Z4M-24400-46620
4 vaccinations
7 coded responses
32 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 945 / CA
- Registered
- 2021-02-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-20
Registered in v-safe
-
2021-02-20
Dose 1 — Moderna
- 2021-02-20
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-26
- 2021-02-27
- 2021-03-06
- 2021-03-14
- 2021-03-21
-
2021-03-26
Dose 2 — Moderna
- 2021-03-27
-
2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Headache, Pre-existing disease — Feeling: Good · Headache, Joint painsFree text: I'm prone to headaches and the joint pain may be because of lupus so my symptoms may not be because of the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-03-30
-
2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Injection site joint pain, Migraine — Feeling: Poor · Headache, Joint pains · Be unable to do your normal daily activitiesFree text: Headache turned into a migraine. Joint pain in the injection site arm is really bad today. Wrist, elbow and shoulderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-02
-
2021-04-09
Survey response — day 14, dose 2MedDRA: Arthralgia, Migraine, Pyrexia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: After 2 weeks I still have migraines nearly every day. My joints are still very painful and I've been running a low grade temperatureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-06-25
- 2021-09-24
-
2021-11-16
Dose 3 — ModernaCo-administered: Flu
- 2022-03-26
-
2022-04-12
Dose 4 — Moderna
-
2022-04-26
Survey response — day 14, dose 4MedDRA: Chills, Malaise, Pain in extremity — Feeling: GoodFree text: Sore arm for 2 days. Chills and malaise for a half a dayMedDRA releases: 2024-11 · check-in free text available
- 2022-05-03
-
2022-05-10
Survey response — day 28, dose 4MedDRA: Injection site pain, Pain, Pain in extremity — Feeling: GoodFree text: I still can't raise my arm from the pain in the injection site. My arm really hurts stillMedDRA releases: 2024-11 · check-in free text available
- 2022-05-17
-
2022-05-24
Survey response — day 42, dose 4MedDRA: Injection site pain, Medical counselling, Mobility decreased — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Arm where I received the injections has become even more painful and I can barely lift it · Healthcare visit (other): Mentioned it to my doctorMedDRA releases: 2024-11 · check-in free text available
-
2022-05-24
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-25
-
2022-05-25
Call successfulParticipant prefers to complete VAERS report online
- 2022-07-12
-
2022-10-11
Survey response — 6 months, dose 4MedDRA: Injected limb mobility decreased, Injection site pain, Injection site reaction, Pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: The area of my arm where I received the vaccines has increased and the pain has also increased. I'm barely able to lift my arm and I'm unable to get my blood pressure checked in that arm because of the pain. It radiates down my armMedDRA releases: 2024-11 · check-in free text available
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-20 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2021-11-16 | Moderna | Flu |
| 4 | 2022-04-12 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-24 | Successful 2022-05-25 |
Participant prefers to complete VAERS report online |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I'm prone to headaches and the joint pain may be because of lupus so my symptoms may not be because of the vaccine
Systemic reaction (other): Headache turned into a migraine. Joint pain in the injection site arm is really bad today. Wrist, elbow and shoulder
Release 7 — day 14, dose 2
Symptoms: After 2 weeks I still have migraines nearly every day. My joints are still very painful and I've been running a low grade temperature
Release 11 — day 14, dose 4
Symptoms: Sore arm for 2 days. Chills and malaise for a half a day
Release 11 — day 28, dose 4
Symptoms: I still can't raise my arm from the pain in the injection site. My arm really hurts still
Release 11 — day 42, dose 4
Symptoms: Arm where I received the injections has become even more painful and I can barely lift it
Healthcare visit (other): Mentioned it to my doctor
Release 12 — 6 months, dose 4
Symptoms: The area of my arm where I received the vaccines has increased and the pain has also increased. I'm barely able to lift my arm and I'm unable to get my blood pressure checked in that arm because of the pain. It radiates down my arm
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 | Medical counselling | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Injected limb mobility decreased | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Injection site reaction | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site joint pain | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release