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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

  1. 2021-02-20
    Registered in v-safe
  2. 2021-02-20
    Dose 1 — Moderna
  3. 2021-02-20
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-27
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-06
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-14
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-21
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-26
    Dose 2 — Moderna
  13. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  14. 2021-03-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Headache, Pre-existing disease — Feeling: Good · Headache, Joint pains
    Free text: I'm prone to headaches and the joint pain may be because of lupus so my symptoms may not be because of the vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Joint pains
    Adult check-in
  16. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Joint pains
    Adult check-in
  17. 2021-03-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache, Injection site joint pain, Migraine — Feeling: Poor · Headache, Joint pains · Be unable to do your normal daily activities
    Free text: Headache turned into a migraine. Joint pain in the injection site arm is really bad today. Wrist, elbow and shoulder
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-02
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Joint pains
    Adult check-in
  20. 2021-04-09
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Migraine, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities
    Free 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 temperature
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-17
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-04-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-30
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-25
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-24
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-16
    Dose 3 — Moderna
    Co-administered: Flu
  28. 2022-03-26
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-04-12
    Dose 4 — Moderna
  30. 2022-04-26
    Survey response — day 14, dose 4
    MedDRA: Chills, Malaise, Pain in extremity — Feeling: Good
    Free text: Sore arm for 2 days. Chills and malaise for a half a day
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-05-03
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-05-10
    Survey response — day 28, dose 4
    MedDRA: Injection site pain, Pain, Pain in extremity — Feeling: Good
    Free text: I still can't raise my arm from the pain in the injection site. My arm really hurts still
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-05-17
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  34. 2022-05-24
    Survey response — day 42, dose 4
    MedDRA: Injection site pain, Medical counselling, Mobility decreased — Feeling: Good · Get care from a doctor or other healthcare professional
    Free 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 doctor
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-05-24
    Report sent to call center — day 42, dose 4
    Get care from a doctor or other healthcare professional
    1 call case(s)
  36. 2022-05-25
  37. 2022-05-25
    Call successful
    Participant prefers to complete VAERS report online
  38. 2022-07-12
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-10-11
    Survey response — 6 months, dose 4
    MedDRA: Injected limb mobility decreased, Injection site pain, Injection site reaction, Pain — Feeling: Poor · Be unable to do your normal daily activities
    Free 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 arm
    MedDRA releases: 2024-11 · check-in free text available
  40. 2023-04-12
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-20Moderna
22021-03-26Moderna
32021-11-16Moderna Flu
42022-04-12Moderna No

Call center

ReportedOutcomeVAERS-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

2021-03-28

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

2021-03-31

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

2021-04-09

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

2022-04-26

Symptoms: Sore arm for 2 days. Chills and malaise for a half a day

Release 11 — day 28, dose 4

2022-05-10

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

2022-05-24

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

2022-10-11

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

FieldPreferred term2021-092023-042024-11
HCVOMedical counselling · · ✓
SDArthralgia ✓ ✓ ✓
SDChills · · ✓
SDInjected limb mobility decreased · · ✓
SDInjection site pain · · ✓
SDInjection site reaction · · ✓
SDMalaise · · ✓
SDMigraine ✓ ✓ ✓
SDMobility decreased · · ✓
SDPain · · ✓
SDPain in extremity · · ✓
SDPyrexia ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site joint pain ✓ ✓ ✓
SROMigraine ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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