53G-18308-21299

4 vaccinations 14 coded responses 15 check-ins 13 free-text entries 5 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 042 / ME
Registered: 2022-06-02

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-13
Dose 1 — Moderna
2021-04-10
Dose 2 — Moderna
2021-12-10
Dose 3 — Pfizer-BioNTech
2022-06-02
Registered in v-safe
2022-06-02
Dose 4 — Pfizer-BioNTech
2022-06-02
Survey response — day 0, dose 4
MedDRA: Arthralgia, Immediate post-injection reaction, Injection site pain, Musculoskeletal pain, Neck pain, Pain, Pain in extremity, Product administered at inappropriate site — Feeling: Poor · Site: Pain · Joint pains

Free text: Pain immediately on injection L shoulder/upper arm up into neck and shoulder blade feels like hit bone or nerve, injection was higher on arm than past ones, hurts to move shoulder, hurts even when still, limited to injection site/shoulder/neck

MedDRA releases: 2024-11 · check-in free text available
2022-06-04
Survey response — days 1–6 daily, dose 4
MedDRA: Arthralgia, Muscle spasms, Musculoskeletal pain, Neck pain, Pain in extremity, Sleep disorder — Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: L upper arm shoulder scapula neck still hurt new calf spasm woke me

MedDRA releases: 2024-11 · check-in free text available
2022-06-05
Survey response — days 1–6 daily, dose 4
MedDRA: Arthralgia, Musculoskeletal pain, Neck pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: L shoulder, scapula, neck pain

MedDRA releases: 2024-11 · check-in free text available
2022-06-06
Survey response — days 1–6 daily, dose 4
MedDRA: Arthralgia, Hypoaesthesia, Musculoskeletal pain, Neck pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: L shoulder scapula neck pain hand numbness

MedDRA releases: 2024-11 · check-in free text available
2022-06-07
Survey response — days 1–6 daily, dose 4
MedDRA: Arthralgia, Hypoaesthesia, Musculoskeletal pain, Neck pain, Skin exfoliation, Swelling face — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: L shoulder scapula neck pain hand numbness; facial swelling on awakening then peels

MedDRA releases: 2024-11 · check-in free text available
2022-06-08
Survey response — days 1–6 daily, dose 4
MedDRA: Arthralgia, Hypoaesthesia, Musculoskeletal pain, Neck pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Shoulder scapula neck pain hand numbness

MedDRA releases: 2024-11 · check-in free text available
2022-06-09
Survey response — day 7, dose 4
MedDRA: Arthralgia, Hypoaesthesia, Musculoskeletal pain, Neck pain — Feeling: Fair · Site: Pain · Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Shoulder neck arm scapula pain hand numbness

MedDRA releases: 2024-11 · check-in free text available
2022-06-16
Survey response — day 14, dose 4
MedDRA: Back pain, Hypoaesthesia, Musculoskeletal pain, Musculoskeletal stiffness, Neck pain, Pruritus, Rash, Skin burning sensation, Skin exfoliation, Swelling of eyelid — Feeling: Fair · Be unable to do your normal daily activities

Free text: Burning itchy peeling face/neck rash, swollen eyelids,numbness stiffness L hand. Neck, back and scapula pain.

MedDRA releases: 2024-11 · check-in free text available
2022-06-23
Survey response — day 21, dose 4
MedDRA: Arthralgia, Eyelids pruritus, Fatigue, Hypoacusis, Musculoskeletal pain, Musculoskeletal stiffness, Neck pain, Paraesthesia, Skin burning sensation, Skin exfoliation, Spinal pain, Swelling face, Swelling of eyelid — Feeling: Fair · Be unable to do your normal daily activities

Free text: Neck spine scapula shoulder pain, arm hand stiffness tingling marked, arm hand worst on awaking, spine scapula worsen over day, Eyelid facial swelling on awakening, itchy eyelid facial skin peeling burning over day. Hearing seems worse. Fatigue back

MedDRA releases: 2024-11 · check-in free text available
2022-06-30
Survey response — day 28, dose 4
MedDRA: Arthralgia, Back pain, Musculoskeletal pain, Neck pain, Paraesthesia, Rash, Rash pruritic, Skin exfoliation, Skin swelling — 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: Neck shoulder scapula back pain arm hand tingling, peeling itchy swollen skin rash face neck

MedDRA releases: 2024-11 · check-in free text available
2022-06-30
Report sent to call center — day 28, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-07-01
Call 1 — Could Not Reach Participant
2022-07-07
Call successful
Participant prefers to complete VAERS report online
2022-07-09
Survey response — day 35, dose 4
MedDRA: Burning sensation, Feeling hot, Paraesthesia, Pruritus, Skin exfoliation, Swelling of eyelid — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Eyelid facial swelling persist; worse face neck burning flaking itching peeling allergist mentioned angioedema. Face hot to touch intermittantly. Still tingling L arm hand L shoulder slightly better.

MedDRA releases: 2024-11 · check-in free text available
2022-07-09
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-07-11
Call successful
Does not wish to fill out VAERS report
2022-07-14
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-09-01
Survey response — 3 months, dose 4
MedDRA: Arthralgia, Facial pain, Hypoaesthesia, Neck pain, Pain in extremity, Paraesthesia, Pruritus, Radiculopathy, Soft tissue disorder, Spinal pain, Tenderness — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Worsening spine and soft tissue neck pain and tenderness, worsening tingling numbness pain L shoulder and arm, worsening facial pain and itch, L hip radiculopathy

MedDRA releases: 2024-11 · check-in free text available
2022-09-01
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-02
Call 1 — Could Not Reach Participant
2022-09-08
Call successful
Does not wish to fill out VAERS report
2022-12-01
Survey response — 6 months, dose 4
MedDRA: Arthralgia, Back pain, Lymphadenopathy, Neck pain, Paraesthesia, Pruritus, Rash, Spinal pain, Unevaluable event — Feeling: Poor · 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: Furthur worsening itching, skin rash, (face neck chest, arms hands) neck/spine/back/shoulder pain, tingling arms/legs,L supraclavicular and neck lymph node swelling,still there since August,?atrophic hypervascular thyroiditis,parotid gland abn on u/s · Healthcare visit (other): Neck & spine imaging

MedDRA releases: 2024-11 · check-in free text available
2022-12-01
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-02
Call 1 — Could Not Reach Participant
2022-12-07
Call successful
Participant prefers to complete VAERS report online
2023-06-02
Survey response — 12 months, dose 4
MedDRA: Abdominal discomfort, COVID-19, Dyspnoea, Myalgia, Paraesthesia, Rash pruritic — 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, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-06-02
Call case (no matching report) — Successful
Does not wish to fill out VAERS report
2023-06-05
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Moderna	No
2	2021-04-10	Moderna	No
3	2021-12-10	Pfizer-BioNTech	No
4	2022-06-02	Pfizer-BioNTech	No

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 11 — day 0, dose 4

2022-06-02

Systemic reaction (other): Pain immediately on injection L shoulder/upper arm up into neck and shoulder blade feels like hit bone or nerve, injection was higher on arm than past ones, hurts to move shoulder, hurts even when still, limited to injection site/shoulder/neck

Release 11 — days 1–6 daily, dose 4

2022-06-04

Systemic reaction (other): L upper arm shoulder scapula neck still hurt new calf spasm woke me

2022-06-05

Systemic reaction (other): L shoulder, scapula, neck pain

2022-06-06

Systemic reaction (other): L shoulder scapula neck pain hand numbness

2022-06-07

Systemic reaction (other): L shoulder scapula neck pain hand numbness; facial swelling on awakening then peels

2022-06-08

Systemic reaction (other): Shoulder scapula neck pain hand numbness

Release 12 — day 7, dose 4

2022-06-09

Systemic reaction (other): Shoulder neck arm scapula pain hand numbness

Release 12 — day 14, dose 4

2022-06-16

Symptoms: Burning itchy peeling face/neck rash, swollen eyelids,numbness stiffness L hand. Neck, back and scapula pain.

Release 12 — day 21, dose 4

2022-06-23

Symptoms: Neck spine scapula shoulder pain, arm hand stiffness tingling marked, arm hand worst on awaking, spine scapula worsen over day, Eyelid facial swelling on awakening, itchy eyelid facial skin peeling burning over day. Hearing seems worse. Fatigue back cut off by CDC

Release 12 — day 28, dose 4

2022-06-30

Symptoms: Neck shoulder scapula back pain arm hand tingling, peeling itchy swollen skin rash face neck

Release 12 — day 35, dose 4

2022-07-09

Symptoms: Eyelid facial swelling persist; worse face neck burning flaking itching peeling allergist mentioned angioedema. Face hot to touch intermittantly. Still tingling L arm hand L shoulder slightly better.

Release 12 — 3 months, dose 4

2022-09-01

Symptoms: Worsening spine and soft tissue neck pain and tenderness, worsening tingling numbness pain L shoulder and arm, worsening facial pain and itch, L hip radiculopathy

Release 12 — 6 months, dose 4

2022-12-01

Symptoms: Furthur worsening itching, skin rash, (face neck chest, arms hands) neck/spine/back/shoulder pain, tingling arms/legs,L supraclavicular and neck lymph node swelling,still there since August,?atrophic hypervascular thyroiditis,parotid gland abn on u/s cut off by CDC

Healthcare visit (other): Neck & spine imaging

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	Unevaluable event	·	·	✓
SD	Abdominal discomfort	·	·	✓
SD	Arthralgia	·	·	✓
SD	Back pain	·	·	✓
SD	Burning sensation	·	·	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Eyelids pruritus	·	·	✓
SD	Facial pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling hot	·	·	✓
SD	Hypoacusis	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Musculoskeletal pain	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Myalgia	·	·	✓
SD	Neck pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Pruritus	·	·	✓
SD	Radiculopathy	·	·	✓
SD	Rash	·	·	✓
SD	Rash pruritic	·	·	✓
SD	Skin burning sensation	·	·	✓
SD	Skin exfoliation	·	·	✓
SD	Skin swelling	·	·	✓
SD	Soft tissue disorder	·	·	✓
SD	Spinal pain	·	·	✓
SD	Swelling face	·	·	✓
SD	Swelling of eyelid	·	·	✓
SD	Tenderness	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Hypoaesthesia	·	·	✓
SRO	Immediate post-injection reaction	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	Muscle spasms	·	·	✓
SRO	Musculoskeletal pain	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Product administered at inappropriate site	·	·	✓
SRO	Skin exfoliation	·	·	✓
SRO	Sleep disorder	·	·	✓
SRO	Swelling face	·	·	✓

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