4XY-98592-59885

3 vaccinations 21 coded responses 42 check-ins 20 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 287 / NC
Registered: 2021-03-22

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

2021-03-22
Registered in v-safe
2021-03-22
Dose 1 — Moderna
2021-03-22
Survey response — day 0, dose 1
MedDRA: Dizziness, Dysphagia, Immediate post-injection reaction, Oropharyngeal discomfort — Feeling: Fair · Fatigue or tiredness

Free text: Within a few minutes of the injection I felt lightheaded and felt like my throat started to feel a little funny and like it was getting hard to swallow. But thats as far as it went. I have had anaphylactic shock before three times so the beginning was similar to that experience.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Fatigue, Heart rate increased, Neck pain — Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activities

Free text: Ive had a good amount of neck and shoulder pain today as well as fatigue. I forgot to mention yesterday that five minutes after I received the injection I started to experience rapid heartbeat but it only lasted a few minutes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Amnesia, Asthenia, Feeling abnormal, Malaise — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ive been feeling really foggy and out of it. I dont even remember most of yesterday. And I didnt realize until today when I started to come out of it a little bit that it even was happening. I still have a lot of weakness also.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Dysuria, Hypertension, Memory impairment, Muscular weakness, Palpitations — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I dont remember if I mentioned this yet or not because since the vaccine Ive been feeling like a zombie and really forgetful, but the first two days I was not urinating as much as normal. And my legs felt like Jell-O. I havent had any more episodes of my heart racing but my blood pressure has been high. Last check was 156/106. My biggest concern is that I lost all of Tuesday I cannot remember anything about it. But I think things are starting to improve as of today.

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

Free text: Something new started last night. I began to have pain severe pain in my left side it felt like someone kicked me 1 million times in my side it was very sore and tender. I use the heating pad overnight and then as of today I have pain in my left side and my back on the left side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Flank pain, Hypertension — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: On Thursday night left-sided pain began by Friday morning it was left-sided in the left side of my back and then as of last night its on both sides and my back. The pain is moderate to severe. My blood pressure has also been very high. Last checked was 156/111.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Mobility decreased, Pre-existing disease, Renal pain, Rheumatoid arthritis — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I havent been out of the house since the day I got the injection. I think most of the effects of the shot are going away finally. I dont feel pain in my kidneys anymore and I still have some back pain. Also I think its triggered my rheumatoid arthritis which Ive had since I was two years old. It feels like Im in a severe RA flareup right now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — day 7, dose 1
MedDRA: Arthritis, Pre-existing disease — Feeling: Good · Joint pains · Be unable to do your normal daily activities

Free text: The only thing I seem to be dealing with now is a flareup of my arthritis. I am hoping the second shot isnt going to be much worse. Im already on the fence as to whether or not I want to take it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — day 14, dose 1
MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activities

Free text: Ive been sleeping more than ever. Also Ive been having stomach cramping and diarrhea which is some thing that never happens to me so I dont know if its related or not.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-19
Dose 2 — Moderna
2021-04-19
Survey response — day 0, dose 2
MedDRA: Arthralgia, Back pain, Nausea — Feeling: Good · Site: Pain · Joint pains, Nausea

Free text: I got my shot at 3:30 and I just started to feel a little nauseous and have some back and joint pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Pain of skin, Tenderness — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The bottom of my legs feel a little tender like the skin is sore to the touch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral coldness — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Its difficult to warm up my hands for some reason theyre constantly cold.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral coldness — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cold hands

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: Chills, Hyperhidrosis — Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I had the chills but Im sweating. I didnt get out of bed until 330.

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: Pre-existing disease — Feeling: Good · Joint pains · Be unable to do your normal daily activities

Free text: I believe the vaccine has triggered my rheumatoid arthritis. I forgot to mention that after the first shot it happened as well

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Survey response — day 14, dose 2
MedDRA: Pruritus, Rash — Feeling: Good

Free text: Feeling itchy and rash on both arms and both heels. Started two days ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-31
Survey response — day 42, dose 2
MedDRA: Arthralgia, Nausea, Pre-existing disease, Retching, Rheumatoid arthritis — Feeling: Good · Be unable to do your normal daily activities

Free text: Since my 1st shot my overall joint pain has increased and the number of RA flareups I have per month have significantly increased. Ive also dealt w/ several episodes of nausea/dry heaving over the last week which hadnt happened in 10 yrs until

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-19
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Decreased activity, Fatigue, Weight increased — Feeling: Good · Be unable to do your normal daily activities

Free text: Extreme fatigue Increased arthritic pain Decreased activity Weight gain (7.7lbs)

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-19
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-07
Dose 3 — Moderna
2022-06-07
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-06-08
Survey response — days 1–6 daily, dose 3
MedDRA: Neck pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Neck pain

MedDRA releases: 2024-11 · check-in free text available
2022-06-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2022-06-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-11
Survey response — days 1–6 daily, dose 3
MedDRA: Uterine spasm — Feeling: Good · Fatigue or tiredness, Nausea

Free text: Yesterday I had what felt like menstrual cramps but I'm not menstruating. I don't know if it's related or not.

MedDRA releases: 2024-11 · check-in free text available
2022-06-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-06-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-06-14
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-06-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-06-28
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-07-05
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-07-12
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-07-19
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-09-06
Health check-in — 3 months, dose 3
Feeling: Good

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

Adult check-in
2023-06-09
Survey response — 12 months, dose 3
MedDRA: Hypoaesthesia, Muscular weakness, Pneumonia — Feeling: Good · 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

MedDRA releases: 2024-11
2023-06-09
Call case (no matching report) — Unsuccessful
2023-06-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Moderna
2	2021-04-19	Moderna
3	2022-06-07	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-22

Systemic reaction (other): Within a few minutes of the injection I felt lightheaded and felt like my throat started to feel a little funny and like it was getting hard to swallow. But thats as far as it went. I have had anaphylactic shock before three times so the beginning was similar to that experience.

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): Ive had a good amount of neck and shoulder pain today as well as fatigue. I forgot to mention yesterday that five minutes after I received the injection I started to experience rapid heartbeat but it only lasted a few minutes.

2021-03-24

Systemic reaction (other): Ive been feeling really foggy and out of it. I dont even remember most of yesterday. And I didnt realize until today when I started to come out of it a little bit that it even was happening. I still have a lot of weakness also.

2021-03-25

Systemic reaction (other): I dont remember if I mentioned this yet or not because since the vaccine Ive been feeling like a zombie and really forgetful, but the first two days I was not urinating as much as normal. And my legs felt like Jell-O. I havent had any more episodes of my heart racing but my blood pressure has been high. Last check was 156/106. My biggest concern is that I lost all of Tuesday I cannot remember anything about it. But I think things are starting to improve as of today.

2021-03-26

Systemic reaction (other): Something new started last night. I began to have pain severe pain in my left side it felt like someone kicked me 1 million times in my side it was very sore and tender. I use the heating pad overnight and then as of today I have pain in my left side and my back on the left side.

2021-03-27

Systemic reaction (other): On Thursday night left-sided pain began by Friday morning it was left-sided in the left side of my back and then as of last night its on both sides and my back. The pain is moderate to severe. My blood pressure has also been very high. Last checked was 156/111.

2021-03-28

Systemic reaction (other): I havent been out of the house since the day I got the injection. I think most of the effects of the shot are going away finally. I dont feel pain in my kidneys anymore and I still have some back pain. Also I think its triggered my rheumatoid arthritis which Ive had since I was two years old. It feels like Im in a severe RA flareup right now.

Release 6 — day 7, dose 1

2021-03-29

Systemic reaction (other): The only thing I seem to be dealing with now is a flareup of my arthritis. I am hoping the second shot isnt going to be much worse. Im already on the fence as to whether or not I want to take it.

Release 6 — day 14, dose 1

2021-04-05

Symptoms: Ive been sleeping more than ever. Also Ive been having stomach cramping and diarrhea which is some thing that never happens to me so I dont know if its related or not.

Release 7 — day 0, dose 2

2021-04-19

Systemic reaction (other): I got my shot at 3:30 and I just started to feel a little nauseous and have some back and joint pain.

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): The bottom of my legs feel a little tender like the skin is sore to the touch.

2021-04-21

Systemic reaction (other): Its difficult to warm up my hands for some reason theyre constantly cold.

2021-04-23

Systemic reaction (other): Cold hands

2021-04-24

Systemic reaction (other): I had the chills but Im sweating. I didnt get out of bed until 330.

2021-04-25

Systemic reaction (other): I believe the vaccine has triggered my rheumatoid arthritis. I forgot to mention that after the first shot it happened as well

Release 8 — day 14, dose 2

2021-05-03

Symptoms: Feeling itchy and rash on both arms and both heels. Started two days ago.

Release 8 — day 42, dose 2

2021-05-31

Symptoms: Since my 1st shot my overall joint pain has increased and the number of RA flareups I have per month have significantly increased. Ive also dealt w/ several episodes of nausea/dry heaving over the last week which hadnt happened in 10 yrs until

Release 9 — 3 months, dose 2

2021-07-19

Symptoms: Extreme fatigue Increased arthritic pain Decreased activity Weight gain (7.7lbs)

Release 11 — days 1–6 daily, dose 3

2022-06-08

Systemic reaction (other): Neck pain

Release 12 — days 1–6 daily, dose 3

2022-06-11

Systemic reaction (other): Yesterday I had what felt like menstrual cramps but I'm not menstruating. I don't know if it's related or not.

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	Arthralgia	✓	✓	✓
SD	Decreased activity	·	·	✓
SD	Fatigue	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pneumonia	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Retching	✓	✓	✓
SD	Rheumatoid arthritis	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SD	Weight increased	·	·	✓
SRO	Amnesia	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Arthritis	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysphagia	✓	✓	✓
SRO	Dysuria	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Flank pain	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Memory impairment	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal discomfort	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain of skin	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Peripheral coldness	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Renal pain	✓	✓	✓
SRO	Rheumatoid arthritis	✓	✓	✓
SRO	Tenderness	✓	✓	✓
SRO	Uterine spasm	·	·	✓

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