ZNF-11012-19976

3 vaccinations 6 coded responses 25 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 496 / MI
Registered: 2021-01-05

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

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Moderna
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tiredness

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Joint pains

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains

Adult check-in
2021-01-19
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-02
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-05
Dose 2 — Moderna
2021-02-05
Survey response — day 0, dose 2
MedDRA: Dysgeusia, Palpitations — Feeling: Fair · Site: Itching · Chills

Free text: Metallic taste, racing heart

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Eye pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-02-12
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Itching · Fever · Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-26
Survey response — day 21, dose 2
MedDRA: Joint swelling, Lymph node pain — Feeling: Good

Free text: Joint swelling has worsened in my left hand to the degree that I can no longer wear my wedding ring. I also continue to have pain in the lymph nodes near the injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-12
Survey response — day 35, dose 2
MedDRA: Arthralgia, Emergency care, Joint swelling, Pre-existing disease, Psoriasis — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Severe joint swelling with pain. I had to have my wedding rings cut off my hand in the Emergency Room. I have also had flare ups of psoriasis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-19
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-09
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-06
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-14
Call 1 — Left Voicemail
2021-10-14
Call successful
Participant prefers to complete VAERS report online
2021-10-29
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-02-05
Survey response — 12 months, dose 2
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: COVID-19 infection, diagnosed 1/26/22.

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Survey response — 6 months, dose 3
MedDRA: Alopecia, Arthralgia, Joint swelling — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Swollen joints/joint pain, hair loss

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-02
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-05	Moderna
3	2021-10-29	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-03-12	Successful 2021-10-14	Participant prefers to complete VAERS report online
2022-04-29	Unsuccessful

Free text

Release 3 — day 0, dose 2

2021-02-05

Systemic reaction (other): Metallic taste, racing heart

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): Eye pain

Release 4 — day 21, dose 2

2021-02-26

Symptoms: Joint swelling has worsened in my left hand to the degree that I can no longer wear my wedding ring. I also continue to have pain in the lymph nodes near the injection site.

Release 5 — day 35, dose 2

2021-03-12

Symptoms: Severe joint swelling with pain. I had to have my wedding rings cut off my hand in the Emergency Room. I have also had flare ups of psoriasis.

Release 11 — 12 months, dose 2

2022-02-05

Symptoms: COVID-19 infection, diagnosed 1/26/22.

Release 11 — 6 months, dose 3

2022-04-29

Symptoms: Swollen joints/joint pain, hair loss

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	Alopecia	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Emergency care	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Psoriasis	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Palpitations	✓	✓	✓

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