YE8-28296-52556

3 vaccinations 5 coded responses 25 check-ins 5 free-text entries 7 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 799 / TX
Registered: 2020-12-29

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Moderna
2020-12-29
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2020-12-30
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-04
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-05
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-05
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-22
Dose 2 — Moderna
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Redness, Itching · Fever · Chills, Fatigue or tiredness, Nausea, Vomiting · Be unable to work

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Dose 3 — Moderna
2021-10-29
Health check-in — day 7, dose 3
Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-05
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-12
Survey response — day 21, dose 3
MedDRA: Fatigue, Gait disturbance, Myalgia, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Very tired and have alot of muscle pain in my limbs difficulties walking · Healthcare visit (other): Have a doctors appointment Tuesday

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Report sent to call center — day 21, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-15
Call 2 — Left Voicemail
2021-11-24
Survey response — day 28, dose 3
MedDRA: Myalgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Bad muscle aches all over since booster shot · Healthcare visit (other): Saw orthopedic doctor had cortisone shots

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-01
Call 2 — Left Voicemail
2021-12-03
Survey response — day 42, dose 3
MedDRA: Myalgia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Pain has gotten worse in muscles

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Inflammation, Myalgia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Extreme inflammation and pain in muscle and joints since booster shot (October 22nd)

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-04-25
Call 1 — Left Voicemail
2022-10-22
Survey response — 12 months, dose 3
MedDRA: Arthralgia, Myalgia, Office visit — 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, Emergency room or emergency department visit

Free text: I have suffered from severe muscle and joint pain since October and been under doctors care for it right after my booster shot

MedDRA releases: 2024-11 · check-in free text available
2022-10-22
Report sent to call center — 12 months, dose 3
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 · Emergency room or emergency department visit · 1 call case(s)
2022-10-25
Call 1 — Left Voicemail
2022-10-25
Call 1 — Left Voicemail
2022-10-25
Call 2 — Left Voicemail
2022-10-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-22	Moderna
3	2021-10-22	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2020-12-30	priority 2/3
2021-01-04	priority 2/3
2021-01-05	priority 2/3
2021-11-12	Unsuccessful
2021-11-24	Unsuccessful
2022-04-23	Unsuccessful
2022-10-22	Unsuccessful

Free text

Release 10 — day 21, dose 3

2021-11-12

Symptoms: Very tired and have alot of muscle pain in my limbs difficulties walking

Healthcare visit (other): Have a doctors appointment Tuesday

Release 10 — day 28, dose 3

2021-11-24

Symptoms: Bad muscle aches all over since booster shot

Healthcare visit (other): Saw orthopedic doctor had cortisone shots

Release 10 — day 42, dose 3

2021-12-03

Symptoms: Pain has gotten worse in muscles

Release 11 — 6 months, dose 3

2022-04-23

Symptoms: Extreme inflammation and pain in muscle and joints since booster shot (October 22nd)

Release 12 — 12 months, dose 3

2022-10-22

Symptoms: I have suffered from severe muscle and joint pain since October and been under doctors care for it right after my booster shot

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	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Fatigue	·	·	✓
SD	Gait disturbance	·	·	✓
SD	Inflammation	·	·	✓
SD	Myalgia	·	·	✓
SD	Office visit	·	·	✓

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