5GF-12138-84788

3 vaccinations 9 coded responses 26 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 229 / VA
Registered: 2020-12-29

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Moderna
2020-12-29
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Diarrhea

Adult check-in
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Fair · Chills, Joint pains, Abdominal pain

Free text: Lack of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-14
Survey response — day 14, dose 1
MedDRA: Abdominal pain, Diarrhoea, Migraine — Feeling: Fair · Be unable to work

Free text: I have migraines several times a year and diarrhea/abdominal pain very frequently, sometimes daily. I have suffered with a migraine x 36 hours (resolving) and a severe bout of abdominal pain/diarrhea today (now resolved) worse than usual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Report sent to call center — day 14, dose 1
Be unable to work

1 call case(s)
2021-01-20
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-01-26
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-02-02
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-02-09
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Peripheral swelling, Skin warm — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Swelling, redness, heat in arm

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: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Nausea, Abdominal pain

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Fair · Abdominal pain

Adult check-in
2021-02-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Survey response — day 21, dose 2
MedDRA: Anxiety, Chills, Depression, Headache, Hyperhidrosis, Nasopharyngitis, Sinusitis — Feeling: Fair · Be unable to work

Free text: Cold symptoms with sinus infection, headache, chills/sweats without fever and high anxiety levels and severe depression. Doubt it is related to vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — day 28, dose 2
MedDRA: Bronchitis, Sinusitis — Feeling: Fair · Be unable to work

Free text: Sinus infection, possibly bronchitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
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
2021-05-13
Survey response — 3 months, dose 2
MedDRA: Brain fog, Disturbance in attention, Dyspnoea, Gastrooesophageal reflux disease, Pre-existing disease, Weight decreased — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: 10# weight loss (unusual). Increased brain fog, difficulty concentrating. Worsening GI symptoms (GERD and bowel irregularities). Increased dyspnia on exertion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-11-29
Dose 3 — Moderna
2021-12-23
Survey response — day 21, dose 3
MedDRA: Arthralgia, Brain fog, Diarrhoea, Fatigue, Headache, Joint stiffness, Joint swelling, Nausea, Vomiting — Feeling: Poor · Be unable to work or attend school

Free text: Felt like broken glass in swollen joints all week, stiffness remains and developed severe h/a, brain fog, nausea, vomiting and diarrhea. Fatigue was severe. Symptoms resolved by day 7. flu shot and had a covid exp 5 days prior to booster on 11/24.

MedDRA releases: 2024-11 · check-in free text available
2022-01-10
Survey response — day 42, dose 3
MedDRA: Arthralgia, Arthritis, Joint stiffness, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Ongoing joint pain, inflammation at times comparable to the severe pain and impaired mobility when diagnosed w/bursitis in my hip @1989/90. It started like ground glass in my joints lessening to an inflammatory feeling joint stiffness w/ongoing pain

MedDRA releases: 2024-11 · check-in free text available
2022-03-01
Survey response — 3 months, dose 3
MedDRA: Arthralgia, Arthritis, Brain fog — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased joint inflammation continues without improvement. Planning to request referrals to rheumatology and neurology at my annual physical in May since joint pain and brain fog continue.

MedDRA releases: 2024-11 · check-in free text available
2022-12-01
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-02-11	Moderna
3	2021-11-29	Moderna	No

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Lack of appetite

Release 2 — day 14, dose 1

2021-01-14

Symptoms: I have migraines several times a year and diarrhea/abdominal pain very frequently, sometimes daily. I have suffered with a migraine x 36 hours (resolving) and a severe bout of abdominal pain/diarrhea today (now resolved) worse than usual.

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): Swelling, redness, heat in arm

Release 5 — day 21, dose 2

2021-03-04

Symptoms: Cold symptoms with sinus infection, headache, chills/sweats without fever and high anxiety levels and severe depression. Doubt it is related to vaccine.

Release 5 — day 28, dose 2

2021-03-13

Symptoms: Sinus infection, possibly bronchitis

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: 10# weight loss (unusual). Increased brain fog, difficulty concentrating. Worsening GI symptoms (GERD and bowel irregularities). Increased dyspnia on exertion.

Release 10 — day 21, dose 3

2021-12-23

Symptoms: Felt like broken glass in swollen joints all week, stiffness remains and developed severe h/a, brain fog, nausea, vomiting and diarrhea. Fatigue was severe. Symptoms resolved by day 7. flu shot and had a covid exp 5 days prior to booster on 11/24. cut off by CDC

Release 10 — day 42, dose 3

2022-01-10

Symptoms: Ongoing joint pain, inflammation at times comparable to the severe pain and impaired mobility when diagnosed w/bursitis in my hip @1989/90. It started like ground glass in my joints lessening to an inflammatory feeling joint stiffness w/ongoing pain cut off by CDC

Release 11 — 3 months, dose 3

2022-03-01

Symptoms: Increased joint inflammation continues without improvement. Planning to request referrals to rheumatology and neurology at my annual physical in May since joint pain and brain fog continue.

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
SD	Abdominal pain	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Arthritis	·	·	✓
SD	Brain fog	✓	✓	✓
SD	Bronchitis	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Depression	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Disturbance in attention	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Joint stiffness	·	·	✓
SD	Joint swelling	·	·	✓
SD	Migraine	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Vomiting	·	·	✓
SD	Weight decreased	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Skin warm	✓	✓	✓

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