2S9-46457-14306

3 vaccinations 13 coded responses 34 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 159 / PA
Registered: 2021-02-13

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
2021-02-13
Registered in v-safe
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · None

Adult check-in
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal discomfort, Product administered at inappropriate site — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: 2/11/21 date of injection- provider injected very high near joint even though I asked him to give it 3 fingers below shoulder. Therefore discomfort was very high in and around joint/ no pain in deltoid since he did not inject there. Today 2/15 shoulder joint discomfort diminishing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Palpitations — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Abdominal pain

Free text: All these last two days plus palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 7, dose 1
MedDRA: Gastrointestinal pain, Headache, Palpitations — Feeling: Fair · Abdominal pain

Free text: GI Cramping, palpitations, headache

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

Adult check-in
2021-03-04
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-11
Dose 2 — Moderna
2021-03-11
Survey response — day 0, dose 2
MedDRA: Dysgeusia, Immediate post-injection reaction, Wheezing — Feeling: Good · Site: Pain

Free text: Briefly wheezy & strange metallic like taste in mouth shortly after vaccination/ gone after 30 minutes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
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, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Itchy skin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Joint pains

Adult check-in
2021-03-18
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Itching · Joint pains

Adult check-in
2021-03-25
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-01
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-08
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-15
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-22
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-09-09
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Palpitations — Feeling: Poor · Be unable to do your normal daily activities

Free text: Joint pains, continued periodic palpitations

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Dose 3 — Moderna
2021-11-02
Health check-in — day 0, dose 3
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Joint pains, Muscle or body aches

Adult check-in
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Back pain — Feeling: Fair · Site: Pain, Redness, Itching · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Hip joint lower back & shoulder joint pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Back pain, Pain, Pain in extremity — Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Hip, knee, back, shoulder, hands & other assorted pains

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Health check-in — days 1–6 daily, dose 3
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
2021-11-08
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Back pain, Chills, Joint stiffness, Pain in extremity, Peripheral coldness — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Hands & feet very cold, intermittent chills, low left back pain near hip, r hip pain , hands pain & two joints starting to lock

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Survey response — day 7, dose 3
MedDRA: Arthralgia, Joint lock, Pruritus, Skin burning sensation — Feeling: Fair · Site: Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Add intermittent very itchy burning on skin migratory. Along c previous days- never had ra but handbjoints hurting & almost like fuchene contracture onvseveral finger locking up

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-23
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-01
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-09
Survey response — day 35, dose 3
MedDRA: Arthralgia, Connective tissue disorder, Joint lock, Mobility decreased, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increasing joint & connective tissues pains- over the entire time since vaccination/ locking finger joints - never experienced before- never had arthritis like symptoms prior to vaccine- limiting hand use

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Survey response — day 42, dose 3
MedDRA: Cardiac dysfunction, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Cardiac function changes & ongoing connective tissue/inflammatory symptoms. Seeing cardiologist for first time 12/30 · Healthcare visit (other): Pcp office yesyerday

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-16
Call 1 — Left Voicemail
2022-02-03
Survey response — 3 months, dose 3
MedDRA: Cardiac output decreased, Computerised tomogram abnormal, Joint lock, Office visit, Pulmonary mass — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Peculiar lung node clusters on ct- puzzling pulmonologist; somewhat diminished cardiac out put - odd since I've been a walker many years; locking joints on right hand ( never had anything like it prior to vaccines) · Healthcare visit (other): Pulmonary office visit/ cardio office visit & outpatient stress test etc

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-07
Call 1 — Could Not Reach Participant
2022-02-10
Call 2 — Could Not Reach Participant
2022-05-03
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

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

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-15

Systemic reaction (other): 2/11/21 date of injection- provider injected very high near joint even though I asked him to give it 3 fingers below shoulder. Therefore discomfort was very high in and around joint/ no pain in deltoid since he did not inject there. Today 2/15 shoulder joint discomfort diminishing

2021-02-17

Systemic reaction (other): All these last two days plus palpitations

Release 4 — day 7, dose 1

2021-02-18

Systemic reaction (other): GI Cramping, palpitations, headache

Release 5 — day 0, dose 2

2021-03-11

Systemic reaction (other): Briefly wheezy & strange metallic like taste in mouth shortly after vaccination/ gone after 30 minutes

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): Itchy skin

Release 9 — 6 months, dose 2

2021-09-09

Symptoms: Joint pains, continued periodic palpitations

Release 10 — days 1–6 daily, dose 3

2021-11-04

Systemic reaction (other): Hip joint lower back & shoulder joint pain

2021-11-06

Systemic reaction (other): Hip, knee, back, shoulder, hands & other assorted pains

2021-11-08

Systemic reaction (other): Hands & feet very cold, intermittent chills, low left back pain near hip, r hip pain , hands pain & two joints starting to lock

Release 10 — day 7, dose 3

2021-11-09

Systemic reaction (other): Add intermittent very itchy burning on skin migratory. Along c previous days- never had ra but handbjoints hurting & almost like fuchene contracture onvseveral finger locking up

Release 10 — day 35, dose 3

2021-12-09

Symptoms: Increasing joint & connective tissues pains- over the entire time since vaccination/ locking finger joints - never experienced before- never had arthritis like symptoms prior to vaccine- limiting hand use

Release 10 — day 42, dose 3

2021-12-15

Symptoms: Cardiac function changes & ongoing connective tissue/inflammatory symptoms. Seeing cardiologist for first time 12/30

Healthcare visit (other): Pcp office yesyerday

Release 11 — 3 months, dose 3

2022-02-03

Symptoms: Peculiar lung node clusters on ct- puzzling pulmonologist; somewhat diminished cardiac out put - odd since I've been a walker many years; locking joints on right hand ( never had anything like it prior to vaccines)

Healthcare visit (other): Pulmonary office visit/ cardio office visit & outpatient stress test etc

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	Cardiac dysfunction	·	·	✓
SD	Cardiac output decreased	·	·	✓
SD	Cardiovascular disorder	·	·	○
SD	Computerised tomogram abnormal	·	·	✓
SD	Connective tissue disorder	·	·	✓
SD	Joint lock	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Office visit	·	·	✓
SD	Pain	·	·	✓
SD	Palpitations	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pulmonary mass	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Back pain	·	·	✓
SRO	Chills	·	·	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Gastrointestinal pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Joint lock	·	·	✓
SRO	Joint stiffness	·	·	✓
SRO	Musculoskeletal discomfort	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Palpitations	✓	✓	✓
SRO	Peripheral coldness	·	·	✓
SRO	Product administered at inappropriate site	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Skin burning sensation	·	·	✓
SRO	Wheezing	✓	✓	✓

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