6T8-81504-70666

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 709 / LA
Registered: 2021-02-16

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

2021-02-15
Dose 1 — Moderna
2021-02-16
Registered in v-safe
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Poor · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Pains lower left side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Abdominal pain

Adult check-in
2021-02-22
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-03-08
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-15
Dose 2 — Moderna
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Lymph nodes behind ears were swollen. First shot it was under my arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-14
Survey response — day 28, dose 2
MedDRA: Asthenia, Muscle strain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pulled muscles in my back. Seemed to be feeling weak.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-14
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Pain, Pre-existing disease, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Seems like my fibermayaglera is work and body aches · Healthcare visit (other): Six month checkup

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-23
Call successful
Does not wish to fill out VAERS report
2021-09-15
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-17
Survey response — 12 months, dose 2
MedDRA: Condition aggravated, Decreased activity, Depressed mood, Mobility decreased, Pain, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Generally depressed about everything. I hurt all over, I don't move much, basically sit and sleep in recliner day and night . Very little activity. I have fibermalager . It seems worse since the vaccines.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-15	Moderna
2	2021-03-15	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-16

Systemic reaction (other): No

2021-02-17

Systemic reaction (other): Pains lower left side

2021-02-19

Systemic reaction (other): No

Release 5 — days 1–6 daily, dose 2

2021-03-17

Systemic reaction (other): Lymph nodes behind ears were swollen. First shot it was under my arm.

Release 7 — day 28, dose 2

2021-04-14

Symptoms: Pulled muscles in my back. Seemed to be feeling weak.

Release 9 — 3 months, dose 2

2021-06-14

Symptoms: Seems like my fibermayaglera is work and body aches

Healthcare visit (other): Six month checkup

Release 11 — 12 months, dose 2

2022-03-17

Symptoms: Generally depressed about everything. I hurt all over, I don't move much, basically sit and sleep in recliner day and night . Very little activity. I have fibermalager . It seems worse since the vaccines.

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	Asthenia	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Decreased activity	·	·	✓
SD	Depressed mood	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Muscle strain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	✓	✓

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