HYE-20931-65256

2 vaccinations 6 coded responses 24 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 282 / NC
Registered: 2021-02-27

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-27
Registered in v-safe
2021-02-27
Dose 1 — Moderna
2021-02-27
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Urticaria — Feeling: Good

Free text: I had two unexplained welts on my right thigh

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-03-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-20
Survey response — day 21, dose 1
MedDRA: Pain in extremity, Post-traumatic pain, Pre-existing disease — 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: A previously injured arm, the same arm I received my shot, is having intermittent pain. It could be unrelated but not totally sure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-26
Dose 2 — Moderna
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 28, dose 2
MedDRA: Periarthritis, Physiotherapy — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have frozen shoulder and it is getting progressively worse. Although Im sure its unrelated. · Healthcare visit (other): Physical therapy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Survey response — day 42, dose 2
MedDRA: Impaired healing, Periarthritis, Physiotherapy — Feeling: Good · Be unable to do your normal daily activities

Free text: I have frozen shoulder and go to physical therapy. It is not improving. However, I dont believe its related the vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Survey response — 3 months, dose 2
MedDRA: Pneumonia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: I got a lung infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
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)
2021-06-29
Call successful
Participant prefers to complete VAERS report online
2021-09-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-26
Survey response — 12 months, dose 2
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I contracted COVID in January a month after getting my booster.

MedDRA releases: 2024-11 · check-in free text available
2022-03-26
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-28
Call 1 — Could Not Reach Participant
2022-04-04
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Moderna
2	2021-03-26	Moderna

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): I had two unexplained welts on my right thigh

Release 6 — day 21, dose 1

2021-03-20

Symptoms: A previously injured arm, the same arm I received my shot, is having intermittent pain. It could be unrelated but not totally sure.

Release 7 — day 28, dose 2

2021-04-23

Symptoms: I have frozen shoulder and it is getting progressively worse. Although Im sure its unrelated.

Healthcare visit (other): Physical therapy

Release 8 — day 42, dose 2

2021-05-07

Symptoms: I have frozen shoulder and go to physical therapy. It is not improving. However, I dont believe its related the vaccination.

Release 9 — 3 months, dose 2

2021-06-27

Symptoms: I got a lung infection

Release 11 — 12 months, dose 2

2022-03-26

Symptoms: I contracted COVID in January a month after getting my booster.

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	Physiotherapy	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Impaired healing	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Periarthritis	✓	✓	✓
SD	Physiotherapy	✓	✓	✓
SD	Pneumonia	✓	✓	✓
SD	Post-traumatic pain	○	✓	○
SD	Pre-existing disease	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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