23L-18316-18956

2 vaccinations 10 coded responses 15 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 809 / CO
Registered: 2021-03-22

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

2021-03-22
Registered in v-safe
2021-03-22
Dose 1 — Moderna
2021-03-22
Survey response — day 0, dose 1
MedDRA: Dizziness, Muscular weakness, Tremor — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness, shaking/weak legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Musculoskeletal chest pain — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains

Free text: Labored breathing, ribcage hurts.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Musculoskeletal chest pain — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Free text: My ribs have been tight & hurting all week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — day 7, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Ribcage hurts so bad it's hard to breathe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 14, dose 1
MedDRA: Acupuncture, Dyspnoea, Musculoskeletal chest pain, Myalgia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: My ribcage pain & tightening continues. I saw an acupuncturist to try to relieve. Hard to breathe. Body muscle aches worsened this week. · Healthcare visit (other): Acupuncture- 2 times this week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-12
Survey response — day 21, dose 1
MedDRA: Disturbance in attention, Dyspnoea, Musculoskeletal chest pain — Feeling: Fair · Be unable to work

Free text: Ribcage pain making it hard to breathe & concentrate. Today it kept me from work.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Dose 2 — Moderna
2021-04-19
Survey response — day 0, dose 2
MedDRA: Musculoskeletal chest pain, Spinal pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Rib cagepain at sides & along spine on left

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal chest pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Severe pain at rib cage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal chest pain, Spinal pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Pain around rib cage & left side of spine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-28
Survey response — day 7, dose 2
MedDRA: Musculoskeletal chest pain, Spinal pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Ribcage pain & left side of spine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2022-03-25
Call successful
Does not wish to fill out VAERS report
2022-04-21
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Moderna
2	2021-04-19	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-22

Systemic reaction (other): Dizziness, shaking/weak legs

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): Labored breathing, ribcage hurts.

2021-03-27

Systemic reaction (other): My ribs have been tight & hurting all week.

Release 6 — day 7, dose 1

2021-03-29

Systemic reaction (other): Ribcage hurts so bad it's hard to breathe.

Release 7 — day 14, dose 1

2021-04-07

Symptoms: My ribcage pain & tightening continues. I saw an acupuncturist to try to relieve. Hard to breathe. Body muscle aches worsened this week.

Healthcare visit (other): Acupuncture- 2 times this week

Release 7 — day 21, dose 1

2021-04-12

Symptoms: Ribcage pain making it hard to breathe & concentrate. Today it kept me from work.

Release 7 — day 0, dose 2

2021-04-19

Systemic reaction (other): Rib cagepain at sides & along spine on left

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): Severe pain at rib cage

2021-04-22

Systemic reaction (other): Pain around rib cage & left side of spine

Release 8 — day 7, dose 2

2021-04-28

Systemic reaction (other): Ribcage pain & left side of spine

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	Acupuncture	✓	✓	✓
SD	Disturbance in attention	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Musculoskeletal chest pain	✓	✓	✓
SD	Myalgia	✓	✓	✓
SRO	Chest discomfort	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Musculoskeletal chest pain	✓	✓	✓
SRO	Spinal pain	✓	✓	✓
SRO	Tremor	✓	✓	✓

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