5YA-25649-00627

2 vaccinations 8 coded responses 26 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 391 / MS
Registered: 2021-02-22

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

2021-02-22
Registered in v-safe
2021-02-22
Dose 1 — Moderna
2021-02-22
Health check-in — day 0, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Diarrhea

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Chest pain, Fatigue, Middle insomnia, Pain in extremity, Painful respiration — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Deep aching from breastbone wrapped around upper left chest all the way around to backbone. Includes upper left arm. Entire upper left quarter of my torso hurts. Not a sharp or throbbing pain, more like a deep bruise, a steady deep ache. Hurts in upper left chest area when I breathe, too. It wakes me up after a few hours so fatigue probably isnt helping matters.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — day 7, dose 1
MedDRA: Arthralgia, Back pain, Pain in extremity — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Only thing that is helping upper left quarter of back pain and upper left arm/shoulder pain is a very hot shower. Pain has now moved into my left elbow as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — day 14, dose 1
MedDRA: Dyspnoea, Insomnia, Medical counselling, Myalgia, Self-medication — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Still have muscular pain upper left torso, elbow, upper arm,shoulder. much worse over last week, hurt to breathe could not sleep. Advil, Tylenol,hot showers allowed sleep two hours at a time.Last two days beginning to improve slowly. · Healthcare visit (other): Cousin is physician at (b)(6), Mother is retired physician, good friend is ER doc. Phoned them all for advice.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-17
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-22
Dose 2 — Moderna
2021-03-22
Survey response — day 0, dose 2
MedDRA: Feeling jittery — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Feels a little jittery, physically. Very strange, just not quite right. Nothing to worry about at the moment, just a little off.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Malaise, Self-medication — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: How can symptoms limit my working if I do not work? All in all I can handle things with lots of Tylenol and Advil and hot showers, water bottles but I feel lousy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Pain — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: 2nd shot,relatively milder side effects.1st shot, they didnt appear till 6 or so days later, not life threatening but incredibly painful.Your app does not effectively track duration/intensity/time of onset of side effects (finally found similar on WEB). Youre getting half the picture. Makes me believe/trust your institution less than 100 percent. Stay safe and keep trying, I suppose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: Vomiting and diarrhea for several hours in the night. I dont really think it had anything to do with the vaccine but since theres no reason I can find for it, thought Id mention it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-21
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-26
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-06
Survey response — day 42, dose 2
MedDRA: Chest pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Not new and not really worse but the deep ache almost pain in my upper left chest is getting to me. Still its better than dying for sure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-12
Call 1 — Could Not Reach Participant
2022-02-17
Call 2 — Could Not Reach Participant
2022-03-22
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-22	Moderna
2	2021-03-22	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-28

Systemic reaction (other): Deep aching from breastbone wrapped around upper left chest all the way around to backbone. Includes upper left arm. Entire upper left quarter of my torso hurts. Not a sharp or throbbing pain, more like a deep bruise, a steady deep ache. Hurts in upper left chest area when I breathe, too. It wakes me up after a few hours so fatigue probably isnt helping matters.

Release 4 — day 7, dose 1

2021-03-01

Systemic reaction (other): Only thing that is helping upper left quarter of back pain and upper left arm/shoulder pain is a very hot shower. Pain has now moved into my left elbow as well.

Release 5 — day 14, dose 1

2021-03-08

Symptoms: Still have muscular pain upper left torso, elbow, upper arm,shoulder. much worse over last week, hurt to breathe could not sleep. Advil, Tylenol,hot showers allowed sleep two hours at a time.Last two days beginning to improve slowly.

Healthcare visit (other): Cousin is physician at (b)(6), Mother is retired physician, good friend is ER doc. Phoned them all for advice.

redacted (b)(6)

Release 6 — day 0, dose 2

2021-03-22

Systemic reaction (other): Feels a little jittery, physically. Very strange, just not quite right. Nothing to worry about at the moment, just a little off.

Release 6 — days 1–6 daily, dose 2

2021-03-25

Systemic reaction (other): How can symptoms limit my working if I do not work? All in all I can handle things with lots of Tylenol and Advil and hot showers, water bottles but I feel lousy.

2021-03-28

Systemic reaction (other): 2nd shot,relatively milder side effects.1st shot, they didnt appear till 6 or so days later, not life threatening but incredibly painful.Your app does not effectively track duration/intensity/time of onset of side effects (finally found similar on WEB). Youre getting half the picture. Makes me believe/trust your institution less than 100 percent. Stay safe and keep trying, I suppose.

Release 7 — day 14, dose 2

2021-04-09

Symptoms: Vomiting and diarrhea for several hours in the night. I dont really think it had anything to do with the vaccine but since theres no reason I can find for it, thought Id mention it.

Release 8 — day 42, dose 2

2021-05-06

Symptoms: Not new and not really worse but the deep ache almost pain in my upper left chest is getting to me. Still its better than dying for sure.

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	Medical counselling	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling jittery	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Middle insomnia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Painful respiration	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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