529-25495-82802

1 vaccination 11 coded responses 15 check-ins 11 free-text entries 12 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 024 / MA
Registered: 2021-01-14

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Survey response — day 0, dose 1
MedDRA: Injection site pain, Injection site pruritus, Injection site urticaria, Limb discomfort — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Itchy painful hives at injection site and on leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Report sent to call center — day 0, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-21
Survey response — day 7, dose 1
MedDRA: Chills, Fatigue, Flushing, Migraine, Oropharyngeal pain, Pyrexia — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Facial flushing, sore throat, Also I didn't get a text yesterday about my symptoms - I hope I continue to receive these since I'm still experiencing side effects from the vaccine I received a week ago, I'm a bit concerned about why they're not going away since I thought they were only supposed to last 4-5 days. I'm most concerned about the persistent low grade fever, chills, migraine, & fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site inflammation, Injection site pain, Injection site pruritus, Injection site warmth — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My low grade temp increases daily with high of 100.1. ~3Ã—3 area just above vaccine injection site became red&inflamed 13 days post-vaccine & goes up to my shoulder, is warm to touch, painful, itchy, has redder raised edges & a lighter pink inside.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-04
Survey response — day 21, dose 1
MedDRA: Abdominal pain, Chills, Pruritus, Pyrexia, Urticaria, Vaccination site pain — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Severe abdominal pain/cramps, a few new itchy hives daily at various sites on arms/legs/torso/abdomen/hips, vaccination site still hurts periodically, still experiencing low grade temperature (up to 99.8) degrees and chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-11
Survey response — day 28, dose 1
MedDRA: Condition aggravated, Decreased insulin requirement, Diabetes mellitus, Hypoglycaemia, Medical counselling, Pre-existing disease, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Suddenly I'm experiencing several daily hypoglycemic events making my Type I diabetes harder to control. I'm more sensitive to my insulin & my total daily dose has dropped by 1/3. My allergist told me to delay the 2nd dose to avoid serum sickness. · Healthcare visit (other): My allergist is concerned that I could have a serious reaction to the 2nd dose of the vaccine so she wanted me to join a trial so that I could be tested for antibodies to the covid spike protein but the study is underfunded & full so I dont know how she'll determine if & when it's safe for me to get my 2nd dose of the vaccine. She's swamped & the antibody testing I need isn't available outside of a trial setting. She thought it might be safe for me to delay the 2nd dose by a month but without any way to check my antibody levels that might be too risky.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Report sent to call center — day 28, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-18
Survey response — day 35, dose 1
MedDRA: Medical counselling, Reaction to previous exposure to any vaccine — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Allergist said to delay 2nd dose, enroll in study checking IgG levels to spike protein to know if/when it's safe to get 2nd dose. She's concerned I'll develop serum sickness from 2nd dose due to reaction to 1st but study is closed. I have no options.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — day 35, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-25
Survey response — day 42, dose 1
MedDRA: Breast tenderness, Depression, Flushing, Medical counselling, Migraine, Muscle spasms, Reaction to previous exposure to any vaccine, Urticaria — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Depression went away 2/20/21. Strong evidence it was side effect of 1st dose. Still have hives, migraine, severe cramps, facial flushing & prolonged tender breasts from 1st dose. My allergist told me to delay 2nd dose due to risk of serum sickness. · Healthcare visit (other): I tried getting into the study my allergist needed me to get into. It would test my IgG levels to the spike protein over time to determine if & when it's safe for me to get the 2nd dose but the study is full. My allergist is too swamped to get back to me so I don't know what Plan B is. I likely won't get the 2nd dose due to the high risk of serum sickness. I wish this app asked why I hadn't received my 2nd dose yet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — day 42, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-15
Survey response — 3 months, dose 1
MedDRA: Fear, Incomplete course of vaccination, Medical counselling, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Still reacting to 1st dose in too many ways to list here. My allergist told me not to get 2nd dose due to serum sickness risk. I couldn't get in study that would tell me if & when it's safe for me to get 2nd shot. I'm scared re future boosters needed · Healthcare visit (other): I feel left behind. Allergist swamped. Risk of serum sickness from future booster shots needed could kill me or leave me unprotected.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — 3 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-27
Call successful
Does not wish to fill out VAERS report
2021-07-16
Survey response — 6 months, dose 1
MedDRA: Limb mass, Oedema peripheral, Office visit, Pain in extremity, SARS-CoV-2 antibody test positive — Feeling: Fair · 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

Free text: Symptoms: Right foot edema. Lump above right ankle. Painful to put weight on leg. Doctors can't determine cause after months of tests but unlikely it's due to vaccine. I'm still not back to baseline overall after 1st vaccine dose 1/14/20. I'm very reactive. · Healthcare visit (other): Per allergist: my high level of covid spike antibodies show I had robust immune response to 1st vaccine dose. Not worth risk of reaction for me to get 2nd dose. My Antibodies are higher than most people who got both doses.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-16
Report sent to call center — 6 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-23
Call 1 — Left Voicemail
2022-01-14
Survey response — 12 months, dose 1
MedDRA: Cough, Dysphonia, Laryngeal oedema, Laryngitis, Migraine, Muscle tightness, Visual impairment — Feeling: Fair · Be unable to do your normal daily activities

Free text: Laryngeal edema, laryngitis, chronic cough, muscle tension dysphonia, daily migraines with various visual manifestations

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna

Call center

12 call center cases

6 successful · 1 unsuccessful · 5 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-14

Systemic reaction (other): Itchy painful hives at injection site and on leg

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): Sore throat

Release 2 — day 7, dose 1

2021-01-21

Systemic reaction (other): Facial flushing, sore throat, Also I didn't get a text yesterday about my symptoms - I hope I continue to receive these since I'm still experiencing side effects from the vaccine I received a week ago, I'm a bit concerned about why they're not going away since I thought they were only supposed to last 4-5 days. I'm most concerned about the persistent low grade fever, chills, migraine, & fatigue.

Release 3 — day 14, dose 1

2021-01-28

Symptoms: My low grade temp increases daily with high of 100.1. ~3Ã—3 area just above vaccine injection site became red&inflamed 13 days post-vaccine & goes up to my shoulder, is warm to touch, painful, itchy, has redder raised edges & a lighter pink inside. cut off by CDC

Release 3 — day 21, dose 1

2021-02-04

Symptoms: Severe abdominal pain/cramps, a few new itchy hives daily at various sites on arms/legs/torso/abdomen/hips, vaccination site still hurts periodically, still experiencing low grade temperature (up to 99.8) degrees and chills

Release 4 — day 28, dose 1

2021-02-11

Symptoms: Suddenly I'm experiencing several daily hypoglycemic events making my Type I diabetes harder to control. I'm more sensitive to my insulin & my total daily dose has dropped by 1/3. My allergist told me to delay the 2nd dose to avoid serum sickness.

Healthcare visit (other): My allergist is concerned that I could have a serious reaction to the 2nd dose of the vaccine so she wanted me to join a trial so that I could be tested for antibodies to the covid spike protein but the study is underfunded & full so I dont know how she'll determine if & when it's safe for me to get my 2nd dose of the vaccine. She's swamped & the antibody testing I need isn't available outside of a trial setting. She thought it might be safe for me to delay the 2nd dose by a month but without any way to check my antibody levels that might be too risky.

Release 4 — day 35, dose 1

2021-02-18

Symptoms: Allergist said to delay 2nd dose, enroll in study checking IgG levels to spike protein to know if/when it's safe to get 2nd dose. She's concerned I'll develop serum sickness from 2nd dose due to reaction to 1st but study is closed. I have no options. cut off by CDC

Release 4 — day 42, dose 1

2021-02-25

Symptoms: Depression went away 2/20/21. Strong evidence it was side effect of 1st dose. Still have hives, migraine, severe cramps, facial flushing & prolonged tender breasts from 1st dose. My allergist told me to delay 2nd dose due to risk of serum sickness. cut off by CDC

Healthcare visit (other): I tried getting into the study my allergist needed me to get into. It would test my IgG levels to the spike protein over time to determine if & when it's safe for me to get the 2nd dose but the study is full. My allergist is too swamped to get back to me so I don't know what Plan B is. I likely won't get the 2nd dose due to the high risk of serum sickness. I wish this app asked why I hadn't received my 2nd dose yet.

Release 7 — 3 months, dose 1

2021-04-15

Symptoms: Still reacting to 1st dose in too many ways to list here. My allergist told me not to get 2nd dose due to serum sickness risk. I couldn't get in study that would tell me if & when it's safe for me to get 2nd shot. I'm scared re future boosters needed cut off by CDC

Healthcare visit (other): I feel left behind. Allergist swamped. Risk of serum sickness from future booster shots needed could kill me or leave me unprotected.

Release 9 — 6 months, dose 1

2021-07-16

Symptoms: Right foot edema. Lump above right ankle. Painful to put weight on leg. Doctors can't determine cause after months of tests but unlikely it's due to vaccine. I'm still not back to baseline overall after 1st vaccine dose 1/14/20. I'm very reactive.

Healthcare visit (other): Per allergist: my high level of covid spike antibodies show I had robust immune response to 1st vaccine dose. Not worth risk of reaction for me to get 2nd dose. My Antibodies are higher than most people who got both doses.

Release 10 — 12 months, dose 1

2022-01-14

Symptoms: Laryngeal edema, laryngitis, chronic cough, muscle tension dysphonia, daily migraines with various visual manifestations

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	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	·	✓
HCVO	SARS-CoV-2 antibody test positive	✓	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Breast tenderness	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Condition aggravated	○	✓	○
SD	Cough	·	·	✓
SD	Decreased insulin requirement	✓	·	✓
SD	Depression	✓	✓	✓
SD	Diabetes mellitus	✓	·	✓
SD	Dysphonia	·	·	✓
SD	Fear	✓	✓	✓
SD	Flushing	✓	✓	✓
SD	Hypoglycaemia	✓	·	✓
SD	Incomplete course of vaccination	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site inflammation	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Insulin resistance	○	·	○
SD	Laryngeal oedema	·	·	✓
SD	Laryngitis	·	·	✓
SD	Limb mass	✓	·	✓
SD	Medical counselling	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Muscle tightness	·	·	✓
SD	Oedema peripheral	✓	·	✓
SD	Office visit	✓	·	✓
SD	Pain in extremity	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Reaction to previous exposure to any vaccine	✓	✓	✓
SD	Urticaria	✓	✓	✓
SD	Vaccination site pain	✓	✓	✓
SD	Visual impairment	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site urticaria	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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