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2BM-19734-12359

2 vaccinations 11 coded responses 17 check-ins 11 free-text entries 4 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
317 / GA
Registered
2021-08-11
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-03
    Dose 1 — Moderna
  2. 2021-08-11
    Registered in v-safe
  3. 2021-08-11
    Survey response — day 7, dose 1
    MedDRA: Arthralgia, Arthritis, Back pain, Discomfort, Pain, Pre-existing disease — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: I have asthma, high blood pressure, fibromyalgia arthritis my regular aches and pains seems to be more painful also I have a new heaviness with pain in my back and joints after shot
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  4. 2021-08-17
    Health check-in — day 14, dose 1
    Feeling: Poor
    Adult check-in
  5. 2021-08-25
    Survey response — day 21, dose 1
    MedDRA: Headache, Muscle spasms, Oropharyngeal pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I have had severe headaches and sore throat for about 4 days now as well as muscle cramps
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  6. 2021-08-31
    Health check-in — day 28, dose 1
    Feeling: Poor
    Adult check-in
  7. 2021-09-08
    Dose 2 — Moderna
  8. 2021-09-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Flushing, Formication, Headache, Injection site reaction — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Waves of flushing, lower back pain,crawling and bubbling feeling at injection site also headaches
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-09-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Joint swelling, Neck pain — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Neck pain, ankle swelling
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-09-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  11. 2021-09-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Loss of personal independence in daily activities, Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Sore throat and backache i have to push myself hard to be able to accomplish anything
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-09-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Flank pain, Muscle spasms — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Back and sides hurting also cramps in thighs
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-09-18
    Health check-in — day 7, dose 2
    Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-09-22
    Health check-in — day 14, dose 2
    Feeling: Poor
    Adult check-in
  15. 2021-09-29
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-10-08
    Survey response — day 28, dose 2
    MedDRA: Arthralgia, Back pain, Hypoaesthesia, Muscular weakness, Neck pain, Office visit, Pain in extremity, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: I don't know if has anything to do with shot but I have been having numbness and pain and weakness in my arms and hands and neck and shoulders as well as pain in my back and knees i do have fibromyalgia and arthritis so am not sure if it is the shot · Healthcare visit (other): Doctors office
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-10-08
    Report sent to call center — day 28, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-10-11
  19. 2021-10-14
    Survey response — day 35, dose 2
    MedDRA: Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Severe arm pain in right arm
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-10-20
    Survey response — day 42, dose 2
    MedDRA: Arthralgia, Fatigue, Insomnia, Pain in extremity — Feeling: Poor · 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: I still have the hand wrist and shoulder pain which sometimes keeps me from getting a good night's sleep i also have a lot of fatigue
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-10-20
    Report sent to call center — day 42, 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)
  22. 2021-10-22
  23. 2021-12-08
    Survey response — 3 months, dose 2
    MedDRA: Abdominal pain upper, Office visit, Pain in extremity — Feeling: Poor · 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: I am still having hand and arm pain alone with stomach pain i dont know if it has anything to do with shot but it is a new pain which i am trying to get treated at orthopedic doctor
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-12-08
    Report sent to call center — 3 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)
  25. 2021-12-09
  26. 2021-12-14
  27. 2022-03-15
    Survey response — 6 months, dose 2
    MedDRA: COVID-19 pneumonia, Pulmonary thrombosis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: I had covid pneumonia which left me with a blood clot in my lungs that i am being treated for now
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-03-15
    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
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  29. 2022-03-16
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-08-03Moderna No
22021-09-08Moderna No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 9 — day 7, dose 1

2021-08-11

Systemic reaction (other): I have asthma, high blood pressure, fibromyalgia arthritis my regular aches and pains seems to be more painful also I have a new heaviness with pain in my back and joints after shot

Release 9 — day 21, dose 1

2021-08-25

Symptoms: I have had severe headaches and sore throat for about 4 days now as well as muscle cramps

Release 9 — days 1–6 daily, dose 2

2021-09-09

Systemic reaction (other): Waves of flushing, lower back pain,crawling and bubbling feeling at injection site also headaches

2021-09-10

Systemic reaction (other): Neck pain, ankle swelling

2021-09-12

Systemic reaction (other): Sore throat and backache i have to push myself hard to be able to accomplish anything

2021-09-13

Systemic reaction (other): Back and sides hurting also cramps in thighs

Release 10 — day 28, dose 2

2021-10-08

Symptoms: I don't know if has anything to do with shot but I have been having numbness and pain and weakness in my arms and hands and neck and shoulders as well as pain in my back and knees i do have fibromyalgia and arthritis so am not sure if it is the shot cut off by CDC
Healthcare visit (other): Doctors office

Release 10 — day 35, dose 2

2021-10-14

Symptoms: Severe arm pain in right arm

Release 10 — day 42, dose 2

2021-10-20

Symptoms: I still have the hand wrist and shoulder pain which sometimes keeps me from getting a good night's sleep i also have a lot of fatigue

Release 10 — 3 months, dose 2

2021-12-08

Symptoms: I am still having hand and arm pain alone with stomach pain i dont know if it has anything to do with shot but it is a new pain which i am trying to get treated at orthopedic doctor

Release 11 — 6 months, dose 2

2022-03-15

Symptoms: I had covid pneumonia which left me with a blood clot in my lungs that i am being treated for now

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDAbdominal pain upper · · ✓
SDArthralgia · · ✓
SDBack pain · · ✓
SDCOVID-19 pneumonia · · ✓
SDFatigue · · ✓
SDHeadache ✓ · ✓
SDHypoaesthesia · · ✓
SDInsomnia · · ✓
SDMuscle spasms ✓ · ✓
SDMuscular weakness · · ✓
SDNeck pain · · ✓
SDOffice visit · · ✓
SDOropharyngeal pain ✓ · ✓
SDPain in extremity · · ✓
SDPre-existing disease · · ✓
SDPulmonary thrombosis · · ✓
SROArthralgia ✓ · ✓
SROArthritis ✓ · ✓
SROBack pain ✓ · ✓
SRODiscomfort ✓ · ✓
SROFlank pain · · ✓
SROFlushing · · ✓
SROFormication · · ✓
SROHeadache · · ✓
SROInjection site reaction · · ✓
SROJoint swelling · · ✓
SROLoss of personal independence in daily activities · · ✓
SROMuscle spasms · · ✓
SRONeck pain · · ✓
SROOropharyngeal pain · · ✓
SROPain ✓ · ✓
SROPre-existing disease ✓ · ✓

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