ZTS-19144-15041
4 vaccinations
2 coded responses
13 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 982 / WA
- Registered
- 2021-11-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Dose 1 — Moderna
-
2021-02-22
Dose 2 — Moderna
-
2021-10-29
Dose 3 — Moderna
-
2021-11-20
Registered in v-safe
- 2021-11-20
-
2021-11-26
Survey response — day 28, dose 3MedDRA: Arthritis, Mobility decreased, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Arthritis which keeps getting worse. I have overused my shoulders, hands, neck and back. The lidocaine patches help a LOT, but I can't put them on without help. My right shoulder has had to be the one that still works & that is now awful too.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-03
- 2021-12-10
- 2022-01-30
-
2022-04-21
Dose 4 — ModernaCo-administered: Pneumonia:Shingles
- 2022-04-29
-
2022-05-15
Survey response — day 21, dose 4MedDRA: Fall, Joint injury, Limb injury, Lip injury, Pain in extremity, Tendon injury — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I fell, face first, onto our parking lot. I tried to break my fall using my hands & arms etc. fingers on my left hand have tendon damage. not broken.They hurt a lot. I'm nursing my upper lip, big toe & elbow.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-15
Report sent to call center — day 21, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-05-16
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-07-25
- 2022-10-20
- 2023-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | No |
| 2 | 2021-02-22 | Moderna | No |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-04-21 | Moderna | Pneumonia:Shingles |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-15 | Unsuccessful |
Free text
Release 10 — day 28, dose 3
Symptoms: Arthritis which keeps getting worse. I have overused my shoulders, hands, neck and back. The lidocaine patches help a LOT, but I can't put them on without help. My right shoulder has had to be the one that still works & that is now awful too.
Release 11 — day 21, dose 4
Symptoms: I fell, face first, onto our parking lot. I tried to break my fall using my hands & arms etc. fingers on my left hand have tendon damage. not broken.They hurt a lot. I'm nursing my upper lip, big toe & elbow.
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 | Arthritis | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Joint injury | · | · | ✓ |
| SD | Limb injury | · | · | ✓ |
| SD | Lip injury | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Tendon injury | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release