2XD-15884-19949

2 vaccinations 11 coded responses 20 check-ins 11 free-text entries 7 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 194 / PA
Registered: 2021-01-19

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

2021-01-14
Dose 1 — Moderna
2021-01-19
Registered in v-safe
2021-01-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-01-22
Survey response — day 7, dose 1
MedDRA: Back pain — Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Lower back pain limiting my adls

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 14, dose 1
MedDRA: Back pain, Injection site bruising — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Moderately severe lower back pain and bruise/welt 1 inch diameter on left arm where vaccinated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-04
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-11
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis, Pyrexia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sweating d/t fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, 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
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-25
Survey response — day 14, dose 2
MedDRA: Discomfort, Fatigue, Limb discomfort, Pain — Feeling: Fair

Free text: Continued fatigue and general ache and discomfort, especially hands and arms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 21, dose 2
MedDRA: Arthralgia, Back pain, Dysstasia, Gait disturbance — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased difficulty walking, decreased ability to stand for an extended period of time. Increased back and l hip pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 28, dose 2
MedDRA: Gait disturbance, Muscular weakness, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Progressive weakness of b/l le. Increased difficulty with ambulation by end of day. Scheduled for EMG. · Healthcare visit (other): EMG

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
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)
2021-03-18
Survey response — day 35, dose 2
MedDRA: Back pain, Magnetic resonance imaging — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Continued pain in R lower back and down R leg. Had EMG now scheduled for an MRI. · Healthcare visit (other): EMG / MRI

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-25
Survey response — day 42, dose 2
MedDRA: Back pain, Muscular weakness, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Increasing lower back pain and left leg weakness. · Healthcare visit (other): Emg & mri

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
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

1 call case(s)
2021-04-23
Call 1 — Left Voicemail
2021-05-13
Survey response — 3 months, dose 2
MedDRA: Fibromyalgia, Pre-existing disease — Feeling: Fair · 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: Another flare of fibromyalgia and multiple days of severe RLE pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
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)
2021-08-13
Survey response — 6 months, dose 2
MedDRA: Joint range of motion decreased, Musculoskeletal stiffness, Pain in extremity, Peripheral swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Left hand pain/swelling with stiffness and limited ROM in my fingers.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-18
Call 1 — Left Voicemail
2022-02-13
Survey response — 12 months, dose 2
MedDRA: Bone pain, Muscular weakness, Myalgia, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Continuing with muscle and bone aches. Continued R lle pain and weakness.

MedDRA releases: 2024-11 · check-in free text available
2022-02-13
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-15
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna

Call center

7 call center cases

7 unsuccessful

See the call center timeline

Free text

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): Lower back pain limiting my adls

Release 3 — day 14, dose 1

2021-01-28

Symptoms: Moderately severe lower back pain and bruise/welt 1 inch diameter on left arm where vaccinated.

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Sweating d/t fever

Release 4 — day 14, dose 2

2021-02-25

Symptoms: Continued fatigue and general ache and discomfort, especially hands and arms.

Release 5 — day 21, dose 2

2021-03-04

Symptoms: Increased difficulty walking, decreased ability to stand for an extended period of time. Increased back and l hip pain.

Release 5 — day 28, dose 2

2021-03-11

Symptoms: Progressive weakness of b/l le. Increased difficulty with ambulation by end of day. Scheduled for EMG.

Healthcare visit (other): EMG

Release 5 — day 35, dose 2

2021-03-18

Symptoms: Continued pain in R lower back and down R leg. Had EMG now scheduled for an MRI.

Healthcare visit (other): EMG / MRI

Release 6 — day 42, dose 2

2021-03-25

Symptoms: Increasing lower back pain and left leg weakness.

Healthcare visit (other): Emg & mri

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: Another flare of fibromyalgia and multiple days of severe RLE pain.

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: Left hand pain/swelling with stiffness and limited ROM in my fingers.

Release 11 — 12 months, dose 2

2022-02-13

Symptoms: Continuing with muscle and bone aches. Continued R lle pain and weakness.

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	Magnetic resonance imaging	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Bone pain	·	·	✓
SD	Discomfort	✓	✓	✓
SD	Dysstasia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Fibromyalgia	✓	✓	✓
SD	Gait disturbance	✓	✓	✓
SD	Injection site bruising	✓	✓	✓
SD	Joint range of motion decreased	✓	·	✓
SD	Limb discomfort	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Musculoskeletal stiffness	✓	·	✓
SD	Myalgia	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	·	✓
SD	Peripheral swelling	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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