YQ2-25605-66892

2 vaccinations 8 coded responses 16 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 801 / CO
Registered: 2021-02-14

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

2021-01-26
Dose 1 — Moderna
2021-02-14
Registered in v-safe
2021-02-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-18
Survey response — day 21, dose 1
MedDRA: Gait disturbance, Osteoarthritis, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Osteoarthritis in hip very bad, difficult to walk. Painful when standing up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Dose 2 — Moderna
2021-02-23
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Loss of sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Health check-in — day 7, dose 2
Feeling: Good · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-18
Survey response — day 21, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Hip joint very painful with limited range. I had many painful, non-functioning joints the day after 2nd Moderna vaccine. The hip has remained painful, some days worse than others.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 28, dose 2
MedDRA: Vertigo — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe vertigo when moving quickly to bending over.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 35, dose 2
MedDRA: Arthralgia, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: I had the same severe leg, hip, foot joint pain that I had right after 2nd vaccine, return for three days last week. It is now gone again. I was considering going to my doctor when it went away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 42, dose 2
MedDRA: Arthralgia, Gait disturbance, Limb discomfort — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe hip pain and at times unable to walk without walking sticks. Legs dont seem to work right occasionally.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — 3 months, dose 2
MedDRA: Office visit, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I'm scheduled to have a hip replacement due to Osteoarthritis. · Healthcare visit (other): PCP office visits and Orthopedic surgeon office visits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-23
Survey response — 12 months, dose 2
MedDRA: Balance disorder, Gait disturbance, Pain in jaw, Toothache, Vaccination site pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: 1. Unable to totally control my legs when walking, loss of balance. 2. Jaw /tooth pain 3.Strong ache at vaccine site

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-23	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-05-26	Successful 2022-05-12	Participant prefers to complete VAERS report online

Free text

Release 4 — day 21, dose 1

2021-02-18

Symptoms: Osteoarthritis in hip very bad, difficult to walk. Painful when standing up.

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Loss of sleep

Release 5 — day 21, dose 2

2021-03-18

Symptoms: Hip joint very painful with limited range. I had many painful, non-functioning joints the day after 2nd Moderna vaccine. The hip has remained painful, some days worse than others.

Release 6 — day 28, dose 2

2021-03-24

Symptoms: Severe vertigo when moving quickly to bending over.

Release 6 — day 35, dose 2

2021-03-31

Symptoms: I had the same severe leg, hip, foot joint pain that I had right after 2nd vaccine, return for three days last week. It is now gone again. I was considering going to my doctor when it went away.

Release 7 — day 42, dose 2

2021-04-06

Symptoms: Severe hip pain and at times unable to walk without walking sticks. Legs dont seem to work right occasionally.

Release 8 — 3 months, dose 2

2021-05-26

Symptoms: I'm scheduled to have a hip replacement due to Osteoarthritis.

Healthcare visit (other): PCP office visits and Orthopedic surgeon office visits

Release 11 — 12 months, dose 2

2022-02-23

Symptoms: 1. Unable to totally control my legs when walking, loss of balance. 2. Jaw /tooth pain 3.Strong ache at vaccine site

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	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Balance disorder	·	·	✓
SD	Gait disturbance	✓	✓	✓
SD	Limb discomfort	✓	✓	✓
SD	Osteoarthritis	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pain in jaw	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Toothache	·	·	✓
SD	Vaccination site pain	·	·	✓
SD	Vertigo	✓	✓	✓
SRO	Insomnia	✓	✓	✓

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