Y3W-22080-72725

3 vaccinations 4 coded responses 14 check-ins 4 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 441 / OH
Registered: 2021-10-29

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

2021-02-19
Dose 1 — Moderna
2021-03-19
Dose 2 — Moderna
2021-10-29
Registered in v-safe
2021-10-29
Dose 3 — Moderna
2021-10-29
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-11-12
Survey response — day 14, dose 3
MedDRA: Adverse reaction, Carpal tunnel decompression, Medical counselling — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I had Carpal Tunnel surgery and it is not doing well. I called for an appointment however they told me that because it's a 90 day post opp that the doctors office must contact me and set up an appointment. However as of today no one has called me. · Healthcare visit (other): None I was suppose to have Occapitional Threapy however it is to far away for me to drive to with my bad hands.

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Report sent to call center — day 14, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-16
Call 1 — Left Voicemail
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-30
Survey response — day 28, dose 3
MedDRA: Adverse reaction, Carpal tunnel syndrome, Surgery — Feeling: Fair · Be unable to do your normal daily activities

Free text: I am sorry that I was not able to respond to you earlier but my family can and pick me up for Thanksgiving holidays and they had no internet connection. I am still dealing with a bad response from my Carpal Tunnel surgery as well as my left shoulder

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Survey response — day 35, dose 3
MedDRA: Carpal tunnel decompression, Impaired driving ability, Mobility decreased, Occupational therapy, Pain in extremity — Feeling: Fair · 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: My Carpal Tunnel surgery is not doing well and I was not able to attend Occapitional Threapy because I can't drive a long ways. I can barely move both my shoulders and my hands ache every night. Hopefully in January my new PCP will review my file .

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Report sent to call center — day 35, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-07
Call 1 — Left Voicemail
2021-12-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-30
Survey response — 6 months, dose 3
MedDRA: Musculoskeletal stiffness, Occupational therapy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I need a very extensive shoulder surgery and I am terrified of having it at my age. In addition my body stays stiff in the morning times. I have been in Occapitional Threapy along with talking all kinds of vitamins. · Healthcare visit (other): Occapitional Therapy

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-03
Call 1 — Could Not Reach Participant
2022-05-06
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-19	Moderna	No
2	2021-03-19	Moderna	No
3	2021-10-29	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-12	Unsuccessful
2021-12-03	Unsuccessful
2022-04-30	Unsuccessful

Free text

Release 10 — day 14, dose 3

2021-11-12

Symptoms: I had Carpal Tunnel surgery and it is not doing well. I called for an appointment however they told me that because it's a 90 day post opp that the doctors office must contact me and set up an appointment. However as of today no one has called me.

Healthcare visit (other): None I was suppose to have Occapitional Threapy however it is to far away for me to drive to with my bad hands.

Release 10 — day 28, dose 3

2021-11-30

Symptoms: I am sorry that I was not able to respond to you earlier but my family can and pick me up for Thanksgiving holidays and they had no internet connection. I am still dealing with a bad response from my Carpal Tunnel surgery as well as my left shoulder cut off by CDC

Release 10 — day 35, dose 3

2021-12-03

Symptoms: My Carpal Tunnel surgery is not doing well and I was not able to attend Occapitional Threapy because I can't drive a long ways. I can barely move both my shoulders and my hands ache every night. Hopefully in January my new PCP will review my file . cut off by CDC

Release 11 — 6 months, dose 3

2022-04-30

Symptoms: I need a very extensive shoulder surgery and I am terrified of having it at my age. In addition my body stays stiff in the morning times. I have been in Occapitional Threapy along with talking all kinds of vitamins.

Healthcare visit (other): Occapitional Therapy

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	Adverse reaction	·	·	✓
HCVO	Occupational therapy	·	·	✓
SD	Adverse reaction	·	·	✓
SD	Carpal tunnel decompression	·	·	✓
SD	Carpal tunnel syndrome	·	·	✓
SD	Impaired driving ability	·	·	✓
SD	Medical counselling	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Occupational therapy	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Surgery	·	·	✓

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