
Call successful
Participant prefers to complete VAERS report online
2022-10-07
Dose 4 — Moderna
2022-11-08
Survey response — day 28, dose 4
MedDRA: Arthritis, Pre-existing disease, Visual impairment — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Escalating arthritis. Had been getting worse very slowly over time, but since the 3rd vaccine (Moderna booster) it is getting worse very rapidly. Also since that vaccine my eye sight is getting worse fast too.

MedDRA releases: 2024-11 · check-in free text available
2022-11-08
Report sent to call center — day 28, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-09
Call successful
Not applicable - Accidental Reporting
2022-11-09
Call successful
Not applicable - Accidental Reporting
2022-11-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-04-07
Survey response — 6 months, dose 4
MedDRA: Arthralgia, Arthritis, Office visit, Pre-existing disease — 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

MedDRA releases: 2024-11
2023-04-07
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-11
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-12	Moderna
3	2021-10-27	Moderna	No
4	2022-10-07	Moderna	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 9 — 6 months, dose 2

2021-09-10

Symptoms: Problems with my hip flexors

Healthcare visit (other): 12 sessions of physical therapy

Release 11 — 12 months, dose 2

2022-03-12

Symptoms: My arthritis has flared considerably w/every vaccination. Also coordinating w/the vaccines is increased problems w/my vision. So much so that I doubt I will get any additional shots as I won't have much of a life left w/o use of my hands & am blind. cut off by CDC

Release 11 — 6 months, dose 3

2022-04-29

Symptoms: Worsening vision

Healthcare visit (other): Have an upcoming Dr appt

Release 12 — day 28, dose 4

2022-11-08

Symptoms: Escalating arthritis. Had been getting worse very slowly over time, but since the 3rd vaccine (Moderna booster) it is getting worse very rapidly. Also since that vaccine my eye sight is getting worse fast too.

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	Physiotherapy	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Arthritis	·	·	✓
SD	Muscle disorder	·	·	✓
SD	Office visit	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Vaccine positive rechallenge	·	·	✓
SD	Visual impairment	·	·	✓

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