ZGQ-10972-89680

3 vaccinations 5 coded responses 32 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 494 / MI
Registered: 2021-03-17

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

R47-16330-95571 Child or adolescent in my care · Female · 2022-02-06

Timeline

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

2021-03-16
Dose 1 — Moderna
2021-03-17
Registered in v-safe
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Feeling hot, Myalgia, Skin discolouration — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The joint pain and muscle aches are the entire arm that received the injection. Yesterday I was felt very warm and my cheeks even turned pink, but my thermometer said I was still a normal temperature.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Mobility decreased, Pain — Feeling: Fair · Site: Pain · Joint pains

Free text: Still limited area of movement, but not as achy as yesterday. Have been taking ibuprofen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Pain only when lifting my arm too high or at an odd angle. Big improvement from yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Survey response — day 14, dose 1
MedDRA: Mobility decreased, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: The arm pain came back in almost full force. I was again unable to move my arm, but this time it was only for about three days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Moderna
2021-04-13
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-15
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 do your normal daily activities

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-07
Dose 3 — Moderna
2022-02-07
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2022-02-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches

Adult check-in
2022-02-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body aches

Adult check-in
2022-02-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-02-14
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-02-23
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-28
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-03-07
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-03-14
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-21
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-05-09
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-08-08
Survey response — 6 months, dose 3
MedDRA: Cough, Faeces soft, Fatigue, Headache, Myalgia, Oropharyngeal pain, Pain, Pyrexia, Rhinorrhoea, Sinus congestion — 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

Free text: Soft stools, sinus congestion, runny nose, coughing a lot, fever, body/muscle aches, fatigue, headache, sore throat,

MedDRA releases: 2024-11 · check-in free text available
2022-08-08
Report sent to call center — 6 months, dose 3
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 · 1 call case(s)
2022-08-09
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-02-07
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-13	Moderna
3	2022-02-07	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-08-08	Successful 2022-08-09	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): The joint pain and muscle aches are the entire arm that received the injection. Yesterday I was felt very warm and my cheeks even turned pink, but my thermometer said I was still a normal temperature.

2021-03-18

Systemic reaction (other): Still limited area of movement, but not as achy as yesterday. Have been taking ibuprofen.

2021-03-19

Systemic reaction (other): Pain only when lifting my arm too high or at an odd angle. Big improvement from yesterday.

Release 6 — day 14, dose 1

2021-03-30

Symptoms: The arm pain came back in almost full force. I was again unable to move my arm, but this time it was only for about three days.

Release 12 — 6 months, dose 3

2022-08-08

Symptoms: Soft stools, sinus congestion, runny nose, coughing a lot, fever, body/muscle aches, fatigue, headache, sore throat,

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	Cough	·	·	✓
SD	Faeces soft	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Mobility decreased	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus congestion	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Skin discolouration	✓	✓	✓

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