2C2-31750-11624

4 vaccinations 11 coded responses 21 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 650 / MO
Registered: 2021-02-15

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

2021-02-11
Dose 1 — Moderna
2021-02-15
Registered in v-safe
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Abdominal pain · Be unable to work

Free text: One side of my body has pain, different locations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 7, dose 1
MedDRA: Ear pain, Lymph node pain, Medical counselling, Pain — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Lymp nodes right side ear ache whole body right side pain. Kidney. I called my Doctor. I will speak to her again Monday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 14, dose 1
Feeling: Poor

Adult check-in
2021-03-09
Survey response — day 21, dose 1
MedDRA: Lymphadenopathy, Myalgia, Skin burning sensation — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Burning around skin of ankles. Muscle pain right leg. Swollen lymph nodes. Ear, right side throat , beast. Groin. Dr. Is havimg 4 test run on that right side of my body and my heart. Hospital pharmasist suggest not getting second shot 3/11. Dr. Agree

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 28, dose 1
MedDRA: Lymphadenopathy, Office visit, Pain, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Swollen lymph nodes right side of body. Fever. Pain. · Healthcare visit (other): Dr. Cat scan. Heart scan heart monitor for 72 hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — day 28, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-18
Survey response — day 35, dose 1
MedDRA: Breast swelling, Burning sensation, Cardiac discomfort, Ear swelling, Feeling hot, Lymphadenopathy, Mouth swelling, Myalgia, Pain in extremity, Peripheral swelling, Specialist consultation, Swelling — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Swollen lymph nodes, ear,arm groin all on right side of body. Vaccine shot in right arm. Muscle ache right leg. Burning. Swelling, heat in the flesh of that leg. Breast. Ear, Mouth. Heart pressure. Back kidney area. · Healthcare visit (other): Primary care Doctor second visit. More blood tests. CS scans 72 hr heart monitor Appoint next Thursday with lymph node specialist cant get in faster booked up. Ive had same and wording symptoms since 2/11/21 when I got first shot LR pharmacist said he would postpone second and so did last Doctor visited 2/8/21

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 35, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-26
Survey response — day 42, dose 1
MedDRA: Pain, Unevaluable event — Feeling: Poor · Be unable to work, 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: Symptoms: Uncontrollabe pain.plus all the other issues from first vaccination · Healthcare visit (other): Cscans, heart 72 hour wearablw measure, body vein check

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 42, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-16
Survey response — 3 months, dose 1
MedDRA: Fatigue, Medical counselling, Pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Fatigue, desperation, im still in pain right side of body. Could lose my job if i cant work. Pain meds confuse me, effecying my work. My Doctor is changing again to try to help. I had another vein scan. Leg blood vessel from groin to ankle hurts. · Healthcare visit (other): JCMG is my Doctor Hopkins she is a cancer specialist and pain specialist. Dr Rucker is my regular Dr. Saw both 3 weeks ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Report sent to call center — 3 months, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-12
Survey response — 6 months, dose 1
MedDRA: Anxiety, Chest discomfort, Fatigue, Loss of personal independence in daily activities, Mobility decreased, Sensory disturbance — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Ongoing fatigue, anxiety, without pain pills I'm unable to live normally. I use bath chair because I'm unable to get out of tub. Pressure between my breast. The meat my body feels like ants are eating my fleash. Pain med. expensive, Sr Medicare.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-27
Dose 2 — Pfizer-BioNTech
2022-02-11
Survey response — day 42, dose 2
MedDRA: Deafness, Dysstasia, Neuralgia, Pain in extremity, Tinnitus, Weight increased — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Tintanius , hearing loss, i still have leg pain, nervecpain. Im unable to get out of a chair without pushing up with my arms. The Lyrica med . I take helps me control psin. Im gaining weight. Not happy to be on drug, but it helps me live.

MedDRA releases: 2024-11 · check-in free text available
2022-02-11
Survey response — 12 months, dose 1
MedDRA: Adverse drug reaction, Tinnitus — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Hearing tinitus, i hear insect sounds all the time. I thought it was real, until i tried to make sure window was closed. It's Winter in (b)(6), it's cold. No insects, nor night noises. I'm gaining weight from pregamin i take to cont. Leg pain.

MedDRA releases: 2024-11 · check-in free text available
2022-03-09
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-28
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-04-22
Dose 3 — Pfizer-BioNTech
2022-05-29
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-06-05
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-07-22
Survey response — 3 months, dose 3
MedDRA: Fatigue, Nausea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fatigue sick to stomach

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-22
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-29
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Moderna
2	2021-12-27	Pfizer-BioNTech	No
3	2022-04-22	Pfizer-BioNTech	No
4	2022-10-15	Pfizer-BioNTech	Flu

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-17

Systemic reaction (other): One side of my body has pain, different locations

Release 4 — day 7, dose 1

2021-02-18

Systemic reaction (other): Lymp nodes right side ear ache whole body right side pain. Kidney. I called my Doctor. I will speak to her again Monday.

Release 5 — day 21, dose 1

2021-03-09

Symptoms: Burning around skin of ankles. Muscle pain right leg. Swollen lymph nodes. Ear, right side throat , beast. Groin. Dr. Is havimg 4 test run on that right side of my body and my heart. Hospital pharmasist suggest not getting second shot 3/11. Dr. Agree cut off by CDC

Release 5 — day 28, dose 1

2021-03-12

Symptoms: Swollen lymph nodes right side of body. Fever. Pain.

Healthcare visit (other): Dr. Cat scan. Heart scan heart monitor for 72 hours

Release 5 — day 35, dose 1

2021-03-18

Symptoms: Swollen lymph nodes, ear,arm groin all on right side of body. Vaccine shot in right arm. Muscle ache right leg. Burning. Swelling, heat in the flesh of that leg. Breast. Ear, Mouth. Heart pressure. Back kidney area.

Healthcare visit (other): Primary care Doctor second visit. More blood tests. CS scans 72 hr heart monitor Appoint next Thursday with lymph node specialist cant get in faster booked up. Ive had same and wording symptoms since 2/11/21 when I got first shot LR pharmacist said he would postpone second and so did last Doctor visited 2/8/21

Release 6 — day 42, dose 1

2021-03-26

Symptoms: Uncontrollabe pain.plus all the other issues from first vaccination

Healthcare visit (other): Cscans, heart 72 hour wearablw measure, body vein check

Release 8 — 3 months, dose 1

2021-05-16

Symptoms: Fatigue, desperation, im still in pain right side of body. Could lose my job if i cant work. Pain meds confuse me, effecying my work. My Doctor is changing again to try to help. I had another vein scan. Leg blood vessel from groin to ankle hurts.

Healthcare visit (other): JCMG is my Doctor Hopkins she is a cancer specialist and pain specialist. Dr Rucker is my regular Dr. Saw both 3 weeks ago

Release 9 — 6 months, dose 1

2021-08-12

Symptoms: Ongoing fatigue, anxiety, without pain pills I'm unable to live normally. I use bath chair because I'm unable to get out of tub. Pressure between my breast. The meat my body feels like ants are eating my fleash. Pain med. expensive, Sr Medicare.

Release 11 — 12 months, dose 1

2022-02-11

Symptoms: Hearing tinitus, i hear insect sounds all the time. I thought it was real, until i tried to make sure window was closed. It's Winter in (b)(6), it's cold. No insects, nor night noises. I'm gaining weight from pregamin i take to cont. Leg pain.

redacted (b)(6)

Release 11 — day 42, dose 2

2022-02-11

Symptoms: Tintanius , hearing loss, i still have leg pain, nervecpain. Im unable to get out of a chair without pushing up with my arms. The Lyrica med . I take helps me control psin. Im gaining weight. Not happy to be on drug, but it helps me live.

Release 12 — 3 months, dose 3

2022-07-22

Symptoms: Fatigue sick to stomach

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	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Specialist consultation	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Adverse drug reaction	·	·	✓
SD	Anxiety	✓	·	✓
SD	Breast swelling	✓	✓	✓
SD	Burning sensation	✓	✓	✓
SD	Cardiac discomfort	✓	✓	✓
SD	Chest discomfort	✓	·	✓
SD	Deafness	·	·	✓
SD	Dysstasia	·	·	✓
SD	Ear swelling	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Mobility decreased	✓	·	✓
SD	Mouth swelling	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	·	·	✓
SD	Neuralgia	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Sensory disturbance	✓	·	✓
SD	Skin burning sensation	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Tinnitus	·	·	✓
SD	Weight increased	·	·	✓
SRO	Ear pain	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Pain	✓	✓	✓

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