ZU4-83141-84383

3 vaccinations 12 coded responses 25 check-ins 12 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 385 / TN
Registered: 2021-03-09

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
Registered in v-safe
2021-03-09
Dose 1 — Moderna
2021-03-09
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Site: Pain · Headache

Free text: Maybe headache was from my CPAP machine treatment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches

Free text: I have Rheumatoid arthritis so normal for me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good · Joint pains, Muscle or body aches

Free text: Just my usual aches and pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-16
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-03-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Moderna
2021-04-07
Survey response — day 0, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: I have Rheumatoid arthritis so I have

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

Free text: Walking

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Get care from a doctor or other healthcare professional

Free text: Doctor visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-14
Survey response — day 7, dose 2
MedDRA: Dry mouth — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Mouth dryness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 14, dose 2
MedDRA: Back pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-06
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-12
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-19
Survey response — day 42, dose 2
MedDRA: Cellulitis, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Cellulitis flare up..lower legs · Healthcare visit (other): Office visit with primary MD

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-07
Survey response — 3 months, dose 2
MedDRA: Feeling abnormal, Varicose vein, Vascular pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Painful Varicose veins on lower legs. Lowered stability but otherwise alright

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-10
Dose 3 — Other-Unknown
2021-10-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-22
Call 1 — Left Voicemail
2022-04-09
Survey response — 12 months, dose 2
MedDRA: Emergency care, Foot operation, Office visit, Umbilical hernia repair — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Umbilical hernia repair done in CMC ambulatory surgery suite. Foot surgery in office

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-13
Call 1 — Could Not Reach Participant
2022-04-18
Call 2 — Could Not Reach Participant
2022-09-10
Survey response — 12 months, dose 3
MedDRA: Cholecystectomy, Gallbladder disorder, Office visit, Thyroid neoplasm — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Gallbladder attack ..then had my gallbladder removed 08/02. My thyroid has a growth on the rt. Side 6 cm had a fine needle biopsy..(benign) so I'm going to consult a nose,ear and throat surgeon to have the rt. Thyroid removed. Im on a Rinvoq study . · Healthcare visit (other): Sameday surgery for Gallbladder removed.

MedDRA releases: 2024-11 · check-in free text available
2022-09-10
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-09-12
Call 1 — Could Not Reach Participant
2022-09-12
Call 2 — Could Not Reach Participant
2022-09-12
Call 3 — Could Not Reach Participant
2022-09-12
Call 1 — Could Not Reach Participant
2022-09-15
Call successful
Participant prefers to complete VAERS report online
2022-09-15
Call successful
Participant prefers to complete VAERS report online
2022-09-15
Call successful
Participant prefers to complete VAERS report online
2022-09-15
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-07	Moderna
3	2021-09-10	Other-Unknown	No

Call center

4 call center cases

4 successful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-10

Systemic reaction (other): Maybe headache was from my CPAP machine treatment

2021-03-12

Systemic reaction (other): I have Rheumatoid arthritis so normal for me

2021-03-13

Systemic reaction (other): Just my usual aches and pains

Release 7 — day 0, dose 2

2021-04-07

Systemic reaction (other): I have Rheumatoid arthritis so I have

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Walking

2021-04-13

Healthcare visit (other): Doctor visit

Release 7 — day 7, dose 2

2021-04-14

Systemic reaction (other): Mouth dryness

Release 7 — day 14, dose 2

2021-04-21

Symptoms: Lower back pain

Release 8 — day 42, dose 2

2021-05-19

Symptoms: Cellulitis flare up..lower legs

Healthcare visit (other): Office visit with primary MD

Release 9 — 3 months, dose 2

2021-07-07

Symptoms: Painful Varicose veins on lower legs. Lowered stability but otherwise alright

Release 11 — 12 months, dose 2

2022-04-09

Symptoms: Umbilical hernia repair done in CMC ambulatory surgery suite. Foot surgery in office

Release 12 — 12 months, dose 3

2022-09-10

Symptoms: Gallbladder attack ..then had my gallbladder removed 08/02. My thyroid has a growth on the rt. Side 6 cm had a fine needle biopsy..(benign) so I'm going to consult a nose,ear and throat surgeon to have the rt. Thyroid removed. Im on a Rinvoq study . cut off by CDC

Healthcare visit (other): Sameday surgery for Gallbladder removed.

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	Cholecystectomy	·	·	✓
HCVO	Office visit	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Cellulitis	✓	✓	✓
SD	Cholecystectomy	·	·	✓
SD	Emergency care	·	·	✓
SD	Feeling abnormal	✓	✓	✓
SD	Foot operation	·	·	✓
SD	Gallbladder disorder	·	·	✓
SD	Office visit	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Thyroid neoplasm	·	·	✓
SD	Umbilical hernia repair	·	·	✓
SD	Varicose vein	✓	✓	✓
SD	Vascular pain	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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