Z8Q-24132-53684

2 vaccinations 6 coded responses 25 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 060 / CT
Registered: 2021-01-22

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-22
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-19
Dose 2 — Moderna
2021-02-19
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Diarrhea

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Abdominal pain

Adult check-in
2021-02-26
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-19
Survey response — day 28, dose 2
MedDRA: Gastrointestinal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: GI cramping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 35, dose 2
MedDRA: Arthritis, Gastrointestinal disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: GI distress and inflammation in joints

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 42, dose 2
MedDRA: Abdominal discomfort, Abdominal pain, Arthritis, Back pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Back, hip pain and continued GI distress, abdominal cramping. Taking medication for issues. · Healthcare visit (other): GI specialist and spine/orthopedic specialist appointments

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-23
Survey response — 3 months, dose 2
MedDRA: Bursitis, Inflammation, Office visit, Physiotherapy — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Significant inflammation. Back MRI negative. Settled much of inflammation with medrol dose pack. Had bursitis injections in both hips, which eventually settled the inflammation there. Am now doing physical therapy to deal with the last of issues · Healthcare visit (other): Specialists seen at local medical center

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
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)
2021-06-21
Call 1 — Left Voicemail
2021-08-20
Survey response — 6 months, dose 2
MedDRA: Gait inability, Inflammation, Magnetic resonance imaging abnormal, Office visit, Physiotherapy, Sitting disability — 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: Symptoms: I am still fighting some inflammation that came on after vaccination. MRIs resulted in physical therapy, which I have been doing since April to assist. I can now sit down, but unable to walk as well as before. · Healthcare visit (other): Spine specialist, rheumatologist, physical therapist

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
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

1 call case(s)
2021-08-26
Call 1 — Left Voicemail
2021-12-13
Call 2 — Requested Callback
2021-12-14
Callback requested for
2021-12-14
Call successful
Participant prefers to complete VAERS report online
2022-02-19
Survey response — 12 months, dose 2
MedDRA: Inflammation — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Systemic inflammation

MedDRA releases: 2024-11 · check-in free text available
2022-02-19
Report sent to call center — 12 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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-02-21
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-19	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-02	Successful	Participant prefers to complete VAERS report online
2021-05-23	Successful	Participant prefers to complete VAERS report online
2021-08-20	Successful 2021-12-14	Participant prefers to complete VAERS report online
2022-02-19	Successful 2022-02-21	Participant prefers to complete VAERS report online

Free text

Release 6 — day 28, dose 2

2021-03-19

Symptoms: GI cramping

Release 6 — day 35, dose 2

2021-03-26

Symptoms: GI distress and inflammation in joints

Release 6 — day 42, dose 2

2021-04-02

Symptoms: Back, hip pain and continued GI distress, abdominal cramping. Taking medication for issues.

Healthcare visit (other): GI specialist and spine/orthopedic specialist appointments

Release 8 — 3 months, dose 2

2021-05-23

Symptoms: Significant inflammation. Back MRI negative. Settled much of inflammation with medrol dose pack. Had bursitis injections in both hips, which eventually settled the inflammation there. Am now doing physical therapy to deal with the last of issues cut off by CDC

Healthcare visit (other): Specialists seen at local medical center

Release 9 — 6 months, dose 2

2021-08-20

Symptoms: I am still fighting some inflammation that came on after vaccination. MRIs resulted in physical therapy, which I have been doing since April to assist. I can now sit down, but unable to walk as well as before.

Healthcare visit (other): Spine specialist, rheumatologist, physical therapist

Release 11 — 12 months, dose 2

2022-02-19

Symptoms: Systemic inflammation

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	Physiotherapy	✓	·	✓
SD	Abdominal discomfort	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Arthritis	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Bursitis	✓	✓	✓
SD	Gait inability	✓	·	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Gastrointestinal pain	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Magnetic resonance imaging abnormal	✓	·	✓
SD	Physiotherapy	✓	✓	✓
SD	Sitting disability	✓	·	✓

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