ZF3-30216-92902

2 vaccinations 10 coded responses 26 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 201 / VA
Registered: 2021-03-03

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

2021-03-03
Registered in v-safe
2021-03-03
Dose 1 — Moderna
2021-03-03
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Survey response — day 14, dose 1
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Fair

Free text: Rheumatoid arthritis flare

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 21, dose 1
MedDRA: Dizziness, Feeling abnormal — Feeling: Fair · Be unable to do your normal daily activities

Free text: Occasionally feeling dizzy and foggy headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-02
Dose 2 — Moderna
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Diarrhea

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Diarrhea

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Joint pains

Free text: I believe the vaccine triggered a flare of my auto immune conditions so not sure these symptoms are from the vaccine itself per se

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

Adult check-in
2021-04-16
Survey response — day 14, dose 2
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Be unable to do your normal daily activities

Free text: RA flare

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 21, dose 2
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Poor · Be unable to do your normal daily activities

Free text: Ra Flare that is not responding to RA meds

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 28, dose 2
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Poor · Be unable to do your normal daily activities

Free text: Still having gut issues that started after 2nd vaccine and a never ending RA flare.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — day 35, dose 2
MedDRA: Flank pain — Feeling: Poor · Be unable to work

Free text: Right flank pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 42, dose 2
MedDRA: Muscle strain, Pre-existing disease, Rheumatoid arthritis — Feeling: Poor · Be unable to work

Free text: Pulled intercostal muscle. Additional RA flare.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-01
Survey response — 6 months, dose 2
MedDRA: Ophthalmic migraine, Pre-existing disease, Rheumatoid arthritis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: RA flare, ocular migraine

MedDRA releases: 2024-11 · check-in free text available
2022-04-04
Survey response — 12 months, dose 2
MedDRA: Chest pain, Hypertension, Irritable bowel syndrome — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Hypertension, chest pain, IBS

MedDRA releases: 2024-11 · check-in free text available
2022-04-04
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2022-04-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-04-02	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2022-04-04	Unsuccessful

Free text

Release 5 — day 14, dose 1

2021-03-17

Symptoms: Rheumatoid arthritis flare

Release 6 — day 21, dose 1

2021-03-24

Symptoms: Occasionally feeling dizzy and foggy headed

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): I believe the vaccine triggered a flare of my auto immune conditions so not sure these symptoms are from the vaccine itself per se

Release 7 — day 14, dose 2

2021-04-16

Symptoms: RA flare

Release 7 — day 21, dose 2

2021-04-23

Symptoms: Ra Flare that is not responding to RA meds

Release 8 — day 28, dose 2

2021-04-30

Symptoms: Still having gut issues that started after 2nd vaccine and a never ending RA flare.

Release 8 — day 35, dose 2

2021-05-08

Symptoms: Right flank pain

Release 8 — day 42, dose 2

2021-05-14

Symptoms: Pulled intercostal muscle. Additional RA flare.

Release 9 — 6 months, dose 2

2021-10-01

Symptoms: RA flare, ocular migraine

Release 11 — 12 months, dose 2

2022-04-04

Symptoms: Hypertension, chest pain, IBS

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
SD	Chest pain	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Flank pain	✓	✓	✓
SD	Hypertension	·	·	✓
SD	Irritable bowel syndrome	·	·	✓
SD	Muscle strain	✓	✓	✓
SD	Ophthalmic migraine	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rheumatoid arthritis	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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