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4GU-29993-33652

3 vaccinations 27 coded responses 40 check-ins 27 free-text entries 4 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
026 / MA
Registered
2021-02-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-24
    Registered in v-safe
  2. 2021-02-24
    Dose 1 — Moderna
  3. 2021-02-24
    Survey response — day 0, dose 1
    MedDRA: Feeling jittery — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness
    Free text: Feel little bit jittery
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Irritability, Pain in extremity — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Arm aches from shoulder to fingers. grouchy, also, lol
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Was cleaning and started to get pain in both armpits, felt like many pinched nerves type of pain, decided to stop cleaning since it was so weird
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-02-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abnormal dreams, Poor quality sleep, Sleep disorder — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Not sleeping good. vivid dreams, not sleeping all night
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-03
    Survey response — day 7, dose 1
    MedDRA: Pain in extremity, Supraclavicular fossa pain — Feeling: Good · Site: Pain
    Free text: Still off abd on have darting pain in arm.pits and along collarbone, strange
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-10
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Loss of personal independence in daily activities, Oedema peripheral — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Just very tired Cant finish my daily activities Right arm pit still swollen
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-17
    Survey response — day 21, dose 1
    MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities
    Free text: Very tired few days last weekHad to Just rest
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-24
    Dose 2 — Moderna
  14. 2021-03-24
    Survey response — day 0, dose 2
    MedDRA: Arthralgia, Influenza like illness, Musculoskeletal chest pain — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Driving the 70 miles back home had.pain in both elbows wrists,ribs kinda like pinched nerves type pain now feel like the flu
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache, Insomnia, Pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities
    Free text: Couldn't sleep at all last night to much headache, body aches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nerve compression, Urine output decreased — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: During night had pinched nerve type pain in lower andomen couldn't pee,for 2 hours,ugh! Better now. Hope to sleep tonight,just took long nap
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Joint pains
    Free text: Feel like collarbone area lymph nodes swollen
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Joint pains
    Adult check-in
  21. 2021-03-31
    Health check-in — day 7, dose 2
    Feeling: Good · Headache, Joint pains
    Adult check-in
  22. 2021-04-07
    Survey response — day 14, dose 2
    MedDRA: Blood glucose decreased, Headache, Myalgia, Nausea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Very nauseous, low bloodsugar levels, headaches, muscle pain, lasted 5 days,better today except bloodsugar level, i keep it usually at 94, has been 78 since 2nd shot, trying to get it back to 94
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-14
    Survey response — day 21, dose 2
    MedDRA: Myalgia, Nerve compression — Feeling: Good
    Free text: Still having pinched nerve tpye pain randomly, neck area,left arm pit, elbows Muscle aches, so strange
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-21
    Survey response — day 28, dose 2
    MedDRA: Medical counselling, Neuralgia, Pain, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Still having those pain like shooting pinched nerves random areas,especially after physical execution. Called my doc They said vaccine so new they have no clue what to do, just take tylenol · Healthcare visit (other): Emailed doc, they did nothing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-04-21
    Report sent to call center — day 28, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  26. 2021-04-28
    Survey response — day 35, dose 2
    MedDRA: Eye pain, Facial pain, Pain, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Still having those quick shooting pains randomly, this week in my face and eyeballs. I went online and reported it to VEARS FDA because the side effects are still continuing and now in my eyes. Are they going to stop or be Permanent ? · Healthcare visit (other): Went online reported it to VAERS, FDA. Listed on vaccine handout sheet
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-04-28
    Report sent to call center — day 35, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-05-05
    Survey response — day 42, dose 2
    MedDRA: Eye pain, Neuralgia, Office visit, Pain, Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Besides the shooting nerve pain,since it happened in my eyes last week,now i have pins and needles sensations random times and all over. Doctor told me to come in to be seen · Healthcare visit (other): In person primary care doctor visit, also ordered labs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  29. 2021-05-05
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  30. 2021-06-23
    Survey response — 3 months, dose 2
    MedDRA: Blood thyroid stimulating hormone decreased, Neuralgia, Office visit, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Still having shooting nerve pain side effects, very low TSH levels,doctor checking me again in 6 weeks · Healthcare visit (other): In person doctor, lab work
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  31. 2021-06-23
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  32. 2021-06-25
  33. 2021-06-25
    Call successful
    Reported to VAERS voluntarily prior to GDIT contact
  34. 2021-09-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  35. 2021-12-10
    Dose 3 — Pfizer-BioNTech
  36. 2021-12-10
    Survey response — day 0, dose 3
    MedDRA: Feeling abnormal, Memory impairment — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Feel a little spacey , forgetful, just going to rest today
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-12-11
    Survey response — days 1–6 daily, dose 3
    MedDRA: Headache, Insomnia, Neuralgia, Sleep disorder, Vaccine positive rechallenge — Feeling: Fair · Chills, Headache, Muscle or body aches, Nausea
    Free text: Also nerve pain from face down armsto elbows to finger tips just like Moderna shot reaction up since 2am. Mo sleep lsst night headache too bad
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-12-12
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chest pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Chest aches a little
    MedDRA releases: 2024-11 · check-in free text available
  39. 2021-12-13
    Survey response — days 1–6 daily, dose 3
    MedDRA: Malaise — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Feel lousy all over
    MedDRA releases: 2024-11 · check-in free text available
  40. 2021-12-14
    Survey response — days 1–6 daily, dose 3
    MedDRA: Distractibility, Irritability — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Very grouchy very distracted
    MedDRA releases: 2024-11 · check-in free text available
  41. 2021-12-15
    Survey response — days 1–6 daily, dose 3
    MedDRA: Distractibility, Impaired driving ability, Memory impairment — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: So distracted. Cant remember what im doing had to keep turning around when ive been driving cause I cant remember where im going. So strange
    MedDRA releases: 2024-11 · check-in free text available
  42. 2021-12-16
    Survey response — days 1–6 daily, dose 3
    MedDRA: Distractibility, Disturbance in attention — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Still distracted trouble concentrating but little better
    MedDRA releases: 2024-11 · check-in free text available
  43. 2021-12-17
    Health check-in — day 7, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  44. 2021-12-24
    Survey response — day 14, dose 3
    MedDRA: Blood glucose decreased, Body temperature increased, Cold sweat — Feeling: Good · Be unable to do your normal daily activities
    Free text: On day 9 and 10 i had a fever of 100,-cold sweats, and my bloodsugar dropped to 69 body aches Those symptoms lasted 2 full days Feel fine now
    MedDRA releases: 2024-11 · check-in free text available
  45. 2021-12-31
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  46. 2022-01-07
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  47. 2022-01-14
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  48. 2022-01-21
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  49. 2022-03-11
    Survey response — 3 months, dose 3
    MedDRA: Adverse drug reaction, Chills, Loss of consciousness, Malaise, Nasal congestion, Neuralgia, Pain, Pre-existing disease, Pyrexia, Rhinalgia, Sinus disorder — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Had a Reclast Infusion treatment for bones side affects were high fever, chills Stuffy painful nose. Passed out morning after. Have not felt right since then in sinuses, feel lousy all over the shooting nerve pain from covid shots returne
    MedDRA releases: 2024-11 · check-in free text available
  50. 2022-06-10
    Survey response — 6 months, dose 3
    MedDRA: Neuralgia — Feeling: Good
    Free text: Still having the nerve pain since the first Moderna shot
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-24Moderna
22021-03-24Moderna
32021-12-10Pfizer-BioNTech No

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 4

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-24

Systemic reaction (other): Feel little bit jittery

Release 4 — days 1–6 daily, dose 1

2021-02-25

Systemic reaction (other): Arm aches from shoulder to fingers. grouchy, also, lol

2021-02-26

Systemic reaction (other): Was cleaning and started to get pain in both armpits, felt like many pinched nerves type of pain, decided to stop cleaning since it was so weird

2021-02-28

Systemic reaction (other): Not sleeping good. vivid dreams, not sleeping all night

Release 5 — day 7, dose 1

2021-03-03

Systemic reaction (other): Still off abd on have darting pain in arm.pits and along collarbone, strange

Release 5 — day 14, dose 1

2021-03-10

Symptoms: Just very tired Cant finish my daily activities Right arm pit still swollen

Release 5 — day 21, dose 1

2021-03-17

Symptoms: Very tired few days last weekHad to Just rest

Release 6 — day 0, dose 2

2021-03-24

Systemic reaction (other): Driving the 70 miles back home had.pain in both elbows wrists,ribs kinda like pinched nerves type pain now feel like the flu

Release 6 — days 1–6 daily, dose 2

2021-03-25

Systemic reaction (other): Couldn't sleep at all last night to much headache, body aches

2021-03-26

Systemic reaction (other): During night had pinched nerve type pain in lower andomen couldn't pee,for 2 hours,ugh! Better now. Hope to sleep tonight,just took long nap

2021-03-29

Systemic reaction (other): Feel like collarbone area lymph nodes swollen

Release 7 — day 14, dose 2

2021-04-07

Symptoms: Very nauseous, low bloodsugar levels, headaches, muscle pain, lasted 5 days,better today except bloodsugar level, i keep it usually at 94, has been 78 since 2nd shot, trying to get it back to 94

Release 7 — day 21, dose 2

2021-04-14

Symptoms: Still having pinched nerve tpye pain randomly, neck area,left arm pit, elbows Muscle aches, so strange

Release 7 — day 28, dose 2

2021-04-21

Symptoms: Still having those pain like shooting pinched nerves random areas,especially after physical execution. Called my doc They said vaccine so new they have no clue what to do, just take tylenol
Healthcare visit (other): Emailed doc, they did nothing

Release 8 — day 35, dose 2

2021-04-28

Symptoms: Still having those quick shooting pains randomly, this week in my face and eyeballs. I went online and reported it to VEARS FDA because the side effects are still continuing and now in my eyes. Are they going to stop or be Permanent ?
Healthcare visit (other): Went online reported it to VAERS, FDA. Listed on vaccine handout sheet

Release 8 — day 42, dose 2

2021-05-05

Symptoms: Besides the shooting nerve pain,since it happened in my eyes last week,now i have pins and needles sensations random times and all over. Doctor told me to come in to be seen
Healthcare visit (other): In person primary care doctor visit, also ordered labs

Release 9 — 3 months, dose 2

2021-06-23

Symptoms: Still having shooting nerve pain side effects, very low TSH levels,doctor checking me again in 6 weeks
Healthcare visit (other): In person doctor, lab work

Release 10 — day 0, dose 3

2021-12-10

Systemic reaction (other): Feel a little spacey , forgetful, just going to rest today

Release 10 — days 1–6 daily, dose 3

2021-12-11

Systemic reaction (other): Also nerve pain from face down armsto elbows to finger tips just like Moderna shot reaction up since 2am. Mo sleep lsst night headache too bad

2021-12-12

Systemic reaction (other): Chest aches a little

2021-12-13

Systemic reaction (other): Feel lousy all over

2021-12-14

Systemic reaction (other): Very grouchy very distracted

2021-12-15

Systemic reaction (other): So distracted. Cant remember what im doing had to keep turning around when ive been driving cause I cant remember where im going. So strange

2021-12-16

Systemic reaction (other): Still distracted trouble concentrating but little better

Release 10 — day 14, dose 3

2021-12-24

Symptoms: On day 9 and 10 i had a fever of 100,-cold sweats, and my bloodsugar dropped to 69 body aches Those symptoms lasted 2 full days Feel fine now

Release 11 — 3 months, dose 3

2022-03-11

Symptoms: Had a Reclast Infusion treatment for bones side affects were high fever, chills Stuffy painful nose. Passed out morning after. Have not felt right since then in sinuses, feel lousy all over the shooting nerve pain from covid shots returne cut off by CDC

Release 12 — 6 months, dose 3

2022-06-10

Symptoms: Still having the nerve pain since the first Moderna shot

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 ✓ ✓ ✓
SDAdverse drug reaction · · ✓
SDBlood glucose decreased ✓ ✓ ✓
SDBlood thyroid stimulating hormone decreased ✓ ✓ ✓
SDBody temperature increased · · ✓
SDChills · · ✓
SDCold sweat · · ✓
SDEye pain ✓ ✓ ✓
SDFacial pain ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDLoss of consciousness · · ✓
SDLoss of personal independence in daily activities ✓ ✓ ✓
SDMalaise · · ✓
SDMedical counselling ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNasal congestion · · ✓
SDNausea ✓ ✓ ✓
SDNerve compression ✓ ✓ ✓
SDNeuralgia ✓ ✓ ✓
SDOedema peripheral ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SDPre-existing disease · · ✓
SDPyrexia · · ✓
SDRhinalgia · · ✓
SDSinus disorder · · ✓
SROAbnormal dreams ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROChest pain · · ✓
SRODistractibility · · ✓
SRODisturbance in attention · · ✓
SROFeeling abnormal · · ✓
SROFeeling jittery ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROImpaired driving ability · · ✓
SROInfluenza like illness ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROIrritability ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROMalaise · · ✓
SROMemory impairment · · ✓
SROMusculoskeletal chest pain ✓ ✓ ✓
SRONerve compression ✓ ✓ ✓
SRONeuralgia · · ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPoor quality sleep ✓ · ✓
SROSleep disorder ○ ✓ ✓
SROSupraclavicular fossa pain ✓ ✓ ✓
SROUrine output decreased ✓ ✓ ✓
SROVaccine positive rechallenge · · ✓

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