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
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2021-02-24
Registered in v-safe
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2021-02-24
Dose 1 — Moderna
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2021-02-24
Survey response — day 0, dose 1MedDRA: Feeling jittery — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tirednessFree text: Feel little bit jitteryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Irritability, Pain in extremity — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Arm aches from shoulder to fingers. grouchy, also, lolMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree 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 weirdMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-28
Survey response — days 1–6 daily, dose 1MedDRA: Abnormal dreams, Poor quality sleep, Sleep disorder — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Not sleeping good. vivid dreams, not sleeping all nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-02
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2021-03-03
Survey response — day 7, dose 1MedDRA: Pain in extremity, Supraclavicular fossa pain — Feeling: Good · Site: PainFree text: Still off abd on have darting pain in arm.pits and along collarbone, strangeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — day 14, dose 1MedDRA: Fatigue, Loss of personal independence in daily activities, Oedema peripheral — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Just very tired Cant finish my daily activities Right arm pit still swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Survey response — day 21, dose 1MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: Very tired few days last weekHad to Just restMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Dose 2 — Moderna
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2021-03-24
Survey response — day 0, dose 2MedDRA: Arthralgia, Influenza like illness, Musculoskeletal chest pain — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Driving the 70 miles back home had.pain in both elbows wrists,ribs kinda like pinched nerves type pain now feel like the fluMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Insomnia, Pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesFree text: Couldn't sleep at all last night to much headache, body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: Nerve compression, Urine output decreased — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree 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 napMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-03-28
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2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Joint painsFree text: Feel like collarbone area lymph nodes swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-03-31
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2021-04-07
Survey response — day 14, dose 2MedDRA: Blood glucose decreased, Headache, Myalgia, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree 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 94MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — day 21, dose 2MedDRA: Myalgia, Nerve compression — Feeling: GoodFree text: Still having pinched nerve tpye pain randomly, neck area,left arm pit, elbows Muscle aches, so strangeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — day 28, dose 2MedDRA: Medical counselling, Neuralgia, Pain, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree 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 nothingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-28
Survey response — day 35, dose 2MedDRA: Eye pain, Facial pain, Pain, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree 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 sheetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-05
Survey response — day 42, dose 2MedDRA: Eye pain, Neuralgia, Office visit, Pain, Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professionalFree 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 labsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-23
Survey response — 3 months, dose 2MedDRA: Blood thyroid stimulating hormone decreased, Neuralgia, Office visit, Pain — Feeling: Fair · Get care from a doctor or other healthcare professionalFree 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 workMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-23
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-25
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2021-06-25
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2021-09-22
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2021-12-10
Dose 3 — Pfizer-BioNTech
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2021-12-10
Survey response — day 0, dose 3MedDRA: Feeling abnormal, Memory impairment — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Feel a little spacey , forgetful, just going to rest todayMedDRA releases: 2024-11 · check-in free text available
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2021-12-11
Survey response — days 1–6 daily, dose 3MedDRA: Headache, Insomnia, Neuralgia, Sleep disorder, Vaccine positive rechallenge — Feeling: Fair · Chills, Headache, Muscle or body aches, NauseaFree 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 badMedDRA releases: 2024-11 · check-in free text available
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2021-12-12
Survey response — days 1–6 daily, dose 3MedDRA: Chest pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Chest aches a littleMedDRA releases: 2024-11 · check-in free text available
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2021-12-13
Survey response — days 1–6 daily, dose 3MedDRA: Malaise — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Feel lousy all overMedDRA releases: 2024-11 · check-in free text available
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2021-12-14
Survey response — days 1–6 daily, dose 3MedDRA: Distractibility, Irritability — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Very grouchy very distractedMedDRA releases: 2024-11 · check-in free text available
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2021-12-15
Survey response — days 1–6 daily, dose 3MedDRA: 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 activitiesFree 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 strangeMedDRA releases: 2024-11 · check-in free text available
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2021-12-16
Survey response — days 1–6 daily, dose 3MedDRA: Distractibility, Disturbance in attention — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Still distracted trouble concentrating but little betterMedDRA releases: 2024-11 · check-in free text available
- 2021-12-17
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2021-12-24
Survey response — day 14, dose 3MedDRA: Blood glucose decreased, Body temperature increased, Cold sweat — Feeling: Good · Be unable to do your normal daily activitiesFree 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 nowMedDRA releases: 2024-11 · check-in free text available
- 2021-12-31
- 2022-01-07
- 2022-01-14
- 2022-01-21
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2022-03-11
Survey response — 3 months, dose 3MedDRA: 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 activitiesFree 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 returneMedDRA releases: 2024-11 · check-in free text available
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2022-06-10
Survey response — 6 months, dose 3MedDRA: Neuralgia — Feeling: GoodFree text: Still having the nerve pain since the first Moderna shotMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Moderna | |
| 2 | 2021-03-24 | Moderna | |
| 3 | 2021-12-10 | Pfizer-BioNTech | No |
Call center
4 call center cases
4 successful
VAERS report filed, before or during a call: 4
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Feel little bit jittery
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Arm aches from shoulder to fingers. grouchy, also, lol
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
Systemic reaction (other): Not sleeping good. vivid dreams, not sleeping all night
Release 5 — day 7, dose 1
Systemic reaction (other): Still off abd on have darting pain in arm.pits and along collarbone, strange
Release 5 — day 14, dose 1
Symptoms: Just very tired Cant finish my daily activities Right arm pit still swollen
Release 5 — day 21, dose 1
Symptoms: Very tired few days last weekHad to Just rest
Release 6 — day 0, dose 2
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
Systemic reaction (other): Couldn't sleep at all last night to much headache, body aches
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
Systemic reaction (other): Feel like collarbone area lymph nodes swollen
Release 7 — day 14, dose 2
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
Symptoms: Still having pinched nerve tpye pain randomly, neck area,left arm pit, elbows Muscle aches, so strange
Release 7 — day 28, dose 2
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
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
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
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
Systemic reaction (other): Feel a little spacey , forgetful, just going to rest today
Release 10 — days 1–6 daily, dose 3
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
Systemic reaction (other): Chest aches a little
Systemic reaction (other): Feel lousy all over
Systemic reaction (other): Very grouchy very distracted
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
Systemic reaction (other): Still distracted trouble concentrating but little better
Release 10 — day 14, dose 3
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Adverse drug reaction | · | · | ✓ |
| SD | Blood glucose decreased | ✓ | ✓ | ✓ |
| SD | Blood thyroid stimulating hormone decreased | ✓ | ✓ | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cold sweat | · | · | ✓ |
| SD | Eye pain | ✓ | ✓ | ✓ |
| SD | Facial pain | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Loss of consciousness | · | · | ✓ |
| SD | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Nerve compression | ✓ | ✓ | ✓ |
| SD | Neuralgia | ✓ | ✓ | ✓ |
| SD | Oedema peripheral | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinalgia | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SRO | Abnormal dreams | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Distractibility | · | · | ✓ |
| SRO | Disturbance in attention | · | · | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Feeling jittery | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Impaired driving ability | · | · | ✓ |
| SRO | Influenza like illness | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Irritability | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Memory impairment | · | · | ✓ |
| SRO | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SRO | Nerve compression | ✓ | ✓ | ✓ |
| SRO | Neuralgia | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Poor quality sleep | ✓ | · | ✓ |
| SRO | Sleep disorder | ○ | ✓ | ✓ |
| SRO | Supraclavicular fossa pain | ✓ | ✓ | ✓ |
| SRO | Urine output decreased | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release