5AM-85239-86069

4 vaccinations 24 coded responses 46 check-ins 24 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 547 / WI
Registered: 2021-01-27

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

2021-01-27
Registered in v-safe
2021-01-27
Dose 1 — Moderna
2021-01-27
Survey response — day 0, dose 1
MedDRA: Arthralgia, Fatigue, Pre-existing disease, Pruritus, Skin warm — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Free text: My face & neck are hot & itchy and I also have Fibromyalgia & Pseodogout in hips so always have joint pain & fatigue..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · 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
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-03
Survey response — day 7, dose 1
MedDRA: Erythema — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Free text: Since the shot I noticed an odd brighr red mark on the forearm of the arm opposite the arm where I received the shot. It is only 1 small spot but I do not remember injuring it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — day 14, dose 1
MedDRA: Pain in extremity, Pruritus, Rash, Rash erythematous — Feeling: Fair

Free text: Still have that bright red spot on my right arm and it got slightly larger. It doesn't itch or hurt. It's just there now for a week. My left arm where I got the first shot started itching and feeling a bit sore lastnight for some reason too.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-24
Dose 2 — Moderna
2021-02-24
Survey response — day 0, dose 2
MedDRA: Flushing, Immediate post-injection reaction — Feeling: Fair · Site: Pain

Free text: Face became flushed a few minutes after shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: My temp is usually 97.2 so 99 is low grade for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: My normal temp is 97.2 so not much of a fever but feel it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Medical counselling, Self-medication — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Still have that half inch diameter red area on my other arm. Doc doesn't know what it is. Hydrocortisone helps a little. May need to see a dermotologist. Doc said she did not think it was from Covid shot but have had it now for over a month. Also said not cancer. Appeared a few days after 1st shot. Does not hurt or itch. Confused.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 7, dose 2
MedDRA: Pigmentation disorder — Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: The red spot keeps slowly growing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-17
Survey response — day 21, dose 2
MedDRA: Erythema, Musculoskeletal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: That red spot on my arm had faded a bit but now it seems to be coming back. Also having increased musculoskeletal pain but doubt it's related to the shots.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 28, dose 2
MedDRA: Erythema — Feeling: Good

Free text: That red spot came back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-07
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-26
Survey response — 3 months, dose 2
MedDRA: Chondrocalcinosis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Significant pseudogout events that resulted in one cortisone injection and will likely result in more, possibly in multiple joints. Also experienced paradoxical reaction to injection that lasted almost 2 weeks that included severe pain, fever, fatigu

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-25
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Dizziness, Fatigue, Head injury, Influenza like illness, Office visit, Pre-existing disease — 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: Extreme fatigue, dizziness, joint pains, flu-like symptoms... may all be related to pseudogout and having a head injury. · Healthcare visit (other): Chiropractor

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-04
Dose 3 — Moderna
2021-11-09
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Health check-in — day 7, dose 3
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-18
Survey response — day 14, dose 3
MedDRA: Condition aggravated, Fatigue, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue. Pseudogout worse.

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Survey response — day 21, dose 3
MedDRA: Condition aggravated, Fatigue, Gout, Oropharyngeal pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pains worse. Have pseudogout and fibromyalgia anyway. Another sore throat but not as bad as before. Way more fatigue than normal.

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-03
Call 1 — Could Not Reach Participant
2021-12-08
Call 2 — Left Voicemail
2021-12-09
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-16
Survey response — day 42, dose 3
MedDRA: Fatigue, Pain — 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: Fatigue and pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Report sent to call center — day 42, dose 3
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)
2021-12-18
Call 1 — Left Voicemail
2022-02-03
Survey response — 3 months, dose 3
MedDRA: Rash, Self-medication — Feeling: Fair

Free text: More new skin rashes on insides of both arms near inner elbows and also on tops of thighs that I never had before. Hydrocortisone helps. No idea if related to covid vaccinations.

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Dose 4 — Moderna
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-30
Survey response — days 1–6 daily, dose 4
MedDRA: Depression, Pre-existing disease — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: More than normal depression

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-02
Survey response — days 1–6 daily, dose 4
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Please note arm pain is very mild today

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Health check-in — day 7, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-10
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-17
Survey response — day 21, dose 4
MedDRA: Arthralgia, Chondrocalcinosis, Fatigue, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue and pseodogout pain in multiple joints, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-05-24
Survey response — day 28, dose 4
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Extreme fatigue but may be related to Losartan.

MedDRA releases: 2024-11 · check-in free text available
2022-05-31
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-07
Survey response — day 42, dose 4
MedDRA: Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Unrelated to covid vaccinations as far as I know. Just a lot of pain and fatigue from pseudogout, stenosis and osteoarthritis along witb fibromyalgia.

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
Survey response — 3 months, dose 4
MedDRA: Dizziness, Fatigue, Nasopharyngitis, Nausea, Oropharyngeal pain, Pharyngeal pustule, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat, white pus in throat, dizziness, queasiness and excessive fatigue. No fevers. Felt like had a cold but also have allergies so hard to discern. Losartan may be a player. Four at home covid tests were negative. I did them correctly.

MedDRA releases: 2024-11 · check-in free text available
2022-10-26
Survey response — 6 months, dose 4
MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities

Free text: Covid moderate

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Moderna
2	2021-02-24	Moderna
3	2021-11-04	Moderna	No
4	2022-04-26	Moderna	No

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-27

Systemic reaction (other): My face & neck are hot & itchy and I also have Fibromyalgia & Pseodogout in hips so always have joint pain & fatigue..

Release 3 — day 7, dose 1

2021-02-03

Systemic reaction (other): Since the shot I noticed an odd brighr red mark on the forearm of the arm opposite the arm where I received the shot. It is only 1 small spot but I do not remember injuring it.

Release 4 — day 14, dose 1

2021-02-10

Symptoms: Still have that bright red spot on my right arm and it got slightly larger. It doesn't itch or hurt. It's just there now for a week. My left arm where I got the first shot started itching and feeling a bit sore lastnight for some reason too.

Release 4 — day 0, dose 2

2021-02-24

Systemic reaction (other): Face became flushed a few minutes after shot.

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): My temp is usually 97.2 so 99 is low grade for me.

2021-02-27

Systemic reaction (other): My normal temp is 97.2 so not much of a fever but feel it.

2021-03-02

Systemic reaction (other): Still have that half inch diameter red area on my other arm. Doc doesn't know what it is. Hydrocortisone helps a little. May need to see a dermotologist. Doc said she did not think it was from Covid shot but have had it now for over a month. Also said not cancer. Appeared a few days after 1st shot. Does not hurt or itch. Confused.

Release 5 — day 7, dose 2

2021-03-03

Systemic reaction (other): The red spot keeps slowly growing.

Release 5 — day 21, dose 2

2021-03-17

Symptoms: That red spot on my arm had faded a bit but now it seems to be coming back. Also having increased musculoskeletal pain but doubt it's related to the shots.

Release 6 — day 28, dose 2

2021-03-24

Symptoms: That red spot came back.

Release 8 — 3 months, dose 2

2021-05-26

Symptoms: Significant pseudogout events that resulted in one cortisone injection and will likely result in more, possibly in multiple joints. Also experienced paradoxical reaction to injection that lasted almost 2 weeks that included severe pain, fever, fatigu cut off by CDC

Release 9 — 6 months, dose 2

2021-08-25

Symptoms: Extreme fatigue, dizziness, joint pains, flu-like symptoms... may all be related to pseudogout and having a head injury.

Healthcare visit (other): Chiropractor

Release 10 — days 1–6 daily, dose 3

2021-11-09

Systemic reaction (other): Sore throat

Release 10 — day 14, dose 3

2021-11-18

Symptoms: Extreme fatigue. Pseudogout worse.

Release 10 — day 21, dose 3

2021-11-25

Symptoms: Joint pains worse. Have pseudogout and fibromyalgia anyway. Another sore throat but not as bad as before. Way more fatigue than normal.

Release 10 — day 42, dose 3

2021-12-16

Symptoms: Fatigue and pain

Release 11 — 3 months, dose 3

2022-02-03

Symptoms: More new skin rashes on insides of both arms near inner elbows and also on tops of thighs that I never had before. Hydrocortisone helps. No idea if related to covid vaccinations.

Release 11 — days 1–6 daily, dose 4

2022-04-30

Systemic reaction (other): More than normal depression

2022-05-02

Systemic reaction (other): Please note arm pain is very mild today

Release 11 — day 21, dose 4

2022-05-17

Symptoms: Extreme fatigue and pseodogout pain in multiple joints, sore throat

Release 11 — day 28, dose 4

2022-05-24

Symptoms: Extreme fatigue but may be related to Losartan.

Release 11 — day 42, dose 4

2022-06-07

Symptoms: Unrelated to covid vaccinations as far as I know. Just a lot of pain and fatigue from pseudogout, stenosis and osteoarthritis along witb fibromyalgia.

Release 12 — 3 months, dose 4

2022-07-26

Symptoms: Sore throat, white pus in throat, dizziness, queasiness and excessive fatigue. No fevers. Felt like had a cold but also have allergies so hard to discern. Losartan may be a player. Four at home covid tests were negative. I did them correctly.

Release 12 — 6 months, dose 4

2022-10-26

Symptoms: Covid moderate

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	Chondrocalcinosis	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	·	✓
SD	Erythema	✓	✓	✓
SD	Fatigue	✓	·	✓
SD	Gout	·	·	✓
SD	Head injury	✓	·	✓
SD	Influenza like illness	✓	·	✓
SD	Musculoskeletal pain	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pharyngeal pustule	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Self-medication	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Depression	·	·	✓
SRO	Erythema	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Pigmentation disorder	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Skin warm	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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