ZPF-24289-35346

2 vaccinations 7 coded responses 13 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 051 / VT
Registered: 2021-04-09

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

2021-03-09
Dose 1 — Moderna
2021-04-06
Dose 2 — Moderna
2021-04-09
Registered in v-safe
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain, Tendonitis — Feeling: Good · Site: Pain

Free text: Site pain has decreased but vaccine seems to have inflamed the rotator cuff tendons slightly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Good · Site: Pain

Free text: Just a sore shoulder joint

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 7, dose 2
MedDRA: Pain, Pain in extremity, Tinnitus — Feeling: Good

Free text: Just soreness with left arm forward flexion and whooshing in right ear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-04
Survey response — day 28, dose 2
MedDRA: Condition aggravated, Inflammation, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Shoulder that I received vaccine in flared up again-anti inflammatory OTC for 4 days finally calmed it down

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — day 35, dose 2
MedDRA: Asthenia, Mobility decreased, Pain, Rotator cuff syndrome — Feeling: Good · Be unable to do your normal daily activities

Free text: Appear to have a rotator cuff issue with some loss of motion, and pain and weakness with forward flex ion above shoulder height

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-06
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-05
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Condition aggravated, Exostosis, Joint range of motion decreased, Joint swelling, Pre-existing disease, Rotator cuff syndrome, X-ray limb abnormal — Feeling: Fair · 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: Continued multiple joint issues-pain, swelling, limited range of motion-recent X-rays of injected shoulder show calcific tendinopathy, spur in right hip, spurring in right hand-all flared up within days of second shot

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-08
Call successful
Participant prefers to complete VAERS report online
2022-04-08
Survey response — 12 months, dose 2
MedDRA: Acute myocardial infarction, Coronary artery bypass — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: STEMI and triple bypass surgery in January

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-04-12
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-06	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-10-05	Successful 2021-10-08	Participant prefers to complete VAERS report online
2022-04-08	Successful 2022-04-12	Participant prefers to complete VAERS report online

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Site pain has decreased but vaccine seems to have inflamed the rotator cuff tendons slightly

2021-04-12

Systemic reaction (other): Just a sore shoulder joint

Release 7 — day 7, dose 2

2021-04-14

Systemic reaction (other): Just soreness with left arm forward flexion and whooshing in right ear

Release 8 — day 28, dose 2

2021-05-04

Symptoms: Shoulder that I received vaccine in flared up again-anti inflammatory OTC for 4 days finally calmed it down

Release 8 — day 35, dose 2

2021-05-11

Symptoms: Appear to have a rotator cuff issue with some loss of motion, and pain and weakness with forward flex ion above shoulder height

Release 10 — 6 months, dose 2

2021-10-05

Symptoms: Continued multiple joint issues-pain, swelling, limited range of motion-recent X-rays of injected shoulder show calcific tendinopathy, spur in right hip, spurring in right hand-all flared up within days of second shot

Release 11 — 12 months, dose 2

2022-04-08

Symptoms: STEMI and triple bypass surgery in January

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	Acute myocardial infarction	·	·	✓
SD	Arthralgia	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Coronary artery bypass	·	·	✓
SD	Exostosis	·	·	✓
SD	Inflammation	✓	✓	✓
SD	Joint range of motion decreased	·	·	✓
SD	Joint swelling	·	·	✓
SD	Mobility decreased	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rotator cuff syndrome	✓	✓	✓
SD	X-ray limb abnormal	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Arthritis	○	·	○
SRO	Injection site pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Tendonitis	✓	·	✓
SRO	Tinnitus	✓	✓	✓

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