5FD-29878-12295

2 vaccinations 5 coded responses 20 check-ins 5 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 305 / GA
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
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Diarrhea

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling — Feeling: Good · Be unable to do your normal daily activities

Free text: On day 10 my injection site became swollen with some red discoloration and area was extremely itchy and sore. I took several Benedryl and used cortisone cream to relieve some of the itching. This last for about 32 hours then all symptoms abated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-12
Dose 2 — Moderna
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Survey response — day 14, dose 2
MedDRA: Abdominal pain, Fibromyalgia, Inflammation, Neck pain, Pain in extremity, Pre-existing disease — Feeling: Good

Free text: Around day 10-12 I experienced a flareup of my fibromyalgia. I had very achy trigger points throughout my torso, neck, hands, etc. Lots of bodily inflammation so took ibuprofen and turmeric and it resolved in 4-5 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — 3 months, dose 2
MedDRA: Gastrointestinal pain, Oesophageal pain, Oesophageal spasm, Office visit, Pain in extremity, Peripheral swelling — 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 pain and swelling of left hand (primarily) and esophageal/intestinal pain, spasms. PCP and ortho doctors referred me to rheumatologist and gastroenterologist.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-13
Survey response — 6 months, dose 2
MedDRA: Arthritis, Condition aggravated, Inflammation, 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: Following my second vaccine I experienced serious inflammation throughout my bodyan acute flareup of fibromyalgia and acute swelling, inflammation in both hands and all joints especially the left side. · Healthcare visit (other): Referrals to rheumatologist and lots of bloodwork

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
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)
2021-08-18
Call 1 — Left Voicemail
2022-02-12
Survey response — 12 months, dose 2
MedDRA: Rhinorrhoea, SARS-CoV-2 test negative, Sinus headache — 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: Runny nose, strong sinus headaches but have tested negative for Covid-19.

MedDRA releases: 2024-11 · check-in free text available
2022-02-12
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 · 1 call case(s)
2022-02-15
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-12	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-01-28

Symptoms: On day 10 my injection site became swollen with some red discoloration and area was extremely itchy and sore. I took several Benedryl and used cortisone cream to relieve some of the itching. This last for about 32 hours then all symptoms abated.

Release 4 — day 14, dose 2

2021-02-26

Symptoms: Around day 10-12 I experienced a flareup of my fibromyalgia. I had very achy trigger points throughout my torso, neck, hands, etc. Lots of bodily inflammation so took ibuprofen and turmeric and it resolved in 4-5 days.

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: Severe pain and swelling of left hand (primarily) and esophageal/intestinal pain, spasms. PCP and ortho doctors referred me to rheumatologist and gastroenterologist.

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: Following my second vaccine I experienced serious inflammation throughout my bodyan acute flareup of fibromyalgia and acute swelling, inflammation in both hands and all joints especially the left side.

Healthcare visit (other): Referrals to rheumatologist and lots of bloodwork

Release 11 — 12 months, dose 2

2022-02-12

Symptoms: Runny nose, strong sinus headaches but have tested negative for Covid-19.

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 pain	✓	✓	✓
SD	Arthritis	✓	·	✓
SD	Condition aggravated	✓	·	✓
SD	Fibromyalgia	✓	✓	✓
SD	Gastrointestinal pain	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Oesophageal pain	✓	✓	✓
SD	Oesophageal spasm	✓	✓	✓
SD	Office visit	✓	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinus headache	·	·	✓

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