3YN-13930-63228

4 vaccinations 8 coded responses 26 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 980 / WA
Registered: 2021-03-22

Relationship: Self
Race: Other
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-22
Registered in v-safe
2021-03-22
Dose 1 — Moderna
2021-03-22
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Bedridden, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: In combination with Letrozole, Ibrance, & Levothyroxine it feels like Im in dose-sense Acutotoxin/Taxol Chemo (2007-2008). Up until 2016c I would have days where I couldnt unfold getting out of bed. With this Stage IV treatment for E/R, P/R + BRCA2 cancer; It hasnt felt like it did before, until the Vaccination. Very important, Im on antibiotics for low white blood cell counts.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-03-30
Health check-in — day 7, dose 1
Feeling: Poor · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-03-30
Report sent to call center — day 7, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-05
Survey response — day 14, dose 1
MedDRA: Abdominal discomfort, Arthralgia, Balance disorder, Dysstasia, Fatigue, Fluid intake reduced, Gait disturbance, Hypophagia, Illness, Injection site rash, Myalgia, Office visit, Swelling face — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Extensive muscle pain throughout my body; pain at joints; difficulty walking or moving to a standing position from sitting or laying down; great fatigue; limited food/liquid intake; upset stomach; face bloat; small rash by injection site; sickness. · Healthcare visit (other): Oncologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Report sent to call center — day 14, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-12
Health check-in — day 21, dose 1
Feeling: Poor

Adult check-in
2021-04-20
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-26
Survey response — day 35, dose 1
MedDRA: Chest discomfort, Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Maybe allergies. Lungs are tight & Im tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Dose 2 — Moderna
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Headache, Fatigue or tiredness, Diarrhea · Be unable to work or attend school

Adult check-in
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion, Pulmonary pain — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Stuffy head & lung pain, but its allergy season!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Diarrhea

Adult check-in
2021-05-08
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches, Diarrhea

Adult check-in
2021-05-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-22
Survey response — day 21, dose 2
MedDRA: Condition aggravated, Musculoskeletal chest pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Possible heat stroke & allergy reaction to Cotton Wood. Intercostals are sore where I had a drain from the Plural Space. The tumor count went up the 1st month after the initial shot. Its started to turn down again. Still out of normal range

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-18
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-31
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-28
Dose 3 — Moderna
2021-10-30
Survey response — 6 months, dose 2
MedDRA: Candida infection, Emergency care, Feeding disorder, Hospitalisation, Oesophagitis, Sepsis, Surgery, Urinary tract infection — 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, Emergency room or emergency department visit, Hospitalization

Free text: One UTI a month since June 2021. Septic in September 2021. Three ER visits - two hospitalizations. Thrush. Esophagitis (three procedures) - still unable to mechanically eat. Significant surge in CA 27-29 & CEA numbers with all 3 vaccinations.

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Report sent to call center — 6 months, dose 2
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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-11-02
Call 1 — Left Voicemail
2022-04-01
Dose 4 — Moderna
2022-04-28
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-04-29
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-06
Survey response — day 35, dose 4
MedDRA: Fatigue, Increased upper airway secretion, Joint noise, Musculoskeletal stiffness, Nasopharyngitis, Oropharyngeal pain, Sputum discoloured — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Hard green phlegm caught at the back of my throat; sore throat; stiff muscles & creaky joints; and exhaustion. Probably the common cold.

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-02
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-01
Survey response — 6 months, dose 4
MedDRA: Burning sensation, Pleural effusion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Resurgence of Left Plural Effusion. Burning in my shoulders and arms.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Moderna
2	2021-05-01	Moderna
3	2021-08-28	Moderna	No
4	2022-04-01	Moderna	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): In combination with Letrozole, Ibrance, & Levothyroxine it feels like Im in dose-sense Acutotoxin/Taxol Chemo (2007-2008). Up until 2016c I would have days where I couldnt unfold getting out of bed. With this Stage IV treatment for E/R, P/R + BRCA2 cancer; It hasnt felt like it did before, until the Vaccination. Very important, Im on antibiotics for low white blood cell counts.

Release 6 — day 14, dose 1

2021-04-05

Symptoms: Extensive muscle pain throughout my body; pain at joints; difficulty walking or moving to a standing position from sitting or laying down; great fatigue; limited food/liquid intake; upset stomach; face bloat; small rash by injection site; sickness. cut off by CDC

Healthcare visit (other): Oncologist

Release 8 — day 35, dose 1

2021-04-26

Symptoms: Maybe allergies. Lungs are tight & Im tired.

Release 8 — days 1–6 daily, dose 2

2021-05-05

Systemic reaction (other): Stuffy head & lung pain, but its allergy season!

Release 8 — day 21, dose 2

2021-05-22

Symptoms: Possible heat stroke & allergy reaction to Cotton Wood. Intercostals are sore where I had a drain from the Plural Space. The tumor count went up the 1st month after the initial shot. Its started to turn down again. Still out of normal range

Release 10 — 6 months, dose 2

2021-10-30

Symptoms: One UTI a month since June 2021. Septic in September 2021. Three ER visits - two hospitalizations. Thrush. Esophagitis (three procedures) - still unable to mechanically eat. Significant surge in CA 27-29 & CEA numbers with all 3 vaccinations.

Release 11 — day 35, dose 4

2022-05-06

Symptoms: Hard green phlegm caught at the back of my throat; sore throat; stiff muscles & creaky joints; and exhaustion. Probably the common cold.

Release 12 — 6 months, dose 4

2022-10-01

Symptoms: Resurgence of Left Plural Effusion. Burning in my shoulders and arms.

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	Abdominal discomfort	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Balance disorder	○	✓	○
SD	Burning sensation	·	·	✓
SD	Candida infection	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Dysstasia	✓	·	✓
SD	Emergency care	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeding disorder	·	·	✓
SD	Fluid intake reduced	✓	·	✓
SD	Gait disturbance	✓	✓	✓
SD	Hospitalisation	·	·	✓
SD	Hypophagia	✓	✓	✓
SD	Illness	✓	✓	✓
SD	Increased upper airway secretion	·	·	✓
SD	Injection site rash	✓	✓	✓
SD	Joint noise	·	·	✓
SD	Musculoskeletal chest pain	✓	✓	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Oesophagitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pleural effusion	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sepsis	·	·	✓
SD	Sputum discoloured	·	·	✓
SD	Surgery	·	·	✓
SD	Swelling face	✓	✓	✓
SD	Urinary tract infection	·	·	✓
SRO	Bedridden	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pulmonary pain	✓	✓	✓

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