ZF5-24235-48044

2 vaccinations 11 coded responses 15 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 983 / WA
Registered: 2021-03-03

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-03
Dose 1 — Moderna
2021-03-03
Registered in v-safe
2021-03-03
Dose 2 — Moderna
2021-03-03
Survey response — day 0, dose 2
MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness, Diarrhea

Free text: Modrate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Light headed somewhat dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Tighteness in cgest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Tight chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Report sent to call center — days 1–6 daily, 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)
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Getting congested runny nose coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Joint pains, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-03-10
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-03-17
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-24
Survey response — day 21, dose 2
MedDRA: Fatigue, Nausea — Feeling: Fair

Free text: Still very nauseous & fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 28, dose 2
MedDRA: Diarrhoea, Fatigue, Joint range of motion decreased, Nausea, Pain, Pain in extremity — Feeling: Fair

Free text: I forgot to add since given 1st vaccination was given im not able to fully extend my arm because of pain in both arms but has subsided in one, still nauseous and diarrhea, continued fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 35, dose 2
MedDRA: Fatigue, Joint swelling, Pain, Pain in extremity — Feeling: Fair

Free text: The arm from initial shot still huts if extended joints swollen fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 42, dose 2
MedDRA: Arthralgia, Fatigue, Medical counselling, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: The arm that I received initial shot still hurts in joints & when extended, arm to elbow , fatigue · Healthcare visit (other): Met with my doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-04
Survey response — 3 months, dose 2
MedDRA: Arthritis, Condition aggravated, Massage, Occupational therapy, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Continued flare up of inflammation in my joints · Healthcare visit (other): Having to see OT 0T MT

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-03
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Mobility decreased, Occupational therapy — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Extreme pain in left shoulder where I had my initial moderna vaccine and I'm unable to completely close my right hand even if I try to force it · Healthcare visit (other): OT

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-03
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-08
Call 1 — Could Not Reach Participant
2021-09-13
Call 2 — Left Voicemail
2022-03-04
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

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

Call center

Reported	Outcome	VAERS-related outcome
2021-03-06	Unsuccessful
2021-04-16	Unsuccessful
2021-06-04	Unsuccessful
2021-09-03	Unsuccessful

Free text

Release 5 — day 0, dose 2

2021-03-03

Systemic reaction (other): Modrate

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Light headed somewhat dizzy

2021-03-05

Systemic reaction (other): Tighteness in cgest

2021-03-06

Systemic reaction (other): Tight chest

2021-03-07

Systemic reaction (other): Getting congested runny nose coughing

Release 6 — day 21, dose 2

2021-03-24

Symptoms: Still very nauseous & fatigue

Release 6 — day 28, dose 2

2021-03-31

Symptoms: I forgot to add since given 1st vaccination was given im not able to fully extend my arm because of pain in both arms but has subsided in one, still nauseous and diarrhea, continued fatigue

Release 7 — day 35, dose 2

2021-04-07

Symptoms: The arm from initial shot still huts if extended joints swollen fatigue

Release 7 — day 42, dose 2

2021-04-16

Symptoms: The arm that I received initial shot still hurts in joints & when extended, arm to elbow , fatigue

Healthcare visit (other): Met with my doctor

Release 8 — 3 months, dose 2

2021-06-04

Symptoms: Continued flare up of inflammation in my joints

Healthcare visit (other): Having to see OT 0T MT

Release 9 — 6 months, dose 2

2021-09-03

Symptoms: Extreme pain in left shoulder where I had my initial moderna vaccine and I'm unable to completely close my right hand even if I try to force it

Healthcare visit (other): OT

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	Massage	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Occupational therapy	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Arthritis	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Joint range of motion decreased	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Mobility decreased	✓	·	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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