2RP-18631-80310

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 201 / VA
Registered: 2021-03-04

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

2021-03-04
Registered in v-safe
2021-03-04
Dose 1 — Moderna
2021-03-04
Survey response — day 0, dose 1
MedDRA: Pruritus — Feeling: Poor · Site: Itching · Fever · Headache, Muscle or body aches, Diarrhea · Be unable to work

Free text: Overall itchiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Swelling, Itching · Chills, Headache, Muscle or body aches · Be unable to work

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Arthritis, Condition aggravated, Pre-existing disease — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have Fibrmyalgia and arthritis. Both seem to be worse after the 1st doseof Moderna vaccine.

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

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-18
Health check-in — day 14, dose 1
Feeling: Poor

Adult check-in
2021-03-25
Survey response — day 21, dose 1
MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Fair

Free text: Allergies to tree pollen starting for this year but not related to covid vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Dose 2 — Moderna
2021-04-01
Health check-in — day 0, dose 2
Feeling: Fair · Site: Itching · None · Be unable to work

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Fatigue was biggest impact today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-15
Survey response — day 14, dose 2
MedDRA: Dyspnoea, Emergency care, Pain, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Overall pain increased dramatically sending me to ER on 4/11/21 and haveissues taking deep breaths. Probably tied to Fibromyalgia and arthritis. · Healthcare visit (other): See above. Covid test was negative on 4/12/21.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-29
Survey response — day 28, dose 2
MedDRA: Limb discomfort, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Lugs seem to have issues ever since 2nd vaccine dose. · Healthcare visit (other): Primary care doctor visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-13
Survey response — day 42, dose 2
MedDRA: Migraine, Office visit, Pain, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Migraine and worsening pain from Fibromyalgia. · Healthcare visit (other): Dr visit in person to specialist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-02
Survey response — 3 months, dose 2
MedDRA: Migraine, Office visit, Sinus disorder — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Sinus issues and more migraines · Healthcare visit (other): Dr visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
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)
2021-07-08
Call 1 — Left Voicemail
2022-04-02
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-01	Moderna

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-04

Systemic reaction (other): Overall itchiness

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): I have Fibrmyalgia and arthritis. Both seem to be worse after the 1st doseof Moderna vaccine.

Release 6 — day 21, dose 1

2021-03-25

Symptoms: Allergies to tree pollen starting for this year but not related to covid vaccine.

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Fatigue was biggest impact today.

Release 7 — day 14, dose 2

2021-04-15

Symptoms: Overall pain increased dramatically sending me to ER on 4/11/21 and haveissues taking deep breaths. Probably tied to Fibromyalgia and arthritis.

Healthcare visit (other): See above. Covid test was negative on 4/12/21.

Release 8 — day 28, dose 2

2021-04-29

Symptoms: Lugs seem to have issues ever since 2nd vaccine dose.

Healthcare visit (other): Primary care doctor visit

Release 8 — day 42, dose 2

2021-05-13

Symptoms: Migraine and worsening pain from Fibromyalgia.

Healthcare visit (other): Dr visit in person to specialist

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Sinus issues and more migraines

Healthcare visit (other): Dr visit

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	✓	✓	✓
HCVO	SARS-CoV-2 test negative	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Limb discomfort	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sinus disorder	✓	✓	✓
SRO	Arthritis	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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