3BH-13908-93452
5 vaccinations
39 coded responses
63 check-ins
35 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 231 / VA
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Registered in v-safe
-
2021-02-05
Dose 1 — Moderna
-
2021-02-05
Survey response — day 0, dose 1MedDRA: Erythema, Skin tightness — Feeling: Good · Site: Pain · Fever · Headache, Joint painsFree text: Red face with feeling of tightness in skin on faceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body achesFree text: All symptoms are still present but less noticeable than yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Neck pain, Pain — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body achesFree text: Left shoulder joint pain radiated into left rear side of neck today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-09
Survey response — days 1–6 daily, dose 1MedDRA: Injection site swelling, Pain in extremity — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: Only slight pain & minor swelling in left arm injection area today, significant improvement over yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity, Peripheral swelling — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: Only very minor pain & swelling in left arm today, improvement continues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Pain in extremity — Feeling: Good · Headache, Fatigue or tirednessFree text: Headache was significant in early AM but has responded to Excedrin; only minor soreness in left arm today, no swelling or pain as previously.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Survey response — day 7, dose 1MedDRA: Tenderness — Feeling: Good · Muscle or body achesFree text: Only very slight tenderness in left arm today, no other symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
-
2021-02-26
Survey response — day 21, dose 1MedDRA: Dysmenorrhoea, Heavy menstrual bleeding, Migraine — Feeling: Good · Be unable to do your normal daily activitiesFree text: Migraine headache for 2 days, extremely heavy menstrual flow & dysmenorrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Dose 2 — Moderna
-
2021-03-05
Survey response — day 0, dose 2MedDRA: Paraesthesia, Skin tightness, Throat tightness — Feeling: Good · Site: Pain · Headache, Abdominal painFree text: Feeling of tightness in throat & in skin on face; tingling in arms, hands & feet. All were brief.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort, Chills, Decreased appetite, Hyperhidrosis, Pyrexia, Tremor — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Severe chills with uncontrollable shaking 8-12 hours after vaccine; sweating with fever 24 hours after vaccine; felt about to have diarrhea several times but never did; poor appetite; in bed most of today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Abnormal dreams, Decreased appetite, Fatigue, Pain in extremity — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Pain in soles of feet; extreme tiredness; poor appetite; very strange & disturbing dreams when sleeping.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain, Lymphadenopathy, Sinus congestion — Feeling: Good · Site: Pain, Swelling · Headache, Joint painsFree text: Continued swelling in lymph gland in left armpit but less significant; sinus congestion x4 days with pain in right ear last 2 days; all other symptoms significantly improved today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Survey response — day 7, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Headache, Joint painsFree text: Swelling in lymph gland in left armpit is less than swelling in left arm now; I submitted check-in info on 3/8/21 & 3/10/21 but they do not show on my account, please contact me if I should resubmit either.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Survey response — day 14, dose 2MedDRA: Gait disturbance, Inflammation, Joint stiffness, Pain in extremity, Peripheral swelling — Feeling: Good · Be unable to do your normal daily activitiesFree text: Inflammation & severe stiffness in bilateral knees and hips on 3/18/21 which made transfers and walking difficult. All joints remain stiff today 3/19/21, but not nearly as severe as yesterday. Pain & swelling in injection arm continued until 3/16/21.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Survey response — day 21, dose 2MedDRA: Fatigue, Pain in extremity, Peripheral swelling — Feeling: GoodFree text: Injection arm continues to be sore. Swelling in the left arm has stopped. I tired easily upon return to work 3/17 & 3/25.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Survey response — day 28, dose 2MedDRA: Arthritis, Gait disturbance, Musculoskeletal stiffness, Pain, Swelling — Feeling: Good · Be unable to do your normal daily activitiesFree text: Significant joint inflammation in both knees & right hip has continued ever since 2nd dose of Moderna vaccine received on 3/5/21. Pain, swelling, stiffness & minor difficulty walking all continue at present. Had none of these symptoms prior to 3/5/21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Survey response — day 35, dose 2MedDRA: Arthralgia, Arthritis, Joint stiffness — Feeling: GoodFree text: Still having joint pain, stiffness & inflammation in hips & knees 5 weeks after 2nd vaccine dose, primarily on the right side now. No other significant lingering symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Survey response — day 42, dose 2MedDRA: Arthralgia, Joint stiffness, Joint swelling — Feeling: GoodFree text: Inflammation in knees has decreased significantly in the last 2 days, but continues in right hip. Right hip is still very painful & stiff.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-04
- 2021-09-04
-
2021-12-30
Dose 3 — Moderna
-
2021-12-31
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swollen lymph nodes in left armpit on injection side.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-01
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swollen lymph nodes in left armpit on injection side.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-02
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling · HeadacheFree text: Slightly swollen lymph nodes in left armpit on injection side, less so than previously.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-03
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Tenderness around lymph nodes in left armpit on injection side.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-04
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Tenderness around lymph nodes in left armpit on injection side.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-01-06
- 2022-01-13
- 2022-01-20
- 2022-01-27
- 2022-02-03
- 2022-02-10
-
2022-03-31
Survey response — 3 months, dose 3MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Be unable to work or attend schoolFree text: Seasonal rhinitis started earlier this year than in recent years. No major complications, just more symptoms than usual for this time of year.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-30
-
2022-07-29
Dose 4 — Moderna
-
2022-07-30
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction, Self-medication — Feeling: Good · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaFree text: All symptoms today have been very minor & have responded to a single dose of Tylenol.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-01
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tirednessFree text: Slight swelling in lymph nodes in left armpit on injection side. All symptoms are very mild.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-02
Survey response — days 1–6 daily, dose 4MedDRA: Injection site swelling, Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tirednessFree text: Swelling in lymph nodes in left armpit has stopped. Injection site is still slightly swollen. All symptoms are very mild.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-03
Survey response — days 1–6 daily, dose 4MedDRA: Swelling — Feeling: Good · Site: Pain, Swelling · HeadacheFree text: Swelling is very slight now. All symptoms are very mild and improving.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-04
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: All symptoms are very slight now.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-05
Survey response — day 7, dose 4MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: All symptoms are very mild today.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-12
- 2022-08-19
- 2022-08-26
- 2022-09-02
- 2022-09-10
-
2022-10-28
Survey response — 3 months, dose 4MedDRA: Influenza like illness, Influenza virus test negative, SARS-CoV-2 test negative, Viral infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I had a virus with flu-like symptoms starting 10/11/22. Tests for strep throat, flu & Covid were all negative. All symptoms resolved within 3 days.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-28
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-02
-
2022-12-27
Dose 5 — Moderna
- 2022-12-27
-
2022-12-28
Survey response — days 1–6 daily, dose 5MedDRA: Cough, Nasal congestion — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessFree text: Cough & nasal congestion also.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-29
Survey response — days 1–6 daily, dose 5MedDRA: Cough, Nasal congestion — Feeling: Good · Site: Pain, Swelling · HeadacheFree text: Cough & nasal congestion, but not as much as yesterday.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-30
Survey response — days 1–6 daily, dose 5MedDRA: Cough, Nasal congestion — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: Cough & nasal congestion linger, but are improving slowly.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-31
Survey response — days 1–6 daily, dose 5MedDRA: Cough — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Still some cough, but not as frequent as earlier.MedDRA releases: 2024-11 · check-in free text available
-
2023-01-01
Survey response — days 1–6 daily, dose 5MedDRA: Cough — Feeling: Good · Site: Pain · Fatigue or tirednessMedDRA releases: 2024-11
-
2023-01-02
Survey response — days 1–6 daily, dose 5MedDRA: Cough, Fatigue, Sinus congestion — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-01-03
Survey response — day 7, dose 5MedDRA: Cough, Office visit, Sinus congestion, Sinusitis — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-03
Report sent to call center — day 7, dose 5Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-04
- 2023-01-04
-
2023-01-04
Call successfulDoes not wish to fill out VAERS report
-
2023-01-04
Call successfulDoes not wish to fill out VAERS report
- 2023-01-10
- 2023-01-17
- 2023-01-24
- 2023-01-31
- 2023-02-07
- 2023-03-28
-
2023-06-28
Survey response — 6 months, dose 5MedDRA: Cough, Rhinitis, Self-medication, Upper-airway cough syndrome — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-12-30 | Moderna | No |
| 4 | 2022-07-29 | Moderna | No |
| 5 | 2022-12-27 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Red face with feeling of tightness in skin on face
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): All symptoms are still present but less noticeable than yesterday.
Systemic reaction (other): Left shoulder joint pain radiated into left rear side of neck today.
Systemic reaction (other): Only slight pain & minor swelling in left arm injection area today, significant improvement over yesterday.
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Only very minor pain & swelling in left arm today, improvement continues.
Systemic reaction (other): Headache was significant in early AM but has responded to Excedrin; only minor soreness in left arm today, no swelling or pain as previously.
Release 4 — day 7, dose 1
Systemic reaction (other): Only very slight tenderness in left arm today, no other symptoms.
Release 4 — day 21, dose 1
Symptoms: Migraine headache for 2 days, extremely heavy menstrual flow & dysmenorrhea
Release 5 — day 0, dose 2
Systemic reaction (other): Feeling of tightness in throat & in skin on face; tingling in arms, hands & feet. All were brief.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Severe chills with uncontrollable shaking 8-12 hours after vaccine; sweating with fever 24 hours after vaccine; felt about to have diarrhea several times but never did; poor appetite; in bed most of today.
Systemic reaction (other): Pain in soles of feet; extreme tiredness; poor appetite; very strange & disturbing dreams when sleeping.
Systemic reaction (other): Continued swelling in lymph gland in left armpit but less significant; sinus congestion x4 days with pain in right ear last 2 days; all other symptoms significantly improved today.
Release 5 — day 7, dose 2
Systemic reaction (other): Swelling in lymph gland in left armpit is less than swelling in left arm now; I submitted check-in info on 3/8/21 & 3/10/21 but they do not show on my account, please contact me if I should resubmit either.
Release 6 — day 14, dose 2
Symptoms: Inflammation & severe stiffness in bilateral knees and hips on 3/18/21 which made transfers and walking difficult. All joints remain stiff today 3/19/21, but not nearly as severe as yesterday. Pain & swelling in injection arm continued until 3/16/21. cut off by CDC
Release 6 — day 21, dose 2
Symptoms: Injection arm continues to be sore. Swelling in the left arm has stopped. I tired easily upon return to work 3/17 & 3/25.
Release 6 — day 28, dose 2
Symptoms: Significant joint inflammation in both knees & right hip has continued ever since 2nd dose of Moderna vaccine received on 3/5/21. Pain, swelling, stiffness & minor difficulty walking all continue at present. Had none of these symptoms prior to 3/5/21 cut off by CDC
Release 7 — day 35, dose 2
Symptoms: Still having joint pain, stiffness & inflammation in hips & knees 5 weeks after 2nd vaccine dose, primarily on the right side now. No other significant lingering symptoms.
Release 7 — day 42, dose 2
Symptoms: Inflammation in knees has decreased significantly in the last 2 days, but continues in right hip. Right hip is still very painful & stiff.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph nodes in left armpit on injection side.
Systemic reaction (other): Swollen lymph nodes in left armpit on injection side.
Systemic reaction (other): Slightly swollen lymph nodes in left armpit on injection side, less so than previously.
Systemic reaction (other): Tenderness around lymph nodes in left armpit on injection side.
Systemic reaction (other): Tenderness around lymph nodes in left armpit on injection side.
Release 11 — 3 months, dose 3
Symptoms: Seasonal rhinitis started earlier this year than in recent years. No major complications, just more symptoms than usual for this time of year.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): All symptoms today have been very minor & have responded to a single dose of Tylenol.
Systemic reaction (other): Slight swelling in lymph nodes in left armpit on injection side. All symptoms are very mild.
Systemic reaction (other): Swelling in lymph nodes in left armpit has stopped. Injection site is still slightly swollen. All symptoms are very mild.
Systemic reaction (other): Swelling is very slight now. All symptoms are very mild and improving.
Systemic reaction (other): All symptoms are very slight now.
Release 12 — day 7, dose 4
Systemic reaction (other): All symptoms are very mild today.
Release 12 — 3 months, dose 4
Symptoms: I had a virus with flu-like symptoms starting 10/11/22. Tests for strep throat, flu & Covid were all negative. All symptoms resolved within 3 days.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Cough & nasal congestion also.
Systemic reaction (other): Cough & nasal congestion, but not as much as yesterday.
Systemic reaction (other): Cough & nasal congestion linger, but are improving slowly.
Systemic reaction (other): Still some cough, but not as frequent as earlier.
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 | Sinusitis | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Arthritis | ✓ | ✓ | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dysmenorrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gait disturbance | ✓ | ✓ | ✓ |
| SD | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Joint stiffness | ✓ | ✓ | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Abnormal dreams | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Office visit | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | · | · | ✓ |
| SRO | Sinus congestion | ✓ | ✓ | ✓ |
| SRO | Sinusitis | · | · | ✓ |
| SRO | Skin tightness | ✓ | ✓ | ✓ |
| SRO | Swelling | · | · | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
| SRO | Throat tightness | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release