3SZ-15199-49588
3 vaccinations
17 coded responses
34 check-ins
17 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 740 / OK
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Dose 1 — Moderna
-
2021-01-22
Registered in v-safe
-
2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Intermenstrual bleeding — Feeling: Good · Site: Pain, Redness · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Spotting like the beginning of my menstrual cycle, but I shouldnt be.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Haemorrhage, Visual impairment — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Bleeding stopped . Vision was normal again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: My right arm (not the arm the vaccination was given in) same area I received the vaccination only in the opposite arm is extremely painful today for no reason at all. It hurts as bad as the day I received the vaccination in my left arm. Very strange.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pruritus, Insomnia — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Didnt sleep at all last night. The itching is crazy (on my arm) at the injection site!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-27
Survey response — day 7, dose 1MedDRA: Fatigue, Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth, Pain in extremity — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Yesterday is when I removed the bandaid by accident because I scratched the area from the extreme itching and every since then it has been red, and hot to the touch, it itches, and it has a hard knot. Seems like backwards symptoms since I am now 6 days out. The only thing that is better from the afternoon I received the vaccination (when severe arm pain started and other side effects) is that the arm pain is much better except at the injection site and the fatigue is a little better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-03
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pain, Injection site warmth — Feeling: Good · Be unable to do your normal daily activitiesFree text: My injection site became extremely red, sore, a little hard, hot and it had a hard lighter colored knot in the center. It slowly went away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-18
-
2021-02-19
Dose 2 — Moderna
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Erythema, Feeling abnormal, Headache, Injection site pain, Pain, Pyrexia, Tremor, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): The day I received the vaccination, a few hours later I already had fever. My face and neck turned bright red and later that night and the next day I was in severe pain with my teeth chattering and my body shaking. I also had pain from my injection site all the way to my other arms elbow. The pain in my head was unbearable. All this happened for 48 hours of pure hell and I felt like I was dying. Thankfully it was short lived!!!!! · Healthcare visit (other): My husband helped me get through the first 48 hours of pure agony.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Mobility decreased, Tenderness — Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: The following 48 hours after my injection I had SEVERE SYMPTOMS!!! Pain at the site for four days! Couldnt lift or touch my upper arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-27
Health check-in — day 7, dose 2Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-07
-
2021-03-12
Survey response — day 21, dose 2MedDRA: Cough, Vein rupture — Feeling: Good · Be unable to do your normal daily activitiesFree text: A dry cough. A vein in my hand broke it appears.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Survey response — day 28, dose 2MedDRA: Cough, Energy increased, Rhinorrhoea, Thirst — Feeling: GoodFree text: Excessive thirst and excessive cough!!! Less stamina! Constantly clear runny nose too. On this next section daily work around the house is much more limited. Rarely have energetic days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-04-02
- 2021-05-21
- 2021-08-20
- 2021-09-01
-
2021-09-01
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-10-30
Dose 3 — Moderna
-
2021-10-30
Survey response — day 0, dose 3MedDRA: Intervertebral disc protrusion, Pain, Pre-existing disease, Spinal pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Pain in my spine where bulging disc's are in my neck and tailbone feels severe. My husband's jaw hurts too more than normal and it hasn't been hurting lately. He got a half dose today and I got the full dose.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Intervertebral disc protrusion, Neck pain, Spinal pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Severe neck and spine pain especially where discs are bulging.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Vertigo — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Severe VertigoMedDRA releases: 2024-11 · check-in free text available
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Erythema — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Red face, neck & chestMedDRA releases: 2024-11 · check-in free text available
-
2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Muscle spasms, Vision blurred — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Muscle cramps & blurry visionMedDRA releases: 2024-11 · check-in free text available
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-11-06
Health check-in — day 7, dose 3Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-13
- 2021-11-20
- 2021-11-28
- 2021-12-04
-
2021-12-11
Survey response — day 42, dose 3MedDRA: Headache, Neck pain, Office visit, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: My neck hurts horribly! The hours after receiving my vaccination I had horrible neck and head pain along with other symptoms fever, etc. The pain has returned and it's unbearable. · Healthcare visit (other): Pain management physicianMedDRA releases: 2024-11 · check-in free text available
-
2021-12-11
Report sent to call center — day 42, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-13
-
2022-01-29
Survey response — 3 months, dose 3MedDRA: Gastrointestinal disorder, Nasopharyngitis, Quarantine, SARS-CoV-2 test negative, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Intestinal as well as head cold symptoms. Possible c-diff. I will be going to the doctor to be tested and am quarantining. At home covid rapid test was negative. Did not retest. Yet. · Healthcare visit (other): Will be going.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-29
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-02-02
- 2022-04-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
Call center
3 call center cases
1 successful · 2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Spotting like the beginning of my menstrual cycle, but I shouldnt be.
Systemic reaction (other): Bleeding stopped . Vision was normal again.
Systemic reaction (other): My right arm (not the arm the vaccination was given in) same area I received the vaccination only in the opposite arm is extremely painful today for no reason at all. It hurts as bad as the day I received the vaccination in my left arm. Very strange.
Systemic reaction (other): Didnt sleep at all last night. The itching is crazy (on my arm) at the injection site!
Release 2 — day 7, dose 1
Systemic reaction (other): Yesterday is when I removed the bandaid by accident because I scratched the area from the extreme itching and every since then it has been red, and hot to the touch, it itches, and it has a hard knot. Seems like backwards symptoms since I am now 6 days out. The only thing that is better from the afternoon I received the vaccination (when severe arm pain started and other side effects) is that the arm pain is much better except at the injection site and the fatigue is a little better.
Release 3 — day 14, dose 1
Symptoms: My injection site became extremely red, sore, a little hard, hot and it had a hard lighter colored knot in the center. It slowly went away.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): The day I received the vaccination, a few hours later I already had fever. My face and neck turned bright red and later that night and the next day I was in severe pain with my teeth chattering and my body shaking. I also had pain from my injection site all the way to my other arms elbow. The pain in my head was unbearable. All this happened for 48 hours of pure hell and I felt like I was dying. Thankfully it was short lived!!!!!
Healthcare visit (other): My husband helped me get through the first 48 hours of pure agony.
Systemic reaction (other): The following 48 hours after my injection I had SEVERE SYMPTOMS!!! Pain at the site for four days! Couldnt lift or touch my upper arm.
Release 5 — day 21, dose 2
Symptoms: A dry cough. A vein in my hand broke it appears.
Release 5 — day 28, dose 2
Symptoms: Excessive thirst and excessive cough!!! Less stamina! Constantly clear runny nose too. On this next section daily work around the house is much more limited. Rarely have energetic days.
Release 10 — day 0, dose 3
Systemic reaction (other): Pain in my spine where bulging disc's are in my neck and tailbone feels severe. My husband's jaw hurts too more than normal and it hasn't been hurting lately. He got a half dose today and I got the full dose.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Severe neck and spine pain especially where discs are bulging.
Systemic reaction (other): Severe Vertigo
Systemic reaction (other): Red face, neck & chest
Systemic reaction (other): Muscle cramps & blurry vision
Release 10 — day 42, dose 3
Symptoms: My neck hurts horribly! The hours after receiving my vaccination I had horrible neck and head pain along with other symptoms fever, etc. The pain has returned and it's unbearable.
Healthcare visit (other): Pain management physician
Release 11 — 3 months, dose 3
Symptoms: Intestinal as well as head cold symptoms. Possible c-diff. I will be going to the doctor to be tested and am quarantining. At home covid rapid test was negative. Did not retest. Yet.
Healthcare visit (other): Will be going.
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Energy increased | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Quarantine | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Thirst | ✓ | ✓ | ✓ |
| SD | Vein rupture | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Haemorrhage | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site induration | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Intermenstrual bleeding | ✓ | ✓ | ✓ |
| SRO | Intervertebral disc protrusion | · | · | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Spinal pain | · | · | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
| SRO | Vertigo | · | · | ✓ |
| SRO | Vision blurred | · | · | ✓ |
| SRO | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release