YTA-17113-99448

4 vaccinations 13 coded responses 29 check-ins 12 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 346 / FL
Registered: 2021-02-27

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-26
Dose 1 — Moderna
2021-02-27
Registered in v-safe
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Blood blister, Injection site reaction — Feeling: Fair · Site: Redness · Joint pains, Muscle or body aches

Free text: The injection site has a blood bubble.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Constipation, Injection site haemorrhage — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Constipation; Blood bubble at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Constipation, Oropharyngeal pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Sore throat; constipation;

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-14
Survey response — day 14, dose 1
MedDRA: Hospitalisation, Osteoarthritis, Pain, 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 · Emergency room or emergency department visit

Free text: Osteoarthritis flared up. I had to spend 2 days and a night in the hospital. I was nearly paralyzed with the pain. They installed a line where they injected Dexamethasone. And restarted my Gabapentin.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Report sent to call center — day 14, dose 1
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)
2021-03-19
Survey response — day 21, dose 1
MedDRA: Hospitalisation, Osteoarthritis, Pre-existing disease — Feeling: Fair · Be unable to work, 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: Osteoarthritis flare was so severe that I was put into the hospital

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 21, dose 1
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)
2021-03-26
Dose 2 — Moderna
2021-03-26
Health check-in — day 0, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot, Pyrexia — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Fever made me hot;

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: I feel brain foggy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Survey response — day 14, dose 2
MedDRA: Hospitalisation, Osteoarthritis, Pre-existing disease — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: My Osteoarthritis is flaring still. I was in the hospital a few weeks ago but am still not myself. I'm working on feeling better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 21, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: This is NOT vaccine related. It is my osteoarthritis that is flaring.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 28, dose 2
MedDRA: Arthritis, Hypoaesthesia, Pre-existing disease — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: My arthritis has caused my left arm to become numb from my wrist to my chest. I will get a neck MRI next month. This is not COVID. I've had arthritis for decades.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-09
Survey response — day 42, dose 2
MedDRA: Osteoarthritis, Pre-existing disease — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: NOT COVID RELATED. My osteoarthritis just worsens incrementally.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-26
Survey response — 6 months, dose 2
MedDRA: Pre-existing disease, Spinal operation, Surgery — 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 · Telehealth, virtual health, or email health consultation, Hospitalization

Free text: Symptoms: Cervical neck surgery due to my life time bout of osteo arthritis. · Healthcare visit (other): Surgery

MedDRA releases: 2024-11 · check-in free text available
2021-09-26
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Hospitalization · 1 call case(s)
2021-09-28
Call 1 — Left Voicemail
2021-09-28
Call 1 — Left Voicemail
2021-09-28
Call 1 — Left Voicemail
2021-12-08
Dose 3 — Moderna
2022-03-27
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-29
Dose 4 — Moderna
2022-06-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-03
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-10
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-28
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-28
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-31
Survey response — 12 months, dose 4
MedDRA: Neuralgic amyotrophy, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-05-31
Call case (no matching report) — Successful
Does not wish to fill out VAERS report
2023-06-01
Call successful
Does not wish to fill out VAERS report
2023-06-01
Call successful
Does not wish to fill out VAERS report
2023-06-01
Call successful
Does not wish to fill out VAERS report
2023-06-01
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-26	Moderna
3	2021-12-08	Moderna	No
4	2022-05-29	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-14	Successful 2023-06-01	Does not wish to fill out VAERS report
2021-03-19	Successful 2023-06-01	Does not wish to fill out VAERS report
2021-09-26	Successful 2023-06-01	Does not wish to fill out VAERS report
2023-05-31	Successful 2023-06-01	Does not wish to fill out VAERS report

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-27

Systemic reaction (other): The injection site has a blood bubble.

2021-02-28

Systemic reaction (other): Constipation; Blood bubble at injection site

2021-03-01

Systemic reaction (other): Sore throat; constipation;

Release 5 — day 14, dose 1

2021-03-14

Symptoms: Osteoarthritis flared up. I had to spend 2 days and a night in the hospital. I was nearly paralyzed with the pain. They installed a line where they injected Dexamethasone. And restarted my Gabapentin.

Release 5 — day 21, dose 1

2021-03-19

Symptoms: Osteoarthritis flare was so severe that I was put into the hospital

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): Fever made me hot;

2021-03-29

Systemic reaction (other): I feel brain foggy

Release 7 — day 14, dose 2

2021-04-09

Symptoms: My Osteoarthritis is flaring still. I was in the hospital a few weeks ago but am still not myself. I'm working on feeling better.

Release 7 — day 21, dose 2

2021-04-16

Symptoms: This is NOT vaccine related. It is my osteoarthritis that is flaring.

Release 7 — day 28, dose 2

2021-04-23

Symptoms: My arthritis has caused my left arm to become numb from my wrist to my chest. I will get a neck MRI next month. This is not COVID. I've had arthritis for decades.

Release 8 — day 42, dose 2

2021-05-09

Symptoms: NOT COVID RELATED. My osteoarthritis just worsens incrementally.

Release 9 — 6 months, dose 2

2021-09-26

Symptoms: Cervical neck surgery due to my life time bout of osteo arthritis.

Healthcare visit (other): Surgery

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	Surgery	·	·	✓
SD	Arthritis	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Neuralgic amyotrophy	·	·	✓
SD	Osteoarthritis	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Spinal operation	·	·	✓
SRO	Blood blister	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Injection site haemorrhage	✓	✓	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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