6JX-22514-19684

3 vaccinations 14 coded responses 38 check-ins 14 free-text entries 5 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 934 / CA
Registered: 2021-04-24

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

KQW-23306-33903 Child or adolescent in my care · Male · 2022-01-02

Timeline

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

2021-04-24
Registered in v-safe
2021-04-24
Dose 1 — Moderna
2021-04-24
Survey response — day 0, dose 1
MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: My injected arm hurts down to my wrist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Injected arm hurt down to wrist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-01
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-05-08
Survey response — day 14, dose 1
MedDRA: Rash — Feeling: Fair

Free text: Rash over arm where I was injected.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-22
Dose 2 — Moderna
2021-05-23
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Feeling abnormal, Musculoskeletal stiffness, Myalgia, Pain in extremity — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: My left arm hurts, aharp pain to elbow and pulsating into qrist. Fingers and toes hurt. All of ky muscles feel stiff and hurt. I habe nevwr felt this bad, evej after hours of labor, pushing and birth.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Immediate post-injection reaction, Injection site pain, Injection site warmth, Pain in extremity — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Sharp pain down my arm with injection. Pain to elbow, to wtist and in fingers. Injection site is quite warm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-05-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tiredness

Adult check-in
2021-05-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Redness, Itching · Headache · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-29
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2021-06-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-12
Survey response — day 21, dose 2
MedDRA: Insomnia, Sleep disorder — Feeling: Fair

Free text: I noticed I wake often during the night andbit started after my 1st shot and has continued to this point. I just realized the timing and I. I wake about once an hour, sometimes having a hard time going hack to sleep. No sleeep issues prior to vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-26
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-03
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-21
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Fatigue, Menstrual disorder, Pain in jaw — Feeling: Fair · Be unable to do your normal daily activities

Free text: My menstrual cycle is messed up since my vacinations. This is not normal for me. I continue to he tired dailey as well. Severs joint pian in hips and jaw.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-20
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Condition aggravated, Depression, Headache, Irritability, Joint swelling, Menstrual disorder, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe pain in knees, swelling. Inam more irritable than before vaccine. Hightened dpression since vaccine. Headaches. Unusual mentration cycles. Hip pain.

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Dose 3 — Moderna
2022-01-02
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-03
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Axillary pain, Injection site pain, Muscular weakness, Neck pain, Oedema peripheral, Pain in extremity — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · 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

Free text: Armpit painful and swollen. My entire injected arm is in sever pain. I jection site to elbow to wrist, unable to grasp and hild things in yhat hand. Sever pain also goes from injection site up to my shoulder and my neck. I would rather be in labor.

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Report sent to call center — days 1–6 daily, dose 3
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 · 1 call case(s)
2022-01-04
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Back pain, Dry mouth, Lymphadenopathy, Oedema peripheral — Feeling: Poor · Site: Redness · Joint pains, Muscle or body aches, Fatigue or tiredness · 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

Free text: Swollen armpit/lymphnode. Very painful lower back and hip joints. Dry mout for past 3 days.

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Report sent to call center — days 1–6 daily, dose 3
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 · 1 call case(s)
2022-01-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-07
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-07
Call 1 — Left Voicemail
2022-01-10
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-01-10
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-01-14
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-21
Survey response — day 21, dose 3
MedDRA: Depression — 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: Diagnosed with depression

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Report sent to call center — day 21, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-24
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-01-28
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-02-06
Survey response — day 35, dose 3
MedDRA: Asthenia, Cough, Fatigue, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Chest congestion, coughing, head congestion, fatigue, weakness .

MedDRA releases: 2024-11 · check-in free text available
2022-02-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-01
Survey response — 3 months, dose 3
MedDRA: Hypertension — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: High blood pressure

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-19
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-07-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-31
Survey response — 12 months, dose 3
MedDRA: Hypertension — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: High blood pressure started after my 3rd dose.

MedDRA releases: 2024-11 · check-in free text available
2022-12-31
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-03
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-24	Moderna
2	2021-05-22	Moderna
3	2021-12-31	Moderna	No

Call center

5 call center cases

5 successful

VAERS report filed, before or during a call: 4

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-24

Systemic reaction (other): My injected arm hurts down to my wrist

Release 7 — days 1–6 daily, dose 1

2021-04-25

Systemic reaction (other): Injected arm hurt down to wrist

Release 8 — day 14, dose 1

2021-05-08

Symptoms: Rash over arm where I was injected.

Release 8 — days 1–6 daily, dose 2

2021-05-23

Systemic reaction (other): My left arm hurts, aharp pain to elbow and pulsating into qrist. Fingers and toes hurt. All of ky muscles feel stiff and hurt. I habe nevwr felt this bad, evej after hours of labor, pushing and birth.

2021-05-24

Systemic reaction (other): Sharp pain down my arm with injection. Pain to elbow, to wtist and in fingers. Injection site is quite warm.

Release 9 — day 21, dose 2

2021-06-12

Symptoms: I noticed I wake often during the night andbit started after my 1st shot and has continued to this point. I just realized the timing and I. I wake about once an hour, sometimes having a hard time going hack to sleep. No sleeep issues prior to vaccine cut off by CDC

Release 9 — 3 months, dose 2

2021-08-21

Symptoms: My menstrual cycle is messed up since my vacinations. This is not normal for me. I continue to he tired dailey as well. Severs joint pian in hips and jaw.

Release 10 — 6 months, dose 2

2021-11-20

Symptoms: Severe pain in knees, swelling. Inam more irritable than before vaccine. Hightened dpression since vaccine. Headaches. Unusual mentration cycles. Hip pain.

Release 10 — days 1–6 daily, dose 3

2022-01-03

Systemic reaction (other): Armpit painful and swollen. My entire injected arm is in sever pain. I jection site to elbow to wrist, unable to grasp and hild things in yhat hand. Sever pain also goes from injection site up to my shoulder and my neck. I would rather be in labor. cut off by CDC

2022-01-04

Systemic reaction (other): Swollen armpit/lymphnode. Very painful lower back and hip joints. Dry mout for past 3 days.

Release 11 — day 21, dose 3

2022-01-21

Symptoms: Diagnosed with depression

Release 11 — day 35, dose 3

2022-02-06

Symptoms: Chest congestion, coughing, head congestion, fatigue, weakness .

Release 11 — 3 months, dose 3

2022-04-01

Symptoms: High blood pressure

Release 12 — 12 months, dose 3

2022-12-31

Symptoms: High blood pressure started after my 3rd dose.

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	Arthralgia	✓	·	✓
SD	Asthenia	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	·	·	✓
SD	Depression	·	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	·	·	✓
SD	Hypertension	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Irritability	·	·	✓
SD	Joint swelling	·	·	✓
SD	Menstrual disorder	✓	·	✓
SD	Pain in jaw	✓	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sleep disorder	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Axillary pain	·	·	✓
SRO	Back pain	·	·	✓
SRO	Dry mouth	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Muscular weakness	·	·	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Neck pain	·	·	✓
SRO	Oedema peripheral	·	·	✓
SRO	Pain in extremity	✓	✓	✓

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