4CW-15979-11374

3 vaccinations 16 coded responses 25 check-ins 16 free-text entries 3 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 186 / PA
Registered: 2021-03-29

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

2021-03-25
Dose 1 — Moderna
2021-03-29
Registered in v-safe
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Neuralgia, Pre-existing disease — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have CRPS Type 1. I felt an increase in the nerve pain to the point my stimulator could not contain it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Nervous system disorder, Pre-existing disease — Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Nerves are still going crazy. My stimulator has been pulsing on overdrive to compensate.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Neuralgia — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still having amplified nerve pain. My stimulator has been in overdrive still.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 7, dose 1
MedDRA: Neuralgia — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Nerves throughout foot have been very painful following 1st injection. Stimulator is barely helping where it has been dominant in past

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 14, dose 1
MedDRA: Neuralgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still a lot of nerve issues mainly in lower legs and feet. It has expanded to right foot. The pain came back in a more severe state following the vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 21, dose 1
MedDRA: Complex regional pain syndrome, Neuralgia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Not necessarily new but my nerve pain is still way higher than before. My CRPS flares have definitely remained amplified since having the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Dose 2 — Moderna
2021-04-22
Survey response — day 0, dose 2
MedDRA: Neuralgia — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Stimulator is failing to control nerve pain again. The left side, prior injury side and nerve issues, is feeling overwhelmed again

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Contusion, Paraesthesia — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Nerves are very tingly, bruising around my prior surgery site (been a bit since this happened)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Headache — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Nerves still in higher pain factor, very tired still, headaches have stopped

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Nerve related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-04-29
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-05-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-22
Survey response — day 28, dose 2
MedDRA: Skin discolouration — Feeling: Good · 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: Nerves have been acting up. My skin gets discolored around my prior injury. It has not been like this in quite sometime. It all went in to overdrive after vaccination. Working with my doctor to feel out what is going on.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-27
Survey response — day 35, dose 2
MedDRA: Complex regional pain syndrome, Condition aggravated, Neuralgia, 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, Emergency room or emergency department visit

Free text: Do not yet know whether it's related but my nerve pain has been very severe. It was calm for a bit prior. CRPS flare up has been more frequent.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-05
Survey response — day 42, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Still having CRPS issues that are amplified. I will be meeting my neurologist this week. Not sure if any of this is related to vaccination but the flare up was stronger since having it. Only time will tell but I will continue to adapt and overcome.TY

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-22
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: My crps was at one point controlled very well and has been completely flared up nearly every day. I am trying to overcome it with new treatment approaches.

MedDRA releases: 2024-11 · check-in free text available
2021-07-22
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)
2021-07-24
Call 1 — Left Voicemail
2021-10-21
Survey response — 6 months, dose 2
MedDRA: Headache, Pain, Pre-existing disease — Feeling: Good

Free text: I get pretty bad headaches since my vaccine. My nerve pain definitely came out stronger. It's hard to tell if it's a direct issue but it definitely got worse after.

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Dose 3 — Moderna
2021-12-27
Survey response — day 14, dose 3
MedDRA: Neuralgia — Feeling: Good

Free text: Elevated nerve pain still present

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-11
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-22
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-23
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-06-12
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna
2	2021-04-22	Moderna
3	2021-12-12	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

2021-03-29

Systemic reaction (other): I have CRPS Type 1. I felt an increase in the nerve pain to the point my stimulator could not contain it.

2021-03-30

Systemic reaction (other): Nerves are still going crazy. My stimulator has been pulsing on overdrive to compensate.

2021-03-31

Systemic reaction (other): Still having amplified nerve pain. My stimulator has been in overdrive still.

Release 6 — day 7, dose 1

2021-04-02

Systemic reaction (other): Nerves throughout foot have been very painful following 1st injection. Stimulator is barely helping where it has been dominant in past

Release 7 — day 14, dose 1

2021-04-08

Symptoms: Still a lot of nerve issues mainly in lower legs and feet. It has expanded to right foot. The pain came back in a more severe state following the vaccination.

Release 7 — day 21, dose 1

2021-04-17

Symptoms: Not necessarily new but my nerve pain is still way higher than before. My CRPS flares have definitely remained amplified since having the vaccine.

Release 7 — day 0, dose 2

2021-04-22

Systemic reaction (other): Stimulator is failing to control nerve pain again. The left side, prior injury side and nerve issues, is feeling overwhelmed again

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Nerves are very tingly, bruising around my prior surgery site (been a bit since this happened)

2021-04-25

Systemic reaction (other): Nerves still in higher pain factor, very tired still, headaches have stopped

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Nerve related

Release 8 — day 28, dose 2

2021-05-22

Symptoms: Nerves have been acting up. My skin gets discolored around my prior injury. It has not been like this in quite sometime. It all went in to overdrive after vaccination. Working with my doctor to feel out what is going on.

Release 8 — day 35, dose 2

2021-05-27

Symptoms: Do not yet know whether it's related but my nerve pain has been very severe. It was calm for a bit prior. CRPS flare up has been more frequent.

Release 8 — day 42, dose 2

2021-06-05

Symptoms: Still having CRPS issues that are amplified. I will be meeting my neurologist this week. Not sure if any of this is related to vaccination but the flare up was stronger since having it. Only time will tell but I will continue to adapt and overcome.TY cut off by CDC

Release 9 — 3 months, dose 2

2021-07-22

Symptoms: My crps was at one point controlled very well and has been completely flared up nearly every day. I am trying to overcome it with new treatment approaches.

Release 10 — 6 months, dose 2

2021-10-21

Symptoms: I get pretty bad headaches since my vaccine. My nerve pain definitely came out stronger. It's hard to tell if it's a direct issue but it definitely got worse after.

Release 10 — day 14, dose 3

2021-12-27

Symptoms: Elevated nerve pain still present

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
SD	Complex regional pain syndrome	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Headache	·	·	✓
SD	Neuralgia	✓	✓	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Skin discolouration	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Nervous system disorder	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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