4KB-94072-44615

2 vaccinations 15 coded responses 22 check-ins 15 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 773 / TX
Registered: 2021-04-19

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

2021-04-18
Dose 1 — Moderna
2021-04-19
Registered in v-safe
2021-04-19
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity, Renal pain, Toothache — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Sharp pain on my right side which appears to be coming from the kidney region. Other symptom were very similar to when I had Covid in fall 2020. Teeth hurt and fingertips hurt.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Renal pain — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Severe lower back pain. Pain shifted from kidney area to lower spine in the lumbar area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Office visit — Feeling: Fair · Joint pains, Nausea, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Still having severe pain in my lower back. · Healthcare visit (other): Primary care Dr office in person visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Fair · Joint pains, Rash, not including the immediate area around the injection site

Free text: Still have severe lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Fair · Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Severe pain in lower back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: Still having lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — day 7, dose 1
MedDRA: Back pain — Feeling: Fair

Free text: Still having significant lower back pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — day 14, dose 1
MedDRA: Arthralgia, Contusion, Injection site pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Horrible joint pain in the thumb region of my left hand. Thumb is barely usable due to the pain. This in on the arm that I got the vaccine in. Also, unexplained bruising on the same arm. I had tenderness in the area that then developed into a bruise.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — day 21, dose 1
MedDRA: Arthralgia, Peripheral swelling, Polymenorrhoea, Vaginal haemorrhage — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pain in left thumb so severe I can hardly use it. Pain starting in elbow joint. Mild swelling of fingers. 2 days after shot, I had vaginal bleeding for 24 hrs. Then it stopped for 48 hrs and then I started my period 2 weeks early!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Dose 2 — Moderna
2021-05-16
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-18
Survey response — days 1–6 daily, dose 2
MedDRA: Menstruation irregular — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I started my period unexpectedly after taking the shot. This is a week early.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains

Adult check-in
2021-05-20
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Good · Joint pains

Free text: Still having severe joint pain in my left hand. Primarily thumb region and has spread to wrist. This is arm I got 1st injection in.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-05-23
Survey response — day 7, dose 2
MedDRA: Burning sensation, Neuralgia — Feeling: Good · Joint pains

Free text: Getting a burning sensation like nerve pain in my right foot and lower leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-08
Survey response — day 21, dose 2
MedDRA: Rash, Reaction to previous exposure to any vaccine — Feeling: Good

Free text: I developed a small rash. This is the same rash I developed last time after getting my Covid vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-30
Survey response — day 42, dose 2
MedDRA: Arthralgia, Neuralgia, Office visit, Pain in extremity, Peripheral swelling — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Nerve pain in right foot. Also the pain in my left wrist and thumb got to the point I had to seek medical attention. After my last vaccine, my left hand and fingers swelled and I had to remove my rings. The Dr had to give me steroid shot in both. · Healthcare visit (other): Dr office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-07
Call successful
Participant prefers to complete VAERS report online
2021-11-16
Survey response — 6 months, dose 2
MedDRA: Capillary fragility, Heavy menstrual bleeding, Menstruation irregular, Office visit, Pain in extremity, Petechiae — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Had horrible pain in my right leg and ended up with blood spots/broken capillaries all over my leg. This has never happened before. After both shots, I had an unexpected period with heavy bleeding. Cycles are closer together and bleeding is heavier. · Healthcare visit (other): Primary care physician

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-18	Moderna
2	2021-05-16	Moderna

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-19

Systemic reaction (other): Sharp pain on my right side which appears to be coming from the kidney region. Other symptom were very similar to when I had Covid in fall 2020. Teeth hurt and fingertips hurt.

2021-04-20

Systemic reaction (other): Severe lower back pain. Pain shifted from kidney area to lower spine in the lumbar area.

2021-04-21

Systemic reaction (other): Still having severe pain in my lower back.

Healthcare visit (other): Primary care Dr office in person visit

2021-04-22

Systemic reaction (other): Still have severe lower back pain

2021-04-23

Systemic reaction (other): Severe pain in lower back.

2021-04-24

Systemic reaction (other): Still having lower back pain

Release 7 — day 7, dose 1

2021-04-25

Systemic reaction (other): Still having significant lower back pain.

Release 8 — day 14, dose 1

2021-05-02

Symptoms: Horrible joint pain in the thumb region of my left hand. Thumb is barely usable due to the pain. This in on the arm that I got the vaccine in. Also, unexplained bruising on the same arm. I had tenderness in the area that then developed into a bruise. cut off by CDC

Release 8 — day 21, dose 1

2021-05-09

Symptoms: Joint pain in left thumb so severe I can hardly use it. Pain starting in elbow joint. Mild swelling of fingers. 2 days after shot, I had vaginal bleeding for 24 hrs. Then it stopped for 48 hrs and then I started my period 2 weeks early!

Release 8 — days 1–6 daily, dose 2

2021-05-18

Systemic reaction (other): I started my period unexpectedly after taking the shot. This is a week early.

2021-05-20

Systemic reaction (other): Still having severe joint pain in my left hand. Primarily thumb region and has spread to wrist. This is arm I got 1st injection in.

Release 8 — day 7, dose 2

2021-05-23

Systemic reaction (other): Getting a burning sensation like nerve pain in my right foot and lower leg

Release 8 — day 21, dose 2

2021-06-08

Symptoms: I developed a small rash. This is the same rash I developed last time after getting my Covid vaccine.

Release 9 — day 42, dose 2

2021-06-30

Symptoms: Nerve pain in right foot. Also the pain in my left wrist and thumb got to the point I had to seek medical attention. After my last vaccine, my left hand and fingers swelled and I had to remove my rings. The Dr had to give me steroid shot in both.

Healthcare visit (other): Dr office

Release 10 — 6 months, dose 2

2021-11-16

Symptoms: Had horrible pain in my right leg and ended up with blood spots/broken capillaries all over my leg. This has never happened before. After both shots, I had an unexpected period with heavy bleeding. Cycles are closer together and bleeding is heavier. cut off by CDC

Healthcare visit (other): Primary care physician

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	Arthralgia	✓	✓	✓
SD	Capillary fragility	·	·	✓
SD	Contusion	✓	✓	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Menstruation irregular	·	·	✓
SD	Neuralgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Petechiae	·	·	✓
SD	Polymenorrhoea	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Reaction to previous exposure to any vaccine	✓	✓	✓
SD	Vaginal haemorrhage	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Menstruation irregular	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Renal pain	✓	✓	✓
SRO	Toothache	✓	✓	✓

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