5DG-32427-18222

2 vaccinations 12 coded responses 25 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 809 / CO
Registered: 2021-01-11

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

2021-01-11
Registered in v-safe
2021-01-11
Dose 1 — Moderna
2021-01-11
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Free text: My blood pressure is up today. May or may not be relatedâ€”I have prescriptions I take for it, but it was up to 145/60 a couple hours after taking my HZTC which is not my normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Eructation — Feeling: Fair · Muscle or body aches

Free text: Odd belching and foul smelling abdominal gas for 3-4 days. This is not normal for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity, Pre-existing disease — Feeling: Fair · Muscle or body aches

Free text: Yesterday evening I started having lower leg paindeep inside my right inside calflike aching veins. I have vericose veins and think its maybe related. The pain is better today but nit gone. Is there any connection with the vaccine and such a pain?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-01-25
Survey response — day 14, dose 1
MedDRA: Headache — Feeling: Fair

Free text: Mild headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-08
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-09
Dose 2 — Moderna
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Vomiting — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Vomiting

Free text: Violent vomitting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms, Pain in extremity — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Today and yesterday (not reported yesterday) Ive had painful leg muscle spasms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature increased — Feeling: Fair · Fever · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: My normal body temp is between 96.5 to 97.5. 99 is not high but is clearly not my normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Flatulence — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Continuing mild abdominal gas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-23
Survey response — day 14, dose 2
MedDRA: Injection site bruising, Injection site pain, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: I had terrible leg muscle spasms from taking my as needed furosemide, but I also had signif. New Pain where I got my first covid vaccine a month ago. Still sore but lessening. I still have a bruise where the shot went in very deep. Seems odd

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — day 21, dose 2
MedDRA: Blood pressure inadequately controlled, Diarrhoea, Faeces discoloured, Flatulence — Feeling: Fair · Be unable to do your normal daily activities

Free text: More or worse digestive issuesmild diarhea, flactulence, and blackish stools. Also, my blood pressure was up for most of the past week. Seems to be getting better now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-16
Survey response — day 35, dose 2
MedDRA: Diarrhoea, Faeces discoloured — Feeling: Fair

Free text: Bowels are still messed upblackish mushy stools still.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-09
Survey response — 12 months, dose 2
MedDRA: Bacterial infection, COVID-19, Sinusitis — Feeling: Good · 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, Emergency room or emergency department visit

Free text: Symptoms: Had covid for about a month. Received monocronal antibody treatment. · Healthcare visit (other): Monocronal antibody treatment. Also got a bacterial sinus infection with covid for which I have been taking for two weeks.

MedDRA releases: 2024-11 · check-in free text available
2022-02-09
Report sent to call center — 12 months, dose 2
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 · Emergency room or emergency department visit · 1 call case(s)
2022-02-10
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna
2	2021-02-09	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): My blood pressure is up today. May or may not be relatedâ€”I have prescriptions I take for it, but it was up to 145/60 a couple hours after taking my HZTC which is not my normal.

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Odd belching and foul smelling abdominal gas for 3-4 days. This is not normal for me.

2021-01-16

Systemic reaction (other): Yesterday evening I started having lower leg paindeep inside my right inside calflike aching veins. I have vericose veins and think its maybe related. The pain is better today but nit gone. Is there any connection with the vaccine and such a pain?

Release 2 — day 14, dose 1

2021-01-25

Symptoms: Mild headaches

Release 3 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Violent vomitting

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Today and yesterday (not reported yesterday) Ive had painful leg muscle spasms

2021-02-13

Systemic reaction (other): My normal body temp is between 96.5 to 97.5. 99 is not high but is clearly not my normal.

2021-02-14

Systemic reaction (other): Continuing mild abdominal gas

Release 4 — day 14, dose 2

2021-02-23

Symptoms: I had terrible leg muscle spasms from taking my as needed furosemide, but I also had signif. New Pain where I got my first covid vaccine a month ago. Still sore but lessening. I still have a bruise where the shot went in very deep. Seems odd

Release 4 — day 21, dose 2

2021-03-02

Symptoms: More or worse digestive issuesmild diarhea, flactulence, and blackish stools. Also, my blood pressure was up for most of the past week. Seems to be getting better now.

Release 5 — day 35, dose 2

2021-03-16

Symptoms: Bowels are still messed upblackish mushy stools still.

Release 11 — 12 months, dose 2

2022-02-09

Symptoms: Had covid for about a month. Received monocronal antibody treatment.

Healthcare visit (other): Monocronal antibody treatment. Also got a bacterial sinus infection with covid for which I have been taking for two weeks.

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	Bacterial infection	·	·	✓
HCVO	COVID-19	·	·	✓
HCVO	Sinusitis	·	·	✓
SD	Blood pressure inadequately controlled	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Faeces discoloured	✓	✓	✓
SD	Flatulence	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site bruising	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Eructation	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Vomiting	✓	✓	✓

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