ZV4-23084-64646

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 782 / TX
Registered: 2021-01-21

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-20
Dose 1 — Moderna
2021-01-21
Registered in v-safe
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Headache

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Site: Pain

Free text: Of and on pain on my arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Please call me back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-24
Dose 2 — Moderna
2021-02-24
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Joint pains

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Site: Redness, Itching · Headache, Muscle or body aches

Free text: The pain went to my right uper leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Medical counselling, Pain in extremity, Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Noting was hurting but when i got the2nd vaccine my leg hurt and then it went down to my feet all in the right side.do you get blood clogs cause i take blood thinners i already reported it to my heart Doctor. · Healthcare visit (other): Called my cardiologist waiting for call back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Fair · Joint pains

Free text: Just pain on my ankle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 7, dose 2
MedDRA: Joint swelling, Peripheral swelling — Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Swollen leg and ankle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Survey response — day 35, dose 2
MedDRA: Cough, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fever ,cough, runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-25
Survey response — 6 months, dose 2
MedDRA: Injection site pain — Feeling: Good

Free text: Pain in the arm where the vaccine took place. Comes and goes

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-20
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-24	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): Of and on pain on my arm

Release 2 — day 7, dose 1

2021-01-27

Systemic reaction (other): Please call me back

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): The pain went to my right uper leg

2021-03-01

Systemic reaction (other): Noting was hurting but when i got the2nd vaccine my leg hurt and then it went down to my feet all in the right side.do you get blood clogs cause i take blood thinners i already reported it to my heart Doctor.

Healthcare visit (other): Called my cardiologist waiting for call back.

2021-03-02

Systemic reaction (other): Just pain on my ankle

Release 5 — day 7, dose 2

2021-03-03

Systemic reaction (other): Swollen leg and ankle

Release 6 — day 35, dose 2

2021-03-31

Symptoms: Fever ,cough, runny nose

Release 9 — 6 months, dose 2

2021-08-25

Symptoms: Pain in the arm where the vaccine took place. Comes and goes

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	Unevaluable event	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Injection site pain	✓	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Joint swelling	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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