ZJ6-88955-62536

2 vaccinations 6 coded responses 24 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 210 / MD
Registered: 2020-12-28

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

2020-12-28
Registered in v-safe
2020-12-28
Dose 1 — Moderna
2020-12-28
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2020-12-28
Report sent to call center — day 0, dose 1
Be unable to work

1 call case(s)
2020-12-29
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Itchy body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-25
Dose 2 — Moderna
2021-01-25
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Adult check-in
2021-02-01
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches · Be unable to work

Adult check-in
2021-02-08
Survey response — day 14, dose 2
MedDRA: Gait inability, Joint swelling, Medical counselling, Peripheral swelling — Feeling: Poor · Be unable to work, 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: Symptoms: My joints are extremely swollen in my fingers, wrists, toes, elbows, ankles and knees. I can not hardly walk or use my hands. I can not even go to work and take care of my patients. · Healthcare visit (other): I requested another video visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Report sent to call center — day 14, 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)
2021-02-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-22
Survey response — day 28, dose 2
MedDRA: Joint swelling — Feeling: Fair · Be unable to work

Free text: I am experiencing increased swelling in my joints again. I took a 6 day steroid pack and swelling went away until this morning it is back again.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — day 35, dose 2
MedDRA: Arthritis, Headache, Inflammation — Feeling: Fair · Be unable to work

Free text: Inflammation in all jointsElbowsFingersKneesAnklesExtreme headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — day 42, dose 2
MedDRA: Swelling — Feeling: Fair · Be unable to work

Free text: Swelling on 4 weeks of steroids from my primary care physician.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-07-19
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-07-26
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Joint swelling, Pain in extremity — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Increased joint swelling and pain in fingers, wrists,feet, toes and knees

MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-25	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2020-12-28	priority 2/3
2021-02-08	Successful 2021-07-19	Reported to VAERS voluntarily prior to GDIT contact

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-29

Systemic reaction (other): Itchy body

Release 3 — day 14, dose 2

2021-02-08

Symptoms: My joints are extremely swollen in my fingers, wrists, toes, elbows, ankles and knees. I can not hardly walk or use my hands. I can not even go to work and take care of my patients.

Healthcare visit (other): I requested another video visit

Release 4 — day 28, dose 2

2021-02-22

Symptoms: I am experiencing increased swelling in my joints again. I took a 6 day steroid pack and swelling went away until this morning it is back again.

Release 4 — day 35, dose 2

2021-03-01

Symptoms: Inflammation in all jointsElbowsFingersKneesAnklesExtreme headaches

Release 5 — day 42, dose 2

2021-03-08

Symptoms: Swelling on 4 weeks of steroids from my primary care physician.

Release 9 — 6 months, dose 2

2021-07-26

Symptoms: Increased joint swelling and pain in fingers, wrists,feet, toes and knees

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	Medical counselling	✓	✓	✓
SD	Arthralgia	✓	·	✓
SD	Arthritis	✓	✓	✓
SD	Gait inability	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Pain in extremity	✓	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Swelling	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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