57E-14700-85336

2 vaccinations 15 coded responses 18 check-ins 15 free-text entries 9 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 379 / TN
Registered: 2021-02-23

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

2021-02-08
Dose 1 — Moderna
2021-02-23
Registered in v-safe
2021-02-23
Survey response — day 14, dose 1
MedDRA: Cellulitis, Inflammation, Influenza like illness, Office visit, Peripheral swelling, Rash, Rash erythematous, Self-medication, Skin discolouration — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: flu-like symptoms to third day/blck &Bl on shoulder.Rash started eve. of 10. On 11th,PA said inflammatory response or cellulitis. Started Benadryl. Friday (12th) arm swollen/dark red rash. Start.Antibiotic.STILL HAVE RASH -HAS SPREAD DOWN ARM-13day · Healthcare visit (other): visit to NP / Dr.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-08
Dose 2 — Moderna
2021-03-08
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper, Arthritis, Bone pain, Chest pain, Chills, Feeling abnormal, Hypoaesthesia, Tremor — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Have had bad chills/shakes all night/today. Arthritic flare, Taking Tylenols/Advils every 3 hrs, Chest hurts, Stomach hurts, Bones hurt. Brain Fog, Hands numb. PLEASE tell me how to turn off my immune system(!)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Immunisation reaction — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Covid Arm in SECOND arm (Left/Right) started SECOND DAY... now Halfway down arm (1st shot went from shoulder to below elbow...LASTED 3+ weeks (NP/Dr)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Immunisation reaction, Induration, Rash, Rash erythematous, Skin warm, Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · 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, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Covid Arm #2: now darker red rash, hard, firm, warm to touch, completely encircling arm, down to elbow, hurts. My dominant arm /hand · Healthcare visit (other): will see her next week (need to arrange transportation)No longer offering telehealth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Arthritis, Bone pain, Erythema, Immunisation reaction, Pre-existing disease, Rash, Rash papular, Rash pruritic, Self-medication, Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · 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, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): I have NO thermometer to take Temp./Covid Arm Rash continues-swollen and now very itchy, Arthritis flare continues-bones aching all the time. They really should have been more honest about this vaccine-not a minor side effect, and definitely not A few days to a weekmy right arm turned pink again-so I now have 1 red and 1 pink arm. Nothing works* on this reaction to ??? ingredient(s). NEVER AGAIN !!! *Ive used both H1 and H2 blockers, many topicals (Cansteroids), Benadryl by mouth, ice paks, · Healthcare visit (other): Appt next week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · 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, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Can you tell me how to turn my immune system down? · Healthcare visit (other): next week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Rash, Unevaluable event — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Dizziness Can you tell me, or my Dr., which of the 4 items is likely to activate this long-lasting rash: the ionized/numbered lipid, the cholesterol, the phospholipid, or the polyethylene glycol? · Healthcare visit (other): next week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-15
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Free text: Dont see any reports of prolonged Covid Arm- are they intentionally withholding this info. from the public so theyll continue to get vaccinated?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — day 14, dose 2
MedDRA: Erythema, Immunisation reaction, Skin reaction — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: In addition to Covid Arm Rash #2, also developed a strange reaction on my hands: fingers bright red all around, developed little lesions (holes) in 2 fingers of right hand (just below the nail), and 1 below nail, and 1 below knuckle, on left hand: sl

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-30
Survey response — day 21, dose 2
MedDRA: Gastrointestinal pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: gut issues - not directly related to vaccines · Healthcare visit (other): office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-05
Survey response — day 28, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-21
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-08
Survey response — 3 months, dose 2
MedDRA: Anaemia, Arthritis, Asthenia, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Arthritis worse, anemia, weakness Not a Researcher, nor MD unable to say whether the vaccine and health issues are related. I know I will NOT take another Moderna vaccine!!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Call 1 — Left Voicemail
2021-09-09
Survey response — 6 months, dose 2
MedDRA: Bone pain, General physical health deterioration, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: health continues to decline constant bone pain · Healthcare visit (other): visit to PCP

MedDRA releases: 2024-11 · check-in free text available
2021-09-09
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-10
Call 1 — Left Voicemail
2022-03-10
Survey response — 12 months, dose 2
MedDRA: Immune system disorder, Influenza like illness, Peripheral swelling, Rash, Vaccine positive rechallenge — Feeling: Fair · Be unable to do your normal daily activities

Free text: I've had 3 vaccines with the EXACT SAME REACTION: (2) MODERNA AND (1) PFIZER (Dr. ordered): bad Flu-like symptoms for days, Severe Arm Swelling, long-lasting Rash that encircled each arm. Something in the vaccines triggered my immune system: HELP!

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-08	Moderna
2	2021-03-08	Moderna

Call center

9 call center cases

9 unsuccessful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-23

Symptoms: flu-like symptoms to third day/blck &Bl on shoulder.Rash started eve. of 10. On 11th,PA said inflammatory response or cellulitis. Started Benadryl. Friday (12th) arm swollen/dark red rash. Start.Antibiotic.STILL HAVE RASH -HAS SPREAD DOWN ARM-13day cut off by CDC

Healthcare visit (other): visit to NP / Dr.

Release 5 — day 0, dose 2

2021-03-08

Systemic reaction (other): Dizziness

Release 5 — days 1–6 daily, dose 2

2021-03-09

Systemic reaction (other): Have had bad chills/shakes all night/today. Arthritic flare, Taking Tylenols/Advils every 3 hrs, Chest hurts, Stomach hurts, Bones hurt. Brain Fog, Hands numb. PLEASE tell me how to turn off my immune system(!)

2021-03-10

Systemic reaction (other): Covid Arm in SECOND arm (Left/Right) started SECOND DAY... now Halfway down arm (1st shot went from shoulder to below elbow...LASTED 3+ weeks (NP/Dr)

2021-03-11

Systemic reaction (other): Covid Arm #2: now darker red rash, hard, firm, warm to touch, completely encircling arm, down to elbow, hurts. My dominant arm /hand

Healthcare visit (other): will see her next week (need to arrange transportation)No longer offering telehealth

2021-03-12

Systemic reaction (other): I have NO thermometer to take Temp./Covid Arm Rash continues-swollen and now very itchy, Arthritis flare continues-bones aching all the time. They really should have been more honest about this vaccine-not a minor side effect, and definitely not A few days to a weekmy right arm turned pink again-so I now have 1 red and 1 pink arm. Nothing works* on this reaction to ??? ingredient(s). NEVER AGAIN !!! *Ive used both H1 and H2 blockers, many topicals (Cansteroids), Benadryl by mouth, ice paks,

Healthcare visit (other): Appt next week.

2021-03-13

Systemic reaction (other): Can you tell me how to turn my immune system down?

Healthcare visit (other): next week

2021-03-14

Systemic reaction (other): Dizziness Can you tell me, or my Dr., which of the 4 items is likely to activate this long-lasting rash: the ionized/numbered lipid, the cholesterol, the phospholipid, or the polyethylene glycol?

Healthcare visit (other): next week

Release 5 — day 7, dose 2

2021-03-15

Systemic reaction (other): Dont see any reports of prolonged Covid Arm- are they intentionally withholding this info. from the public so theyll continue to get vaccinated?

Release 6 — day 14, dose 2

2021-03-22

Symptoms: In addition to Covid Arm Rash #2, also developed a strange reaction on my hands: fingers bright red all around, developed little lesions (holes) in 2 fingers of right hand (just below the nail), and 1 below nail, and 1 below knuckle, on left hand: sl cut off by CDC

Release 6 — day 21, dose 2

2021-03-30

Symptoms: gut issues - not directly related to vaccines

Healthcare visit (other): office visit

Release 6 — day 28, dose 2

2021-04-05

Symptoms: fatigue

Release 8 — 3 months, dose 2

2021-06-08

Symptoms: Arthritis worse, anemia, weakness Not a Researcher, nor MD unable to say whether the vaccine and health issues are related. I know I will NOT take another Moderna vaccine!!!

Release 9 — 6 months, dose 2

2021-09-09

Symptoms: health continues to decline constant bone pain

Healthcare visit (other): visit to PCP

Release 11 — 12 months, dose 2

2022-03-10

Symptoms: I've had 3 vaccines with the EXACT SAME REACTION: (2) MODERNA AND (1) PFIZER (Dr. ordered): bad Flu-like symptoms for days, Severe Arm Swelling, long-lasting Rash that encircled each arm. Something in the vaccines triggered my immune system: HELP! cut off by CDC

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	Anaemia	✓	✓	✓
SD	Arthritis	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Bone pain	·	·	✓
SD	Cellulitis	✓	✓	✓
SD	Contusion	○	○	○
SD	Erythema	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal pain	✓	✓	✓
SD	General physical health deterioration	·	·	✓
SD	Immune system disorder	·	·	✓
SD	Immunisation reaction	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Influenza like illness	✓	✓	✓
SD	Medical observation	○	○	○
SD	Office visit	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Skin discolouration	✓	✓	✓
SD	Skin reaction	✓	✓	✓
SD	Vaccine positive rechallenge	·	·	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Arthritis	✓	✓	✓
SRO	Bone pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Immunisation reaction	✓	✓	✓
SRO	Induration	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rash erythematous	✓	✓	✓
SRO	Rash papular	✓	✓	✓
SRO	Rash pruritic	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Skin warm	✓	✓	✓
SRO	Tremor	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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