5WF-18928-16716

4 vaccinations 11 coded responses 13 check-ins 11 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 208 / MD
Registered: 2021-02-09

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-09
Registered in v-safe
2021-02-09
Dose 1 — Moderna
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Breast pain, Neck pain — Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Left breast on side where vaccine was given was very sore I had a heart monitor on when I got vaccine. No pain before. Also have sore neck mainly on left side behind ear and where neck joins chest.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Breast pain, Chest pain, Neck pain, Oropharyngeal pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pain in breast ,neck on left side where I got vaccine. and upper chest area(collar bone area. Sore throat which got better during the day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: I did this and wrote about complaints extensively. Please read it. Will see my doctor Monday if Im mot better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Asthenia, Decreased appetite, Diarrhoea, Fatigue, Insomnia, Neck pain, Pain in extremity, Pyrexia, Self-medication — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: No energy, very tired, no appetite. Diarrhea at 5:38 am. Little sleep. Temperature usually runs 97.4, 97.8. Was higher today. Pain in left arm seems to be in shoulder joint. Neck pain still exist. Taking extra strength Tylenol.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — day 7, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Fatigue or tiredness, Abdominal pain · 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: Cannot adequately explain how I really feel by just checking a few selected questions. You dont really want to know. I made appointment with my doctor. Should really let people know truth about side effects.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-26
Survey response — day 14, dose 1
MedDRA: Fatigue, Muscular weakness, Myalgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Very tired, weak muscle pain. · Healthcare visit (other): Primary care doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-02
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-09
Dose 2 — Moderna
2021-03-16
Survey response — day 7, dose 2
MedDRA: Depression, Disturbance in attention, Fatigue, Somnolence — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Very tired/sleepy. Hard to focus,concentrate. Slow to get things done. Somewhat depressed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 14, dose 2
MedDRA: Ageusia, Anosmia — Feeling: Fair

Free text: Problems with balance/walkingNoticed my taste and sense of smell is less than before. Cant distinguish individual tastes. Only sweet and salty.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 21, dose 2
MedDRA: Gait disturbance, Muscular weakness, Office visit — 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: Symptoms: Problems with walking. Balance. Muscle weakness in legs, thighs. · Healthcare visit (other): Visit with doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-15
Survey response — day 35, dose 2
MedDRA: Asthenia, Balance disorder, Fatigue, Feeling abnormal, Hypersomnia, Limb discomfort, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Overwhelming tiredness, sleeping too much. Problems with balance. Hoping it would go away. Went to see doctor today. Advised thyroid test, going to bed earlier more exercise walking. Legs heavy. No energy. Paid for little help. Havent felt good. · Healthcare visit (other): Doctor visit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Survey response — day 42, dose 2
MedDRA: Anxiety, Arthralgia, Balance disorder, Gait disturbance, Myalgia, Nasal discomfort, Office visit, Oral disorder, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Joint muscle pain. Problems with balance when walking. Blurred vision. Nodule on tongue. Sores in nose. Anxiety. · Healthcare visit (other): Visit ENT and eye doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-16
Call 1 — Left Voicemail
2021-11-13
Dose 3 — Moderna
2022-06-14
Dose 4 — Moderna

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Moderna
2	2021-03-09	Moderna
3	2021-11-13	Moderna	No
4	2022-06-14	Moderna	No

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): Left breast on side where vaccine was given was very sore I had a heart monitor on when I got vaccine. No pain before. Also have sore neck mainly on left side behind ear and where neck joins chest.

2021-02-12

Systemic reaction (other): Pain in breast ,neck on left side where I got vaccine. and upper chest area(collar bone area. Sore throat which got better during the day.

2021-02-13

Systemic reaction (other): I did this and wrote about complaints extensively. Please read it. Will see my doctor Monday if Im mot better.

2021-02-14

Systemic reaction (other): No energy, very tired, no appetite. Diarrhea at 5:38 am. Little sleep. Temperature usually runs 97.4, 97.8. Was higher today. Pain in left arm seems to be in shoulder joint. Neck pain still exist. Taking extra strength Tylenol.

Release 4 — day 7, dose 1

2021-02-16

Systemic reaction (other): Cannot adequately explain how I really feel by just checking a few selected questions. You dont really want to know. I made appointment with my doctor. Should really let people know truth about side effects.

Release 4 — day 14, dose 1

2021-02-26

Symptoms: Very tired, weak muscle pain.

Healthcare visit (other): Primary care doctor

Release 5 — day 7, dose 2

2021-03-16

Systemic reaction (other): Very tired/sleepy. Hard to focus,concentrate. Slow to get things done. Somewhat depressed.

Release 6 — day 14, dose 2

2021-03-24

Symptoms: Problems with balance/walkingNoticed my taste and sense of smell is less than before. Cant distinguish individual tastes. Only sweet and salty.

Release 6 — day 21, dose 2

2021-03-31

Symptoms: Problems with walking. Balance. Muscle weakness in legs, thighs.

Healthcare visit (other): Visit with doctor

Release 7 — day 35, dose 2

2021-04-15

Symptoms: Overwhelming tiredness, sleeping too much. Problems with balance. Hoping it would go away. Went to see doctor today. Advised thyroid test, going to bed earlier more exercise walking. Legs heavy. No energy. Paid for little help. Havent felt good.

Healthcare visit (other): Doctor visit.

Release 7 — day 42, dose 2

2021-04-23

Symptoms: Joint muscle pain. Problems with balance when walking. Blurred vision. Nodule on tongue. Sores in nose. Anxiety.

Healthcare visit (other): Visit ENT and eye doctor

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	Ageusia	✓	✓	✓
SD	Anosmia	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Gait disturbance	✓	✓	✓
SD	Hypersomnia	✓	✓	✓
SD	Limb discomfort	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nasal discomfort	✓	✓	✓
SD	Oral disorder	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Breast pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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