2QL-12606-61547

3 vaccinations 13 coded responses 17 check-ins 13 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 959 / CA
Registered: 2021-03-06

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

2021-02-03
Dose 1 — Moderna
2021-03-03
Dose 2 — Moderna
2021-03-06
Registered in v-safe
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Myalgia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Severe joint/muscle pain a week after first shot. 28 hours severe. Lasted about 4 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Rash, Rash erythematous, Rash papular, Rash pruritic — Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Rash had changed. It was covering my torso completely- front and back. That has subsided leaving red raised patches on my back that itch. The rash on my chest turned into small bumps that look like sores. Not pretty

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 7, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-24
Survey response — day 21, dose 2
MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Odd Joint pain in elbows wrists and fingers.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 28, dose 2
MedDRA: Arthralgia, Office visit, Rash — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Joint pain. Rash that comes and goes on my chest, stomach and back · Healthcare visit (other): Dr visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
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)
2021-04-08
Survey response — day 35, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pain. Everywhere. I didn't have that before. Does anyone actually read this bit???

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 42, dose 2
MedDRA: Arthralgia, Rash — Feeling: Good · Be unable to do your normal daily activities

Free text: Skin rashes keep coming and going since I got the rash from thee vaccine that covered my whole torso into my neck. Also- weird joint pain still happening.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Painful joints · Healthcare visit (other): Doctor appt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
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

1 call case(s)
2021-09-02
Survey response — 6 months, dose 2
MedDRA: Malaise, Office visit, Paraesthesia, Pyrexia, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Intense Tingling on the right side of my spine for over two months. Still tingling- but not as intense. A rash appeared on the sight for a month- then lessened. Still there. I got sick/fever after vaccine Rash came on after fever broke for 2 weeks. · Healthcare visit (other): Doctor visit

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-07
Call 1 — Left Voicemail
2021-11-05
Dose 3 — Moderna
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Hypoaesthesia — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Hand numb. Wrist hurts. On the side where I got the shot.

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-11-10
Survey response — days 1–6 daily, dose 3
MedDRA: Pruritus, Rash, Rash papular, Reaction to previous exposure to any vaccine, Urticaria — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Free text: Rash is getting worse (like last time). Starting to raise up in welts- itching more.

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-11-22
Survey response — day 14, dose 3
MedDRA: Headache, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: My mid back is still tingling. Constant Headache.

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Survey response — day 42, dose 3
MedDRA: Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pins and needles in mid back. Intense at times

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Survey response — 6 months, dose 3
MedDRA: Hypoaesthesia, Mobility decreased, Office visit, Paraesthesia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I've lost some use of my right arm. And motor skills in my right hand. Tingling and numbness in arm and around my scapula, near my spine. · Healthcare visit (other): Doctor office visit. 3 times.

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-05-10
Call successful
Participant prefers to complete VAERS report online
2022-05-10
Call successful
Participant prefers to complete VAERS report online
2022-05-10
Call successful
Participant prefers to complete VAERS report online
2022-05-10
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Moderna
2	2021-03-03	Moderna
3	2021-11-05	Moderna	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Severe joint/muscle pain a week after first shot. 28 hours severe. Lasted about 4 days.

2021-03-08

Systemic reaction (other): Rash had changed. It was covering my torso completely- front and back. That has subsided leaving red raised patches on my back that itch. The rash on my chest turned into small bumps that look like sores. Not pretty

Release 6 — day 21, dose 2

2021-03-24

Symptoms: Odd Joint pain in elbows wrists and fingers.

Release 6 — day 28, dose 2

2021-03-31

Symptoms: Joint pain. Rash that comes and goes on my chest, stomach and back

Healthcare visit (other): Dr visit

Release 7 — day 35, dose 2

2021-04-08

Symptoms: Joint pain. Everywhere. I didn't have that before. Does anyone actually read this bit???

Release 7 — day 42, dose 2

2021-04-14

Symptoms: Skin rashes keep coming and going since I got the rash from thee vaccine that covered my whole torso into my neck. Also- weird joint pain still happening.

Release 8 — 3 months, dose 2

2021-06-02

Symptoms: Painful joints

Healthcare visit (other): Doctor appt

Release 9 — 6 months, dose 2

2021-09-02

Symptoms: Intense Tingling on the right side of my spine for over two months. Still tingling- but not as intense. A rash appeared on the sight for a month- then lessened. Still there. I got sick/fever after vaccine Rash came on after fever broke for 2 weeks. cut off by CDC

Healthcare visit (other): Doctor visit

Release 10 — days 1–6 daily, dose 3

2021-11-06

Systemic reaction (other): Hand numb. Wrist hurts. On the side where I got the shot.

2021-11-10

Systemic reaction (other): Rash is getting worse (like last time). Starting to raise up in welts- itching more.

Release 10 — day 14, dose 3

2021-11-22

Symptoms: My mid back is still tingling. Constant Headache.

Release 10 — day 42, dose 3

2021-12-17

Symptoms: Pins and needles in mid back. Intense at times

Release 11 — 6 months, dose 3

2022-05-06

Symptoms: I've lost some use of my right arm. And motor skills in my right hand. Tingling and numbness in arm and around my scapula, near my spine.

Healthcare visit (other): Doctor office visit. 3 times.

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	Office visit	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Headache	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Malaise	✓	·	✓
SD	Mobility decreased	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	✓	·	✓
SD	Pyrexia	✓	·	✓
SD	Rash	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Hypoaesthesia	·	·	✓
SRO	Myalgia	✓	✓	✓
SRO	Pruritus	·	·	✓
SRO	Rash	✓	✓	✓
SRO	Rash erythematous	✓	✓	✓
SRO	Rash papular	✓	✓	✓
SRO	Rash pruritic	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	·	·	✓
SRO	Urticaria	·	·	✓

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