5YM-51453-45501

2 vaccinations 12 coded responses 22 check-ins 12 free-text entries 10 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 974 / OR
Registered: 2021-01-25

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

2021-01-25
Registered in v-safe
2021-01-25
Dose 1 — Moderna
2021-01-25
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2021-02-01
Survey response — day 7, dose 1
MedDRA: Neuralgia, Pain in extremity, Physiotherapy — Feeling: Fair · Site: Pain · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Nerve pain into my hand on the side of the injection · Healthcare visit (other): Physical therapy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-08
Survey response — day 14, dose 1
MedDRA: Arthralgia, Injection site erythema, Injection site pain, Injection site rash, Neuralgia, Pain in extremity, Physiotherapy — Feeling: Fair · Be unable to work, 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: 10 days s/p injection, red rash appeared at site. Burning pain at site with nerve pain in axilla and down medial upper arm. Right shoulder nerve pain. Rash gone in 24 hours. Nerve pain and raw feeling in axilla still present. · Healthcare visit (other): Physical therapist. Vaso vagal response. Nerve mobilization.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-17
Survey response — day 21, dose 1
MedDRA: Acupuncture, Burning sensation, Discomfort, Injection site pain, Office visit, Pain, Pain in extremity, Physiotherapy — Feeling: Poor · Be unable to work, 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: Left arm pain worsening. Burning in axilla and at injection site. Bilateral hand and forearm pain. Achy all over. Feel very uncomfortable. No other injuries to provoke pain. · Healthcare visit (other): PCP, acupuncture, physical therapy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — day 21, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-22
Survey response — day 28, dose 1
MedDRA: Acupuncture, Axillary pain, Injection site pain, Pain in extremity, Physiotherapy — 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: Continued left arm pain at injection site, axilla and hand pain. · Healthcare visit (other): Physical therapy and acupuncture

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — day 28, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-28
Dose 2 — Moderna
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Acupuncture, Axillary pain, Burning sensation, Mobility decreased, Neuralgia, Office visit — Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Axillary pain and burning on both sides. Had second dose on right side. First on the left. Both are painful · Healthcare visit (other): PCP and acupuncture treatment. Persistent nerve pain and limited activity with left arm, initial injection site from 5 weeks ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Axillary pain, Hypoaesthesia, Neuralgia — Feeling: Fair · Site: Pain, Redness, Itching · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Nerve pain and axillary pain on both sides. Posterior shoulder pain bilaterally. Numbness in the left thumb

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Acupuncture, Arthralgia, Neuralgia, Pain in extremity, Physiotherapy — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Nerve pain in bilateral upper extremities and shoulders · Healthcare visit (other): Acupuncture. PT

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-09
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-21
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-28
Survey response — day 28, dose 2
MedDRA: Axillary pain, Fatigue, Office visit, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Left arm and axillary pain continue to be present. Increased upper extremity fatigue. · Healthcare visit (other): PCP. Acupuncture

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-04
Survey response — day 35, dose 2
MedDRA: Abdominal pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Significant cramping abdominals with cycle. Atypical.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-30
Survey response — 3 months, dose 2
MedDRA: Ovarian cyst — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ovarian cyst that must be surgically removed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Call 1 — Left Voicemail
2021-08-29
Survey response — 6 months, dose 2
MedDRA: Cyst removal, Teratoma benign — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Complex benign dermoid teratoma removed surgically

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-29
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-02
Call 1 — Left Voicemail
2021-11-10
Call 1 — Left Voicemail
2021-11-11
Call 2 — Left Voicemail
2022-03-02
Survey response — 12 months, dose 2
MedDRA: Urinary tract infection, Urticaria — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Hives since January 2, 11 days after booster shot UTI

MedDRA releases: 2024-11 · check-in free text available
2022-03-02
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-03
Call 1 — Left Voicemail
2022-03-04
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Moderna
2	2021-02-28	Moderna

Call center

10 call center cases

10 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 7, dose 1

2021-02-01

Systemic reaction (other): Nerve pain into my hand on the side of the injection

Healthcare visit (other): Physical therapy

Release 3 — day 14, dose 1

2021-02-08

Symptoms: 10 days s/p injection, red rash appeared at site. Burning pain at site with nerve pain in axilla and down medial upper arm. Right shoulder nerve pain. Rash gone in 24 hours. Nerve pain and raw feeling in axilla still present.

Healthcare visit (other): Physical therapist. Vaso vagal response. Nerve mobilization.

Release 4 — day 21, dose 1

2021-02-17

Symptoms: Left arm pain worsening. Burning in axilla and at injection site. Bilateral hand and forearm pain. Achy all over. Feel very uncomfortable. No other injuries to provoke pain.

Healthcare visit (other): PCP, acupuncture, physical therapy

Release 4 — day 28, dose 1

2021-02-22

Symptoms: Continued left arm pain at injection site, axilla and hand pain.

Healthcare visit (other): Physical therapy and acupuncture

Release 4 — days 1–6 daily, dose 2

2021-03-02

Systemic reaction (other): Axillary pain and burning on both sides. Had second dose on right side. First on the left. Both are painful

Healthcare visit (other): PCP and acupuncture treatment. Persistent nerve pain and limited activity with left arm, initial injection site from 5 weeks ago

2021-03-03

Systemic reaction (other): Nerve pain and axillary pain on both sides. Posterior shoulder pain bilaterally. Numbness in the left thumb

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Nerve pain in bilateral upper extremities and shoulders

Healthcare visit (other): Acupuncture. PT

Release 6 — day 28, dose 2

2021-03-28

Symptoms: Left arm and axillary pain continue to be present. Increased upper extremity fatigue.

Healthcare visit (other): PCP. Acupuncture

Release 6 — day 35, dose 2

2021-04-04

Symptoms: Significant cramping abdominals with cycle. Atypical.

Release 8 — 3 months, dose 2

2021-05-30

Symptoms: Ovarian cyst that must be surgically removed

Release 9 — 6 months, dose 2

2021-08-29

Symptoms: Complex benign dermoid teratoma removed surgically

Release 11 — 12 months, dose 2

2022-03-02

Symptoms: Hives since January 2, 11 days after booster shot UTI

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	Acupuncture	✓	✓	✓
HCVO	Mobility decreased	✓	✓	✓
HCVO	Neuralgia	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Physiotherapy	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Axillary pain	✓	✓	✓
SD	Burning sensation	✓	✓	✓
SD	Cyst removal	✓	·	✓
SD	Discomfort	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Neuralgia	✓	✓	✓
SD	Ovarian cyst	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Teratoma benign	✓	·	✓
SD	Urinary tract infection	·	·	✓
SD	Urticaria	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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