ZBL-83522-06124

4 vaccinations 10 coded responses 28 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 787 / TX
Registered: 2021-03-24

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

2021-03-24
Registered in v-safe
2021-03-24
Dose 1 — Moderna
2021-04-22
Dose 2 — Moderna
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Headache, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: All aching joints, headaches were more intense 4/23. 102.8 Fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Neck pain — Feeling: Fair · Site: Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Leg joints aren't sore today for the first recovery day but neck still sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Immediate post-injection reaction, Neck pain, Pain, Pain in extremity — Feeling: Fair · Site: Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Immediately after shot in my left arm i experienced a sharp pain abobe left clavicle and base of neck. As of 3pm -ish today pain seems to have stopped.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Immediate post-injection reaction — Feeling: Fair · Site: Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The sharp pain above left clavicle that happened immediately after 2nd shot has not gone away like I thought

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Good · Site: Swelling · Muscle or body aches

Free text: Still have sharp pain above clavicle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 7, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-05-06
Survey response — day 14, dose 2
MedDRA: Injection site pain — Feeling: Good

Free text: A couple of times on different days, the vaccine site on my arm has an achey feeling then it dissappears.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-05
Survey response — day 42, dose 2
MedDRA: Injection site nodule, Injection site pruritus — Feeling: Good

Free text: Last weekend my injection site began itching during a hot shower. I discovered I still had a knot at the injection site. Itching happened 2 days in a row but has subsided. Knot remains.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-22
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Arthritis, Neck pain, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: The achey arthritic knees that occured following second moderna vaccine recurred. First the right knee then the left. Warm laser treatments are helping them heal. Left shoulder as well and above left clavicle ache recurred (vax given in left arm). · Healthcare visit (other): Warm laser treatments to heal joint tissue at chiropractor's office

MedDRA releases: 2024-11 · check-in free text available
2021-07-22
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-28
Call 2 — Could Not Reach Participant
2021-08-02
Call 3 — Could Not Reach Participant
2021-10-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-10
Dose 3 — Moderna
2022-04-22
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-09-30
Dose 4 — Moderna
2022-10-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling · Fever · Headache, Fatigue or tiredness

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling · Fever · Headache, Fatigue or tiredness

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · None

Adult check-in
2022-10-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · None

Adult check-in
2022-10-07
Health check-in — day 7, dose 4
Feeling: Good · Site: Swelling · Headache

Adult check-in
2022-10-14
Survey response — day 14, dose 4
MedDRA: Erythema, Skin discolouration — Feeling: Good

Free text: I did get a raspberry red pattern on my upper legs at the time of vax. I didn't consider it a rash at the time. It wasn't bumpy. Then one spit appeared last week between corner of my eye and top of nose. All clear now. Weird. Never happened before

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-30
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-31
Survey response — 6 months, dose 4
MedDRA: Herpes zoster, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-03-31
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-04
Call 1 — Left Voicemail
2023-04-04
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-22	Moderna
3	2021-12-10	Moderna	No
4	2022-09-30	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-22	Unsuccessful
2023-03-31	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): All aching joints, headaches were more intense 4/23. 102.8 Fever

2021-04-25

Systemic reaction (other): Leg joints aren't sore today for the first recovery day but neck still sore.

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Immediately after shot in my left arm i experienced a sharp pain abobe left clavicle and base of neck. As of 3pm -ish today pain seems to have stopped.

2021-04-27

Systemic reaction (other): The sharp pain above left clavicle that happened immediately after 2nd shot has not gone away like I thought

2021-04-28

Systemic reaction (other): Still have sharp pain above clavicle

Release 8 — day 14, dose 2

2021-05-06

Symptoms: A couple of times on different days, the vaccine site on my arm has an achey feeling then it dissappears.

Release 8 — day 42, dose 2

2021-06-05

Symptoms: Last weekend my injection site began itching during a hot shower. I discovered I still had a knot at the injection site. Itching happened 2 days in a row but has subsided. Knot remains.

Release 9 — 3 months, dose 2

2021-07-22

Symptoms: The achey arthritic knees that occured following second moderna vaccine recurred. First the right knee then the left. Warm laser treatments are helping them heal. Left shoulder as well and above left clavicle ache recurred (vax given in left arm).

Healthcare visit (other): Warm laser treatments to heal joint tissue at chiropractor's office

Release 12 — day 14, dose 4

2022-10-14

Symptoms: I did get a raspberry red pattern on my upper legs at the time of vax. I didn't consider it a rash at the time. It wasn't bumpy. Then one spit appeared last week between corner of my eye and top of nose. All clear now. Weird. Never happened before

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	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Arthritis	·	·	✓
SD	Erythema	·	·	✓
SD	Herpes zoster	·	·	✓
SD	Injection site nodule	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Skin discolouration	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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