ZEU-20346-21710

5 vaccinations 7 coded responses 30 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 164 / PA
Registered: 2021-04-28

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

2021-04-28
Registered in v-safe
2021-04-28
Dose 1 — Moderna
2021-04-28
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-01
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: But, I feel these everyday as I have osteoarthritis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Joint pains

Free text: I always have joint pain though

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness

Free text: Just the usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-05
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I feel these everyday, not related to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-26
Survey response — day 28, dose 1
MedDRA: Malaise, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Im not feeling well today and postponed my 2cd dose until Friday. I dont think my feeling bad today has anything to do with the vaccination. · Healthcare visit (other): Called to talk to Dr. but never actually was able to connect with them so I cancelled my vaccine for today and will go on Friday of this week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-28
Dose 2 — Moderna
2021-06-02
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: My knees are bad but the first two days they were really bad.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-06-11
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-18
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-25
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-07-02
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-09
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-27
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-01-05
Dose 3 — Moderna
Co-administered: Flu
2022-05-10
Dose 4 — Moderna
2022-05-13
Call 1 — Left Voicemail
2022-05-31
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-31
Survey response — day 21, dose 4
MedDRA: Fatigue — Feeling: Good

Free text: Just really tired

MedDRA releases: 2024-11 · check-in free text available
2022-06-09
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-16
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-22
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-09
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-11-23
Dose 5 — Moderna
Co-administered: Flu
2022-12-18
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-12-21
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-12-28
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2023-01-04
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-02-22
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-05-24
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-28	Moderna
2	2021-05-28	Moderna
3	2022-01-05	Moderna	Flu
4	2022-05-10	Moderna	No
5	2022-11-23	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-05-26	Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-01

Systemic reaction (other): But, I feel these everyday as I have osteoarthritis.

2021-05-02

Systemic reaction (other): I always have joint pain though

2021-05-03

Systemic reaction (other): Just the usual

Release 8 — day 7, dose 1

2021-05-05

Systemic reaction (other): I feel these everyday, not related to the vaccine.

Release 8 — day 28, dose 1

2021-05-26

Symptoms: Im not feeling well today and postponed my 2cd dose until Friday. I dont think my feeling bad today has anything to do with the vaccination.

Healthcare visit (other): Called to talk to Dr. but never actually was able to connect with them so I cancelled my vaccine for today and will go on Friday of this week.

Release 8 — days 1–6 daily, dose 2

2021-06-02

Systemic reaction (other): My knees are bad but the first two days they were really bad.

Release 11 — day 21, dose 4

2022-05-31

Symptoms: Just really tired

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	Unevaluable event	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Malaise	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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