5VV-30697-70988

5 vaccinations 16 coded responses 48 check-ins 16 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 239 / VA
Registered: 2021-01-12

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

2021-01-12
Registered in v-safe
2021-01-12
Dose 1 — Moderna
2021-01-12
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

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

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

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

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Survey response — day 14, dose 1
MedDRA: Oedema peripheral, Pre-existing disease — Feeling: Good

Free text: Some increased lower extremity edema. I am a physician with aortic insuffiency and with varying degrees of edema. I expect this increase is from a salt load I ate yesterday and not from the vaccine. I am merely reporting it due to question wording.

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

Adult check-in
2021-02-09
Dose 2 — Moderna
2021-02-09
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Chills, Joint pains

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Generalised oedema — Feeling: Good · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Generalized edema

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Survey response — day 14, dose 2
MedDRA: Arthritis, Fluid retention, Pre-existing disease — Feeling: Good

Free text: Fluid retention and overall increased flares of arthritis/joint pains. I have increased exercise lately, so that could also be contributing. I am a physician and mention this out of completeness only.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-09
Survey response — day 28, dose 2
MedDRA: Abdominal pain lower — Feeling: Good

Free text: Lower abdominal pain that is most likely a muscle strain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-23
Survey response — day 42, dose 2
MedDRA: Muscle strain — Feeling: Fair

Free text: Lumbar strain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Condition aggravated, Fluid retention, Generalised oedema — Feeling: Good

Free text: More joint pain and more overall edema. I am a physician with aortic insufficiency and it seems that I have more fluid retention than usual. Could be the warmer weather. Doesn't seem salt related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Dose 3 — Moderna
2022-02-09
Survey response — 12 months, dose 2
MedDRA: Back pain, Musculoskeletal pain, Pain, Physiotherapy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Musculoskeletal/mechanical low back pain improving with physical therapy · Healthcare visit (other): Physical therapy. Did not see other healthcare provider

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

1 call case(s)
2022-02-11
Call 1 — Left Voicemail
2022-02-11
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-14
Dose 4 — Moderna
2022-04-15
Survey response — days 1–6 daily, dose 4
MedDRA: Arthralgia — Feeling: Good · Site: Pain · Joint pains

Free text: No new joint pains, only ones I had before

MedDRA releases: 2024-11 · check-in free text available
2022-04-16
Survey response — days 1–6 daily, dose 4
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain, Redness, Swelling · Joint pains

Free text: Joint pains are not related. They are chronic and unchanged.

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Survey response — days 1–6 daily, dose 4
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain, Redness, Swelling · Joint pains

Free text: Joint pains are chronic and not related to the vaccination

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Survey response — days 1–6 daily, dose 4
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Pain, Redness, Swelling · Joint pains

Free text: Joint pains are chronic and not changed or relaed to booster. Rainy cold day has aggravated.

MedDRA releases: 2024-11 · check-in free text available
2022-04-19
Survey response — days 1–6 daily, dose 4
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain, Redness, Swelling · Fever · Joint pains

Free text: Join pains chronic and unchanged, not related to booster

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-28
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-05
Survey response — day 21, dose 4
MedDRA: Arthralgia, Back pain, Fluid retention, Self-medication — Feeling: Fair

Free text: Joint pain and back pain are worse from activity and changes in the weather. Fluid retention is worse from NSAIDs taken due to increased pain.

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Survey response — day 28, dose 4
MedDRA: Back pain, Sciatica — Feeling: Fair · Be unable to do your normal daily activities

Free text: Low back pain and sciatica has worsened due to prolong car rides and rainy weather in the last week.

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-14
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-07
Dose 5 — Moderna
2022-10-13
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-13
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-14
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-21
Survey response — day 14, dose 5
MedDRA: Pre-existing disease, Sciatica — Feeling: Good · Be unable to do your normal daily activities

Free text: My sciatica from a long standing back issue is flaring

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Survey response — day 21, dose 5
MedDRA: Back pain, Pre-existing disease, Sciatica — Feeling: Good · Be unable to do your normal daily activities

Free text: Longstanding back pain and sciatica are flaring.

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-06
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-07
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Moderna
2	2021-02-09	Moderna
3	2021-11-04	Moderna	No
4	2022-04-14	Moderna	No
5	2022-10-07	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-26

Symptoms: Some increased lower extremity edema. I am a physician with aortic insuffiency and with varying degrees of edema. I expect this increase is from a salt load I ate yesterday and not from the vaccine. I am merely reporting it due to question wording. cut off by CDC

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Generalized edema

Release 4 — day 14, dose 2

2021-02-23

Symptoms: Fluid retention and overall increased flares of arthritis/joint pains. I have increased exercise lately, so that could also be contributing. I am a physician and mention this out of completeness only.

Release 5 — day 28, dose 2

2021-03-09

Symptoms: Lower abdominal pain that is most likely a muscle strain.

Release 6 — day 42, dose 2

2021-03-23

Symptoms: Lumbar strain

Release 8 — 3 months, dose 2

2021-05-11

Symptoms: More joint pain and more overall edema. I am a physician with aortic insufficiency and it seems that I have more fluid retention than usual. Could be the warmer weather. Doesn't seem salt related.

Release 11 — 12 months, dose 2

2022-02-09

Symptoms: Musculoskeletal/mechanical low back pain improving with physical therapy

Healthcare visit (other): Physical therapy. Did not see other healthcare provider

Release 11 — days 1–6 daily, dose 4

2022-04-15

Systemic reaction (other): No new joint pains, only ones I had before

2022-04-16

Systemic reaction (other): Joint pains are not related. They are chronic and unchanged.

2022-04-17

Systemic reaction (other): Joint pains are chronic and not related to the vaccination

2022-04-18

Systemic reaction (other): Joint pains are chronic and not changed or relaed to booster. Rainy cold day has aggravated.

2022-04-19

Systemic reaction (other): Join pains chronic and unchanged, not related to booster

Release 11 — day 21, dose 4

2022-05-05

Symptoms: Joint pain and back pain are worse from activity and changes in the weather. Fluid retention is worse from NSAIDs taken due to increased pain.

Release 11 — day 28, dose 4

2022-05-12

Symptoms: Low back pain and sciatica has worsened due to prolong car rides and rainy weather in the last week.

Release 12 — day 14, dose 5

2022-10-21

Symptoms: My sciatica from a long standing back issue is flaring

Release 12 — day 21, dose 5

2022-10-28

Symptoms: Longstanding back pain and sciatica are flaring.

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	Physiotherapy	·	·	✓
SD	Abdominal pain lower	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Arthritis	✓	✓	✓
SD	Back pain	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Fluid retention	✓	✓	✓
SD	Generalised oedema	✓	✓	✓
SD	Muscle strain	✓	✓	✓
SD	Musculoskeletal pain	·	·	✓
SD	Oedema peripheral	✓	✓	✓
SD	Pain	·	·	✓
SD	Physiotherapy	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sciatica	·	·	✓
SD	Self-medication	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Condition aggravated	·	·	✓
SRO	Generalised oedema	✓	✓	✓
SRO	Pre-existing disease	·	·	✓

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