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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

  1. 2021-01-20
    Dose 1 — Moderna
  2. 2021-01-22
    Registered in v-safe
  3. 2021-01-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free 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
  4. 2021-01-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Haemorrhage, Visual impairment — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Bleeding stopped . Vision was normal again.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free 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
  6. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-01-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pruritus, Insomnia — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free 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
  8. 2021-01-27
    Survey response — day 7, dose 1
    MedDRA: 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 activities
    Free 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
  9. 2021-02-03
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site pain, Injection site warmth — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  10. 2021-02-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-18
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-19
    Dose 2 — Moderna
  13. 2021-02-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Erythema, Feeling abnormal, Headache, Injection site pain, Pain, Pyrexia, Tremor, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional
    Free 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
  14. 2021-02-24
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-02-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain, Mobility decreased, Tenderness — Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities
    Free 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
  16. 2021-02-27
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-03-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-12
    Survey response — day 21, dose 2
    MedDRA: Cough, Vein rupture — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  19. 2021-03-19
    Survey response — day 28, dose 2
    MedDRA: Cough, Energy increased, Rhinorrhoea, Thirst — Feeling: Good
    Free 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
  20. 2021-03-27
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-21
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-08-20
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-09-01
  25. 2021-09-01
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  26. 2021-10-30
    Dose 3 — Moderna
  27. 2021-10-30
    Survey response — day 0, dose 3
    MedDRA: 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 activities
    Free 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
  28. 2021-10-31
    Survey response — days 1–6 daily, dose 3
    MedDRA: 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 activities
    Free text: Severe neck and spine pain especially where discs are bulging.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-11-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: 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 activities
    Free text: Severe Vertigo
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: 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 activities
    Adult check-in
  31. 2021-11-03
    Survey response — days 1–6 daily, dose 3
    MedDRA: 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 activities
    Free text: Red face, neck & chest
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-11-04
    Survey response — days 1–6 daily, dose 3
    MedDRA: 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 activities
    Free text: Muscle cramps & blurry vision
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  34. 2021-11-06
    Health check-in — day 7, dose 3
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  35. 2021-11-13
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-20
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-28
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-04
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-11
    Survey response — day 42, dose 3
    MedDRA: 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 visit
    Free 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 physician
    MedDRA releases: 2024-11 · check-in free text available
  40. 2021-12-11
    Report sent to call center — day 42, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  41. 2021-12-13
  42. 2022-01-29
    Survey response — 3 months, dose 3
    MedDRA: 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 professional
    Free 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
  43. 2022-01-29
    Report sent to call center — 3 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  44. 2022-02-02
  45. 2022-04-30
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-20Moderna
22021-02-19Moderna
32021-10-30Moderna No

Call center

3 call center cases

1 successful · 2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Spotting like the beginning of my menstrual cycle, but I shouldnt be.

2021-01-23

Systemic reaction (other): Bleeding stopped . Vision was normal again.

2021-01-24

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.

2021-01-26

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

2021-01-27

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

2021-02-03

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

2021-02-24

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.

2021-02-25

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

2021-03-12

Symptoms: A dry cough. A vein in my hand broke it appears.

Release 5 — day 28, dose 2

2021-03-19

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

2021-10-30

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

2021-10-31

Systemic reaction (other): Severe neck and spine pain especially where discs are bulging.

2021-11-01

Systemic reaction (other): Severe Vertigo

2021-11-03

Systemic reaction (other): Red face, neck & chest

2021-11-04

Systemic reaction (other): Muscle cramps & blurry vision

Release 10 — day 42, dose 3

2021-12-11

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

2022-01-29

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
HCVOUnevaluable event ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDEnergy increased ✓ ✓ ✓
SDGastrointestinal disorder · · ✓
SDHeadache · · ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDNasopharyngitis · · ✓
SDNeck pain · · ✓
SDPyrexia · · ✓
SDQuarantine · · ✓
SDRhinorrhoea ✓ ✓ ✓
SDSARS-CoV-2 test negative · · ✓
SDThirst ✓ ✓ ✓
SDVein rupture ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROHaemorrhage ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site induration ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROIntermenstrual bleeding ✓ ✓ ✓
SROIntervertebral disc protrusion · · ✓
SROMobility decreased ✓ ✓ ✓
SROMuscle spasms · · ✓
SRONeck pain · · ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPre-existing disease · · ✓
SROPyrexia ✓ ✓ ✓
SROSpinal pain · · ✓
SROTenderness ✓ ✓ ✓
SROTremor ✓ ✓ ✓
SROVertigo · · ✓
SROVision blurred · · ✓
SROVisual impairment ✓ ✓ ✓

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